What Can I Do For Paper Thin Skin?

Unfortunately, there is probably nothing that you can do to improve the quality of your skin. And having a large implant will only cause the skin to continue to thin even more with time. Surgically, I think that your options include fat grafting or placement of an acellular dermal matrix under the skin. Both of these options can be rather expensive, but large implants with thin skin almost always leads multiple operations. 

This area of the breast is where muscle fibers must be (partially) released, and where there is no breast tissue and usually very little fat. You are not alone in this anatomy. As for what to do--in a word, nothing. There is really nothing that you can do to thicken or toughen these layers of tissue.

Your body is forming a scar capsule around your implant, and the fact that this is a revision gives your surgeon an idea how thin your capsule was after your initial augmentation. You can reasonably expect this time to not be much different.

Your surgeon has the most explicit information about you and your specific anatomy, and will be able to give the best answer regarding this, but I would tell you that you should not pinch or manipulate this area to prevent further thinning or breakdown, let the tissues heal and scar as they will, and see how things end up.

If this area persists as a bothersome thin layer, re-operation for placement of an acellular dermal matrix (ADM) such as Alloderm, Strattice, or SurgiMend can provide another layer of tissue as your body replaces the ADM with its own collagen. Use of your own tissue capsule as an internal flap is another option potentially available, should surgery be deemed necessary.

It is a bit early to be worrying about this, and there is nothing (beneficial) that you should be doing other than following your doctor's recommendations, so do just that--see what your plastic surgeon says. Waiting until April 11 is just fine as far as I can tell, but you can always see him earlier if this concerns you! Best wishes! Dr. Tholen

The ideal solution is to use an ADM (Acellular Dermal Matrix) material to form an internal sling to support your implant and provide some degree of soft tissue coverage.  Typically this material is sown along the lower edge of the pectoralis muscle and then along the inframammary crease. This then provides full soft tissue coverage and can help mask the feel of the implant, especially if you have saline implants.  The  problem with this material is that it is not cheap.