I am doing a revision for lateral drift, rippling, and bottoming out. I have 600 cc hp silicone unders. I am going to 485 cc solicine unders. We are also doing a capsulorrhaphy and using Alloderm. I am leaning towards inspira hp. My doc thinks we should drop down to moderate. And I am wondering what benefit that would have. Is there a higher risk of displacement or sagging with high profile? Is there worry about tissue atrophy bc I have little breast tissue? I'd like to stick to hp if I can.
Answer: Do high profile implants have more potential to sag? High profile breast implants have more volume per breast implant unit than do the moderate-plus and moderate profile implants. Thus more stress is placed on the patient's natural breast tissues to support the larger volume implant (high profile). This will sometimes lead to implant malpositions. I have not, however, experienced more sagging with high profile versus moderate plus profile breast implants.
Helpful 1 person found this helpful
Answer: Do high profile implants have more potential to sag? High profile breast implants have more volume per breast implant unit than do the moderate-plus and moderate profile implants. Thus more stress is placed on the patient's natural breast tissues to support the larger volume implant (high profile). This will sometimes lead to implant malpositions. I have not, however, experienced more sagging with high profile versus moderate plus profile breast implants.
Helpful 1 person found this helpful
July 2, 2017
Answer: Do high profile implants have more potential to sag? I would say that the extra implant volume (and weight) going to HP with the same base diameter as a smaller volume mid profile implant would put more stress on your tissues (at least theoretically). Whether this has a profound clinical effect or not is unclear in my mind but I often advise patients to consider the more natural proportioning of a mid or mid-plus profile implant in making their choice. Larger implants do result in lower pole and general breast tissue thinning over time, especially with capsular contracture present or a history of multiple pregnancies and tissue stretching and thinning. Therefor the advice to consider smaller rather than larger implants in the setting that you're describing.
Helpful 3 people found this helpful
July 2, 2017
Answer: Do high profile implants have more potential to sag? I would say that the extra implant volume (and weight) going to HP with the same base diameter as a smaller volume mid profile implant would put more stress on your tissues (at least theoretically). Whether this has a profound clinical effect or not is unclear in my mind but I often advise patients to consider the more natural proportioning of a mid or mid-plus profile implant in making their choice. Larger implants do result in lower pole and general breast tissue thinning over time, especially with capsular contracture present or a history of multiple pregnancies and tissue stretching and thinning. Therefor the advice to consider smaller rather than larger implants in the setting that you're describing.
Helpful 3 people found this helpful
