I am waiting to have my breast pocket repaired as my surgeon over cut me and one breast is much lower than the other. I am 4 months PO and will likely wait a full year to redo, but I am in need of other opinions re: how it will be fixed. Is stitching to the ribcage cartilage typically done in a first time attempt at repairing a breast pocket made too large? There seem to be many varying opinions regarding repair, and I would love to hear as many of those as possible. Thank you
February 20, 2017
Answer: Are permanent sutures to rib cage necessary for repair of over dissected pocket? Does capsuloraphy always involve that? I am sorry to hear about/see the problem you are having after breast augmentation surgery. I think your concerns are appropriate; one of your breast implants does seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”).I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). In my practice, this "repair" involves a 2 layer permanent suture approximation of capsule to capsule tissue; suturing to the rib cage is not necessary. Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation.
Helpful 1 person found this helpful
February 20, 2017
Answer: Are permanent sutures to rib cage necessary for repair of over dissected pocket? Does capsuloraphy always involve that? I am sorry to hear about/see the problem you are having after breast augmentation surgery. I think your concerns are appropriate; one of your breast implants does seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”).I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). In my practice, this "repair" involves a 2 layer permanent suture approximation of capsule to capsule tissue; suturing to the rib cage is not necessary. Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation.
Helpful 1 person found this helpful
February 21, 2017
Answer: Do I need to have permanent sutures placed in my ribs to correct a low breast? Thanks so much for your question. It is not necessary to place sutures in the actual ribs. You will need to have a procedure called a capsuloraphy performed. That is a procedure where the scar tissue that naturally forms around your implant is change in some way so that the implant sits in a higher position. One way to do that is by sewing the capsule to itself (you can anchor the capsule to your own ribs but it is not the only way to do the surgery). A newer (stronger and often more dependable way) is to use an artificial material called Dermal Replacement Material. There are a number of different types of material that can be used but it basically acts like an internal bra or "hammock" to support the breast. I would suggest going to see a surgeon who specializes in this type of surgery so you don't have to have multiple attempts to correct your current situation. Hope this helps.
Helpful 1 person found this helpful
February 21, 2017
Answer: Do I need to have permanent sutures placed in my ribs to correct a low breast? Thanks so much for your question. It is not necessary to place sutures in the actual ribs. You will need to have a procedure called a capsuloraphy performed. That is a procedure where the scar tissue that naturally forms around your implant is change in some way so that the implant sits in a higher position. One way to do that is by sewing the capsule to itself (you can anchor the capsule to your own ribs but it is not the only way to do the surgery). A newer (stronger and often more dependable way) is to use an artificial material called Dermal Replacement Material. There are a number of different types of material that can be used but it basically acts like an internal bra or "hammock" to support the breast. I would suggest going to see a surgeon who specializes in this type of surgery so you don't have to have multiple attempts to correct your current situation. Hope this helps.
Helpful 1 person found this helpful
