Had b/a 14 months ago. Had one breast fold lowered 1-2cm which has left my breasts uneven. My folds we even before! Can I raise the fold back to original position? How complicated isit to do? Along with a small areola lift and reduction? Thanks in advance
Answer: Raising a lowered breast fold? I am sorry to hear about the problems you are having after breast augmentation surgery. Based on your description, I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. 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. Associated issues with positioning of nipple/areola complexes may improve with this operation. Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with revisionary breast surgery.
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Answer: Raising a lowered breast fold? I am sorry to hear about the problems you are having after breast augmentation surgery. Based on your description, I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. 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. Associated issues with positioning of nipple/areola complexes may improve with this operation. Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with revisionary breast surgery.
Helpful 1 person found this helpful
Answer: Raising a lowered inframammary fold Yes, this can be done. Internal sutures can be used to re-anchor the crease where it was previously. It can be technically challenging to get it right, and sometimes, particularly in slender patients, the crease may not stay where it was put during surgery. Sometimes, expensive ADM's are needed for reinforcement. You may need to decrease the implant size, as well. Your activities will also need to be limited for 2-3 months post-op.Best to see a plastic surgeon with significant experience in revisional breast implant surgery.
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Answer: Raising a lowered inframammary fold Yes, this can be done. Internal sutures can be used to re-anchor the crease where it was previously. It can be technically challenging to get it right, and sometimes, particularly in slender patients, the crease may not stay where it was put during surgery. Sometimes, expensive ADM's are needed for reinforcement. You may need to decrease the implant size, as well. Your activities will also need to be limited for 2-3 months post-op.Best to see a plastic surgeon with significant experience in revisional breast implant surgery.
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October 21, 2016
Answer: Breast implant raising a fold. Thanks for your question. Raising of a fold is called Capsulorrhaphy. It is essentially a tightening if the scar tissue layer at the bottom of the breast. While lowering a fold is easy because gravity works in our favor, raising a fold can be more challenging. The weight of the implant, especially if large, gravity and muscular forces, if you are submuscular, can tend to force the pocket open again. In some cases it is more predictable to temporarily remove the implant while the pocket heals. While most patients don't prefer this option it removes the weight of the implant and muscular forces as the lower pocket heals in.Your PS will have to guide you depending upon the size of your implant and muscularity.Hope this helps and best wishes.
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October 21, 2016
Answer: Breast implant raising a fold. Thanks for your question. Raising of a fold is called Capsulorrhaphy. It is essentially a tightening if the scar tissue layer at the bottom of the breast. While lowering a fold is easy because gravity works in our favor, raising a fold can be more challenging. The weight of the implant, especially if large, gravity and muscular forces, if you are submuscular, can tend to force the pocket open again. In some cases it is more predictable to temporarily remove the implant while the pocket heals. While most patients don't prefer this option it removes the weight of the implant and muscular forces as the lower pocket heals in.Your PS will have to guide you depending upon the size of your implant and muscularity.Hope this helps and best wishes.
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October 21, 2016
Answer: THERE IS HOPE Lower pole herniation has a number of causes and aggravating factors. Oversized implants under the muscle with an aggressive attempt to lower the infra-mammary crease at surgery in a patient that is athletic or pole dances, is a worst case scenario. Analysis of the cause and aggravating factors is necessary to develop a plan of action that will minimize recurrence. The use of grafts is not the first choice in our hands. To see how to analyze and fix a worst case scenario see the attached video.
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October 21, 2016
Answer: THERE IS HOPE Lower pole herniation has a number of causes and aggravating factors. Oversized implants under the muscle with an aggressive attempt to lower the infra-mammary crease at surgery in a patient that is athletic or pole dances, is a worst case scenario. Analysis of the cause and aggravating factors is necessary to develop a plan of action that will minimize recurrence. The use of grafts is not the first choice in our hands. To see how to analyze and fix a worst case scenario see the attached video.
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October 21, 2016
Answer: Fold repair This can be done with internal suturing and should leave no additional scars. It does involve a trip back to the OR. Reducing the volume and elevating the areola could also be performed at the same time.
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October 21, 2016
Answer: Fold repair This can be done with internal suturing and should leave no additional scars. It does involve a trip back to the OR. Reducing the volume and elevating the areola could also be performed at the same time.
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