I am a 29 year olf female 1.5 years post breast reconstruction with submuscular high-profile mentor silicone implants (450cc). I am experiencing visible implant rippling (w/o bra only) on the R breast through the center cleavage and top of implant over the slope. I have had 3 fat grafting procedures (30 cc at a time) to help with the rippling - minimal help. Should I continue with the fat grafting, are there other procedures I should look at, Or is this as good as it gets? No lat flap. Thanks!
Answer: Breast reconstruction rippling. Previous fat grafting to help with ripples. Minimal results. Suggestions? (photo) Hello! Thank you for your question! Fat grafting has become a popular procedure to improve aesthetic outcome following breast reconstruction or for improvement of contour after lumpectomy. Much of the newest research has investigated the properties of fat, in terms of its stem cell properties and associated advantages. It has significantly ameliorated radiation damage by increasing vascularity. Also, it adds additional "fatty tissue" atop the reconstructed breast mound to further contour any concavities or deformities, while also masking implant visibility with rippling and such.At our Breast Reconstruction Center, we have utilizing this technique almost routinely to maximize the aesthetic outcomes after lumpectomy or mastectomy. We have utilized the micro-fat grafting technique, and have been obtaining maximal fat graft survival into the breast. After harvesting of the fat from areas with excess fat, usually the belly, hips, or thighs, the fat is processed and injected back into the breast using the aforementioned techniques. Our patients have been very happy with the results as well as the areas where the liposuction was performed. Contour has been much improved using the micro-fat grafting technique, and the downtime is minimal. Survival rate of the fat is reports 50-90%, and thus is usually compensated for upon injection of the fat. Sometimes it takes multiple procedures. Fat grafting has become a mainstay in breast reconstruction and has added another edge to breast reconstruction for aesthetics with minimal morbidity and complications. If you are agreeable to it, I would continue with the fat grafting, especially if you are resistant to any flap procedure. Discuss the survival rate and why the fat is failing to correct the deformity with your surgeon. Best wishes for a great result!
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Answer: Breast reconstruction rippling. Previous fat grafting to help with ripples. Minimal results. Suggestions? (photo) Hello! Thank you for your question! Fat grafting has become a popular procedure to improve aesthetic outcome following breast reconstruction or for improvement of contour after lumpectomy. Much of the newest research has investigated the properties of fat, in terms of its stem cell properties and associated advantages. It has significantly ameliorated radiation damage by increasing vascularity. Also, it adds additional "fatty tissue" atop the reconstructed breast mound to further contour any concavities or deformities, while also masking implant visibility with rippling and such.At our Breast Reconstruction Center, we have utilizing this technique almost routinely to maximize the aesthetic outcomes after lumpectomy or mastectomy. We have utilized the micro-fat grafting technique, and have been obtaining maximal fat graft survival into the breast. After harvesting of the fat from areas with excess fat, usually the belly, hips, or thighs, the fat is processed and injected back into the breast using the aforementioned techniques. Our patients have been very happy with the results as well as the areas where the liposuction was performed. Contour has been much improved using the micro-fat grafting technique, and the downtime is minimal. Survival rate of the fat is reports 50-90%, and thus is usually compensated for upon injection of the fat. Sometimes it takes multiple procedures. Fat grafting has become a mainstay in breast reconstruction and has added another edge to breast reconstruction for aesthetics with minimal morbidity and complications. If you are agreeable to it, I would continue with the fat grafting, especially if you are resistant to any flap procedure. Discuss the survival rate and why the fat is failing to correct the deformity with your surgeon. Best wishes for a great result!
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Answer: Rippling after mastectomy reconstruction Thank you for your question. Rippling can be seen when the surface of an implant shadows through the tissue, often found where the breast tissue coverage is thin. You have already tried one approach would be to add some thickness to the breast tissue by fat grafting where fat is carefully layered between the skin and the implant. Another is to add a dermal matrix sheet between the breast and the implant where the rippling is visible to blunt the impression of the implant on the overlying skin. Additionally, you can try changing implants to ones that are more overfilled such as the Inspira implants from Allergan or go with a shaped implant that is less prone to rippling.I would visit with a board certified plastic surgeon to discuss your options in more detail.
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Answer: Rippling after mastectomy reconstruction Thank you for your question. Rippling can be seen when the surface of an implant shadows through the tissue, often found where the breast tissue coverage is thin. You have already tried one approach would be to add some thickness to the breast tissue by fat grafting where fat is carefully layered between the skin and the implant. Another is to add a dermal matrix sheet between the breast and the implant where the rippling is visible to blunt the impression of the implant on the overlying skin. Additionally, you can try changing implants to ones that are more overfilled such as the Inspira implants from Allergan or go with a shaped implant that is less prone to rippling.I would visit with a board certified plastic surgeon to discuss your options in more detail.
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January 2, 2017
Answer: More tissue to help with rippling.
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January 2, 2017
Answer: More tissue to help with rippling.
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January 2, 2017
Answer: Alloderm or Strattice to improve breast reconstruction results
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January 2, 2017
Answer: Alloderm or Strattice to improve breast reconstruction results
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October 13, 2015
Answer: Breast reconstruction rippling This is particularly challenging. Round devices can give you a shelf like appearance. Shaped implants avoid this appearance. You can continue with fat grafting but you may have to be satisfied with very moderate improvements.
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October 13, 2015
Answer: Breast reconstruction rippling This is particularly challenging. Round devices can give you a shelf like appearance. Shaped implants avoid this appearance. You can continue with fat grafting but you may have to be satisfied with very moderate improvements.
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