Hello! So 5 yrs ago i received 325cc HP silicone under muscle - too wide for my frame. I downsized to 175cc mod profile and the PS says need to do a capsulorrhaphy because my pocket would be too big for the small implant. At post op, one of the breasts is deformed and indented. PS showed concern and admitted she sewed the last stitch (permanent) too tight. Wants me to wait, says MAY loosen up. Read on here best to fix stitching sooner rather than later. Seeking professional opinion what to do?
January 24, 2020
Answer: Breast Revision Surgery At this point you may need to wait at least 6 months to allow things to settle and stretch. You may be fine over time or this may be permanent. I would monitor it and see where you are at in 6 months. If it looks like it is improving then I would say wait longer and see if it corrects it self. If at 6 months things look the same then you may need revision surgery to fix this.Hope that helps.
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January 24, 2020
Answer: Breast Revision Surgery At this point you may need to wait at least 6 months to allow things to settle and stretch. You may be fine over time or this may be permanent. I would monitor it and see where you are at in 6 months. If it looks like it is improving then I would say wait longer and see if it corrects it self. If at 6 months things look the same then you may need revision surgery to fix this.Hope that helps.
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January 24, 2020
Answer: Indentation after capsulorrhaphy With traditional capsulorrhaphy the inferiolateral area is easily over-tightened, which is what is shown in your photo. Depending on the structure of the capsule and type of repair this could be a permanent or temporary issue. It would be a good idea to wait for at least 3 months to see where it is headed and then revision may be necessary. If revision is necessary I have found a valuable tool is "popcorning" the capsule. Essentially adding "heat and energy" to the capsule with a bipolar cautery device to shrink the capsule to the position and dimension you like and then support this position with sutures. This helps prevent precisely the issue you are having with over-tightening in some areas and under-tightening in others. You may ask your surgeon if He/She has any experience in that technique. It is on the short list of my favorite tricks I have found in the past decade.
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January 24, 2020
Answer: Indentation after capsulorrhaphy With traditional capsulorrhaphy the inferiolateral area is easily over-tightened, which is what is shown in your photo. Depending on the structure of the capsule and type of repair this could be a permanent or temporary issue. It would be a good idea to wait for at least 3 months to see where it is headed and then revision may be necessary. If revision is necessary I have found a valuable tool is "popcorning" the capsule. Essentially adding "heat and energy" to the capsule with a bipolar cautery device to shrink the capsule to the position and dimension you like and then support this position with sutures. This helps prevent precisely the issue you are having with over-tightening in some areas and under-tightening in others. You may ask your surgeon if He/She has any experience in that technique. It is on the short list of my favorite tricks I have found in the past decade.
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