I have a moderate case of “bottoming out”. This was evident a few months after surgery in 2020. I’ve been told the fix involves inserting mesh and I’m concerned about another foreign object in my body. Especially since mesh is really difficult - if not impossible - to complete mremove in the event of adverse effects. Is there an alternative that can still fix the “bottoming out” appearance?
April 24, 2024
Answer: Bottoming out/inferior malposition Thank you for your question. A large portion of my practice is dedicated to breast surgery and revision breast surgery. I have been in practice for over 28 years. In your case, you would benefit from an internal bra procedure - capsulorrhaphy. I wrote the very first paper on capsulorrhaphy over 20 years ago. If you are on top of the muscle, then I would reposition the implants under the muscle. I wrote that paper too. I rarely use mesh or feel that is needed in most cases. I find that many surgeons are not skilled at these procedures and have high rate of recurrence. You should be able to have an excellent result. Best wishes to you
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April 24, 2024
Answer: Bottoming out/inferior malposition Thank you for your question. A large portion of my practice is dedicated to breast surgery and revision breast surgery. I have been in practice for over 28 years. In your case, you would benefit from an internal bra procedure - capsulorrhaphy. I wrote the very first paper on capsulorrhaphy over 20 years ago. If you are on top of the muscle, then I would reposition the implants under the muscle. I wrote that paper too. I rarely use mesh or feel that is needed in most cases. I find that many surgeons are not skilled at these procedures and have high rate of recurrence. You should be able to have an excellent result. Best wishes to you
Helpful
April 24, 2024
Answer: Mesh The question is whether mesh is dangerous. There are lots of different “mesh“ options. In breast surgery, especially aesthetic breast surgery, most mesh used today is dissolving much like suture material. While it does probably increase the risks of surgery with regard to infection and the ability to temporarily feel the mesh, it is generally safe to use and can make quite a difference, preventing stretch of Tissues while healing. I find it particularly valuable in supporting tissues with breast lifting Along with augment, and repairing an Over expanded pocket. It is not Absolutely necessary, but I personally believe it improves the long-term results. Most problems related to breast augmentation, and lifting are related to an oversized implant, Or substantial tissue damage from weight gain, weight loss cycles. If your surgeon is experienced and board-certified, my inclination is to trust them. Second opinions can be valuable, however.
Helpful
April 24, 2024
Answer: Mesh The question is whether mesh is dangerous. There are lots of different “mesh“ options. In breast surgery, especially aesthetic breast surgery, most mesh used today is dissolving much like suture material. While it does probably increase the risks of surgery with regard to infection and the ability to temporarily feel the mesh, it is generally safe to use and can make quite a difference, preventing stretch of Tissues while healing. I find it particularly valuable in supporting tissues with breast lifting Along with augment, and repairing an Over expanded pocket. It is not Absolutely necessary, but I personally believe it improves the long-term results. Most problems related to breast augmentation, and lifting are related to an oversized implant, Or substantial tissue damage from weight gain, weight loss cycles. If your surgeon is experienced and board-certified, my inclination is to trust them. Second opinions can be valuable, however.
Helpful