Why did my body not accept my implants the first time, and should I try again? Could I be allergic or were they too big for me?
Doctor Answers 3
Why did my body not accept my implants the first time, and should I try again?
Personally, I think that the management of breast implant exposure situation needs to be individualized. In most cases, patients are best served by removing the breast implant involved, with the goal of breast re augmentation many months subsequently. Ultimately, timing of the re operation is best individualized depending on the clinical/microbiology findings.
Factors that I use when deciding when to return to the operating room include: the nature of the infection present initially ( superficial versus deep, microbiology results…), how well and/or quickly the patient's tissues "heal" after removal of breast implants, the patient's physical examination with emphasis on softness/pliability of the patient's tissues… Generally, if in doubt, best to undergo breast re augmentation later rather than too soon.
Generally for patients in your situation, I recommend avoidance of incisions in thinned tissue (do not use the inframammary incision) and sometimes used acellular dermal matrix for additional support/thickness. Best wishes for an outcome that you will be pleased with longer-term.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.