I am 33 years old. I had an implant rupture in my right breast. I didn’t have enough fat for grafting. I told them to take both 390 cc silicone implants out. The left breast, which had an intact implant, now has a concave nipple that feels stuck to the chest wall. The right breast looks fine in comparison. I am not convinced that this “just due to swelling” since it feels stuck. It has been like this since I got out of surgery 4 days ago. They said it didn’t look like that in surgery.
December 12, 2017
Answer: Concave nipple following removal of implants 4 days is really too early to tell what your final outcome will be. There is usual still some swelling at this point, especially if a capsulectomy was performed which is why drains would typically be used in this scenario. A seroma (accumulation of sterile fluid) can form in the breast implant pocket following removal of implants (with or without a capsulectomy but more likely with a capsulectomy). This can cause overall swelling and contour irregularities of the breast. This type of swelling can occur in addition to swelling within the tissues of the breast (tissue edema) such as the muscle, breast tissue, subcutaneous fat and skin. Tissue edema will eventually go away on it's own without intervention. Seromas can persist and even enlarge over time and may require aspiration and/ or drainage, and sometimes a drain may be required again. A simple ultrasound can be obtained to evaluate for possible seromas. I would recommend that you follow up with your surgeon closely to monitor the amount of swelling. He/ she will recommend the next step to take should the swelling fails to improve. Best wishes.
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December 12, 2017
Answer: Concave nipple following removal of implants 4 days is really too early to tell what your final outcome will be. There is usual still some swelling at this point, especially if a capsulectomy was performed which is why drains would typically be used in this scenario. A seroma (accumulation of sterile fluid) can form in the breast implant pocket following removal of implants (with or without a capsulectomy but more likely with a capsulectomy). This can cause overall swelling and contour irregularities of the breast. This type of swelling can occur in addition to swelling within the tissues of the breast (tissue edema) such as the muscle, breast tissue, subcutaneous fat and skin. Tissue edema will eventually go away on it's own without intervention. Seromas can persist and even enlarge over time and may require aspiration and/ or drainage, and sometimes a drain may be required again. A simple ultrasound can be obtained to evaluate for possible seromas. I would recommend that you follow up with your surgeon closely to monitor the amount of swelling. He/ she will recommend the next step to take should the swelling fails to improve. Best wishes.
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December 10, 2017
Answer: Inverted nipple Dear concavenipplelady,I understand your concern and it is quite normal to be concerned about the outcome following an implant removal surgery. However, you are still in the very early stages of the healing process at 4 days post op. Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively. At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides you will be able to see the final result of your surgery. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery
Helpful 1 person found this helpful
December 10, 2017
Answer: Inverted nipple Dear concavenipplelady,I understand your concern and it is quite normal to be concerned about the outcome following an implant removal surgery. However, you are still in the very early stages of the healing process at 4 days post op. Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively. At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides you will be able to see the final result of your surgery. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery
Helpful 1 person found this helpful