1 of the pockets holding my implant has stretched according to my surgeon & is causing a lot of pain & unevenness. It's making me want to downsize. What is the best method a surgeon can take while downsizing implant size during surgery to make sure the pocket won't stretch/possibly bottom out again? & when downsizing/exchanging new implants, what happens to the scar tissue/capsule thats formed around the 1st implant? Does it stay in the body or does it come out when putting in a new implant??
Answer: Fat transfer alternate to small implants
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Answer: Fat transfer alternate to small implants
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October 6, 2018
Answer: Revision Breast Augmentation Hello,Implant malposition leading to dropout or lateral displacement can be due to many factors: the creation of a pocket too large, or in a way that destabilizes the surrounding tissues (blunt dissection), the use of smooth implants, the use of 'very large' implants (no official designation for what size implants these constitute), the use of saline implants, and the use of implants that were objectively too large for the patients anatomy. The repair of this depends on what factors were implicated and the degree and direction of malposition. Either capsulorrhaphy is performed (most commonly), or the creation of a neo-subpectoral pocket. Scar capsule is usually not removed for implant malposition. More important than the chosen technique is the surgeon executing the procedure. The best chance of a successful outcome is by choosing an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery and has at least a decade of experience doing revisions on a regular basis. Best of luck!
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October 6, 2018
Answer: Revision Breast Augmentation Hello,Implant malposition leading to dropout or lateral displacement can be due to many factors: the creation of a pocket too large, or in a way that destabilizes the surrounding tissues (blunt dissection), the use of smooth implants, the use of 'very large' implants (no official designation for what size implants these constitute), the use of saline implants, and the use of implants that were objectively too large for the patients anatomy. The repair of this depends on what factors were implicated and the degree and direction of malposition. Either capsulorrhaphy is performed (most commonly), or the creation of a neo-subpectoral pocket. Scar capsule is usually not removed for implant malposition. More important than the chosen technique is the surgeon executing the procedure. The best chance of a successful outcome is by choosing an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery and has at least a decade of experience doing revisions on a regular basis. Best of luck!
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October 8, 2018
Answer: Implant sizing You can definitely downsize your implants at any time. If the pockets stretch (which they usually do over time), then downsizing to a smaller implant usually requires a capsulorrhaphy - internal tightening of the pocket to make the pocket smaller. This is usually done to the lateral and sometimes inferior pocket. As for removing the capsule, it depends on how thick the capsule is over time. If it's thin, then it's usually left in place. The capsule can help support the internal tightening. Lastly, often a lift is needed to give better shape to a smaller implant and breast.
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October 8, 2018
Answer: Implant sizing You can definitely downsize your implants at any time. If the pockets stretch (which they usually do over time), then downsizing to a smaller implant usually requires a capsulorrhaphy - internal tightening of the pocket to make the pocket smaller. This is usually done to the lateral and sometimes inferior pocket. As for removing the capsule, it depends on how thick the capsule is over time. If it's thin, then it's usually left in place. The capsule can help support the internal tightening. Lastly, often a lift is needed to give better shape to a smaller implant and breast.
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October 6, 2018
Answer: Implant replacement Dear jmhig218,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
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October 6, 2018
Answer: Implant replacement Dear jmhig218,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
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October 5, 2018
Answer: Best method for downsizing breast implants? Thank you the question but online consultants will not be of much specific help to you. Keep in mind as you are thinking about your goals that sometimes adjustment of the breast implant pockets (capsule adjustments) and/or breast lifting may be necessary to achieve the outcome you are looking for. Whether or not the adjustment of the breast implant capsules and/or breast lifting will be necessary will mainly be dependent on your physical examination; specifically, factors such as the amount of redundant skin, quality of skin elasticity, and how much you downsize will be important.
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October 5, 2018
Answer: Best method for downsizing breast implants? Thank you the question but online consultants will not be of much specific help to you. Keep in mind as you are thinking about your goals that sometimes adjustment of the breast implant pockets (capsule adjustments) and/or breast lifting may be necessary to achieve the outcome you are looking for. Whether or not the adjustment of the breast implant capsules and/or breast lifting will be necessary will mainly be dependent on your physical examination; specifically, factors such as the amount of redundant skin, quality of skin elasticity, and how much you downsize will be important.
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