Breast Augmentation Revision? (Photo)
Doctor Answers 7
Implants will move over time as skin stretches...
Breast revisions require careful planning and meticulous technique
They also look subglandular (over the muscle), so it is likely that you may benefit from transfer of the implants from over to under the muscle. I would also likely use dissolvable mesh (Galaflex, less commonly SERI) to help hold the implants in place during the first few months of healing. The goals would be to lift the implants and bring them together.
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The good news is, all of this can be improved, but it will take additional surgery, and some additional decisions will have to be made. First, it looks like you have fairly thin tissues, and not much fat on you at all, and this may be a factor. Your thin tissues have more trouble supporting the implant. It may be reasonable to downsize, as well as go to a silicone gel implant, which is softer than your current saline. Second, the pockets will need to be repaired at the lower and lateral aspects (and possibly released, or made slightly larger medially, towards the midline). There are different ways to do this, but, given your thin tissues, repairing the pocket by removing a section of the pocket lining (capsule) at the lower and lateral aspects and sewing the edges of the pocket together on the inside will effectively shrink the pocket in these areas. It is also an option to use a sheet of biological material (Acellular Dermal Matrix, or a silk sheet called "Seri") sewn inside the lower half and side of the pocket to give the repair more strength (in addition to sewing the pocket edges together).
This type of repair will place the implants higher on your chest wall as well as centering them so they don't slide off to the side. Of course, you would need an in person physical exam to confirm all of this, but you could discuss this kind of thing with your plastic surgeon.
I hope this helps.
Breast Augmentation Revision for Lateral Displacement?
Generally, the lateral breast implant displacement can be corrected using an internal suture technique, decreasing the size of the pockets and moving the implants toward the midline. In my practice, I use a 2 layered suture technique to close off the space laterally (towards the axilla). The use of acellular dermal matrix is an option ( although not usually necessary) especially if significant implant rippling/palpability is present.
I hope this, and the attached link, (dedicated to revisionary breast surgery concerns) helps. Best wishes.
Internal bra and implant exchange for low and lateral implants
Did it bottom out?
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