I've had two surgeries to repair the bottoming out of both sides of my implants. My doctor blames my lack of fat and prior breast lift/ reduction. During the first repair, my doctor attempted to re-suture the pocket and adhere things more intensely. During the second repair, I paid for the strattice material to be added. That repair was a year and a half ago. I'm just so disappointed and at a loss. Can this just not be fixed??? Or should I seek out another in person consult?
Answer: Time for someone new Although not the ideal support, Strattice, or any other ADM, should have done the job. You'll need someone else's hand to fix you for good.
Helpful 2 people found this helpful
Answer: Time for someone new Although not the ideal support, Strattice, or any other ADM, should have done the job. You'll need someone else's hand to fix you for good.
Helpful 2 people found this helpful
February 6, 2022
Answer: Revision of breast lift and smaller implants You underwent a Wise pattern lift, reduction and placement of implants. Unfortunately, your implants are only supported by the mechanical strength of your skin envelope. You will need a revision of the breast lift with smaller implants. Best Wishes, Gary Horndeski, M.D.
Helpful 1 person found this helpful
February 6, 2022
Answer: Revision of breast lift and smaller implants You underwent a Wise pattern lift, reduction and placement of implants. Unfortunately, your implants are only supported by the mechanical strength of your skin envelope. You will need a revision of the breast lift with smaller implants. Best Wishes, Gary Horndeski, M.D.
Helpful 1 person found this helpful
February 6, 2022
Answer: Breast revision Your result is quite good except that there is too much skin around the outer part of the breast. This can easily be corrected by just excusing about a one inch wide strip of skin replacing the old scar. It should not be a big deal. Otherwise your result is great !
Helpful 1 person found this helpful
February 6, 2022
Answer: Breast revision Your result is quite good except that there is too much skin around the outer part of the breast. This can easily be corrected by just excusing about a one inch wide strip of skin replacing the old scar. It should not be a big deal. Otherwise your result is great !
Helpful 1 person found this helpful
November 28, 2023
Answer: Bottoming out Dear alisall, bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery. Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies. If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 2 people found this helpful
November 28, 2023
Answer: Bottoming out Dear alisall, bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery. Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies. If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 2 people found this helpful
Answer: Revision of bottomed out implants Hello alisall. Bottomed-out implants may happen with larger implants, disrupted inframammary fold, and thinner skin flaps. It seems that your surgeon tried to stabilize pockets with acceptable procedures twice. At this point, I think getting a second opinion is the next reasonable step.Additional pictures with both breasts in the view and views of the second breast are helpful to appreciate the problem. In-person consultation, especially with multiple prior surgeries is more informative and productive for both a patient and a surgeon. Best. A. Shteynberg, M.D., F.A.C.S.Diplomate, American Board of Plastic SurgeryNew York, NY.
Helpful 1 person found this helpful
Answer: Revision of bottomed out implants Hello alisall. Bottomed-out implants may happen with larger implants, disrupted inframammary fold, and thinner skin flaps. It seems that your surgeon tried to stabilize pockets with acceptable procedures twice. At this point, I think getting a second opinion is the next reasonable step.Additional pictures with both breasts in the view and views of the second breast are helpful to appreciate the problem. In-person consultation, especially with multiple prior surgeries is more informative and productive for both a patient and a surgeon. Best. A. Shteynberg, M.D., F.A.C.S.Diplomate, American Board of Plastic SurgeryNew York, NY.
Helpful 1 person found this helpful