I have Mentor Saline HP Smooth Round 380 cc Implants filled to 450. They were placed by INF approach and placed dual plane. I can palpate a ridge, approximately the size of a quarter to the right of my nipple on my right breast and it's smooth in the center. I have already had several consultations with PS's and I have been told that I have bottomed out and have lateral displacement as well so I need revision surgery but was just wondering if this is normal?
Answer: Breast Implant valve and Malposition
Thank you for the question.
Yes it is possible in the rare patient to feel the implant valve associated with saline breast implants.
Also, as you describe, one of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
Revisionary surgery may be useful and often involves the use of internal sutures ( capsulorraphy) or opening a breast implant pockets (capsulotomy) as the patient specific circumstances warrant.
I hope this helps.
Helpful
Answer: Breast Implant valve and Malposition
Thank you for the question.
Yes it is possible in the rare patient to feel the implant valve associated with saline breast implants.
Also, as you describe, one of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
Revisionary surgery may be useful and often involves the use of internal sutures ( capsulorraphy) or opening a breast implant pockets (capsulotomy) as the patient specific circumstances warrant.
I hope this helps.
Helpful
August 12, 2011
Answer: Saline breast implant palpability: Convert to Silicone
Implant palpability is the most common difference in saline breast implants as compared to silicone breast implants. The deformity you are feeling may represent the breast implant valve. This could be alleviated with a change of breast implants from saline to silicone. please refer to a board certified plastic surgeon for this problem.
Helpful
August 12, 2011
Answer: Saline breast implant palpability: Convert to Silicone
Implant palpability is the most common difference in saline breast implants as compared to silicone breast implants. The deformity you are feeling may represent the breast implant valve. This could be alleviated with a change of breast implants from saline to silicone. please refer to a board certified plastic surgeon for this problem.
Helpful
August 5, 2011
Answer: Feeling a valve on a saline implant
This can happen with saline implants in certain cases. You may consider converting to silicone implants which do not have valves. Your tissue also may have thinned out which is contributing to the valve's prominence. A board certified plastic surgeon can outline a surgical plan for your revision.
Best wishes,
Dr.Bruno
Helpful
August 5, 2011
Answer: Feeling a valve on a saline implant
This can happen with saline implants in certain cases. You may consider converting to silicone implants which do not have valves. Your tissue also may have thinned out which is contributing to the valve's prominence. A board certified plastic surgeon can outline a surgical plan for your revision.
Best wishes,
Dr.Bruno
Helpful
August 5, 2011
Answer: If you can feel the implant valve then coverage is too thin
From your description it sounds like the implant has flipped back to front, since the valve is a small bump but on the back of the implant there is a patch about the diameter of a quarter with a ridge around the edge. More important is that if you can feel it, your tissue coverage is very thin despite the implant being under the muscle. You may wish to look into the option of a Strattice graft, which makes a sort of internal bra. This would support repair of the lateral displacement and bottoming out while also adding coverage.
Helpful
August 5, 2011
Answer: If you can feel the implant valve then coverage is too thin
From your description it sounds like the implant has flipped back to front, since the valve is a small bump but on the back of the implant there is a patch about the diameter of a quarter with a ridge around the edge. More important is that if you can feel it, your tissue coverage is very thin despite the implant being under the muscle. You may wish to look into the option of a Strattice graft, which makes a sort of internal bra. This would support repair of the lateral displacement and bottoming out while also adding coverage.
Helpful
January 12, 2012
Answer: Saline implant valve can be palpable.
In thin individuals with overfilled saline implants, the valve can sometimes be felt. As for the bottoming out and lateral displacement, it sounds as though your overall tissues are not supporting the implants very well. Consider the use of a dermal matrix (Strattice) to provide an "internal bra" for longer term support. If your muscle has window-shaded and the overlying breast tissue is quite thin, the Strattice can also help camouflage the implant valve. Switching to gel implants will also eliminate the valve issue. Best of luck.
Helpful
January 12, 2012
Answer: Saline implant valve can be palpable.
In thin individuals with overfilled saline implants, the valve can sometimes be felt. As for the bottoming out and lateral displacement, it sounds as though your overall tissues are not supporting the implants very well. Consider the use of a dermal matrix (Strattice) to provide an "internal bra" for longer term support. If your muscle has window-shaded and the overlying breast tissue is quite thin, the Strattice can also help camouflage the implant valve. Switching to gel implants will also eliminate the valve issue. Best of luck.
Helpful