Should breast mesh have been used during mastopexy/2nd surgery?

Question

36 yr old and have had two breast surgeries so far. The first was September 2020 and I had breast augmentation with a lift choosing 505cc silicone implants. Not long after surgery the left breast bottomed out, resulting in an additional surgery for left mastopexy revision and implant exchange to 695cc silicone implants on both sides as I was not satisfied with size. Within 6 months, left implant bottomed out again. Should mesh have been recommended for use during the second surgery?

Derek Fletcher, MD · Answer

Hello and thank you for your question! It is difficult to give a well informed answer to your question without photos. However, I frequently use mesh to support large implants in the context of secondary procedures, especially if the implants have experienced inferior or lateral malposition.

Richard Baxter, MD · Answer

As you know each situation is different so it is not possible to give specific advice without knowing more. Since your implants are large, it would make sense to consider adding support, especially when upsizing in a case where you have bottoming out already. That isn't the same as saying it should have been recommended.

Daniel Barrett, MD · Answer

Dear Lynleighann86,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

No, both times the problem was that your tissue could not support the weight of such heavy implants. You need to go smaller.

Should breast mesh have been used during mastopexy/2nd surgery?

Answers (4)

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