I have lateral displacement more on my right breast. It’s been bothering me so I was seen by my ps. She was pretty vague, but had mentioned using stitches to fix my stretched pocket. I was then told by an outside party that my ps should have mentioned using mesh, because stitches almost always don’t stay. Can someone please shed light on what I should do. Thanks in advance.
January 16, 2019
Answer: Lateral displacement of breast implants. Thank you for the question. I use stitches to close the lateral pocket but only after I change the implant pocket to above the muscle. The reason for the lateral displacement is the continued contraction of the Pectoralis muscle pushing the implant down and to the side where there is no muscle. I have had success with this technique without the use of unnecessary mesh. Hope that helps. All the best,Dr. Khuthaila
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January 16, 2019
Answer: Lateral displacement of breast implants. Thank you for the question. I use stitches to close the lateral pocket but only after I change the implant pocket to above the muscle. The reason for the lateral displacement is the continued contraction of the Pectoralis muscle pushing the implant down and to the side where there is no muscle. I have had success with this technique without the use of unnecessary mesh. Hope that helps. All the best,Dr. Khuthaila
Helpful
January 13, 2019
Answer: Stitches or mesh for lateral displacement? Lateral displacement is usually associated with implants placed behind the muscle. This can be a difficult problem to solve. To correct this is problem, a lateral capsulorrhaphy is needed to make the breast implant pocket smaller by closing the lateral aspect of the pocket with multiple sutures. This is the least expensive technique. Sometimes the capsule is very thin and, therefore, not very strong. So this technique can lead to recurrence. You can also add a biologic mesh, such as Alloderm, which is human dermis. This can be sewn into the breast pocket as an internal bra. This material will become incorporated into your own tissues. There are also absorbable mesh options. Revisional breast surgery is always more challenging than a primary augmentation. Good luck with your procedure!
Helpful
January 13, 2019
Answer: Stitches or mesh for lateral displacement? Lateral displacement is usually associated with implants placed behind the muscle. This can be a difficult problem to solve. To correct this is problem, a lateral capsulorrhaphy is needed to make the breast implant pocket smaller by closing the lateral aspect of the pocket with multiple sutures. This is the least expensive technique. Sometimes the capsule is very thin and, therefore, not very strong. So this technique can lead to recurrence. You can also add a biologic mesh, such as Alloderm, which is human dermis. This can be sewn into the breast pocket as an internal bra. This material will become incorporated into your own tissues. There are also absorbable mesh options. Revisional breast surgery is always more challenging than a primary augmentation. Good luck with your procedure!
Helpful
