I'm not sure whether to get silicone or saline implants and what size I could use
Doctor Answers 2
Breast reconstruction revision
I you BMI is over 34 then I don't recommend implants. Use your own tissue in the form of lower abdomen tissue. Whether you have cancer of one of the genetic mutations I find the DIEP flap to be the best alternative in these cases.
Revision After Radiation
Thank you for you question. There are several things going on from your description: (1) implant lateralization on the non radiated side (2) capsular contracture on the radiated side and (3) dermal fibrosis (hardening of the skin). If you were my patient I would suggest the following: (1) Wait 9-12mo from your last radiation treatment before considering revision. The radiated skin has to stabilize and that takes time. Second, the radiated skin is hard and the implant is hard and displaced...this is a capsular contracture. Radiated skin is a bad environment for an implant. Even if the capsule if removed I doubt it stretch enough to safely place another implant AND you would likely develop another hard capsule. You need to replace the bad skin with soft skin that will stretch and accommodate and implant.
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