From my research, most doctors will use permanent sutures to correct bottomed out Breast implants in order to have a "lasting" result. What kind of permanent sutures do you usually use? Prolene, nylon, or gore-tex? From your experience, have you seen patients reject these sutures when placed internally and have foreign body reactions to them since the body cannot break down the sutures, and therefore lead to the failure of the repair?
Answer: Think beyond the sutures What suture material was used is less important than what caused the the implant to bottom out in the first place.
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Answer: Think beyond the sutures What suture material was used is less important than what caused the the implant to bottom out in the first place.
Helpful 1 person found this helpful
June 30, 2009
Answer: It's not the suture, but the tissues If one tries to recreate the inframammary fold (basically to raise it), would use permanent sutures. The kind of suture one uses does not matter, although a soft suture like goretex and braided nylon will be less palpable through the skin. These sutures are placed into the perichondrium (rib cartilage) and the deep part of the skin to define the new breast fold. I've seen these work in about 50% of the cases. The weak link is the skin, from which the suture pulls away with time especially if you have a large implant placing downward force on the suture line. Taping up the fold with microfoam tape after surgery and having the patient wear a bra 24/7 for a months, can help but it's not a guarantee. Good luck.
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June 30, 2009
Answer: It's not the suture, but the tissues If one tries to recreate the inframammary fold (basically to raise it), would use permanent sutures. The kind of suture one uses does not matter, although a soft suture like goretex and braided nylon will be less palpable through the skin. These sutures are placed into the perichondrium (rib cartilage) and the deep part of the skin to define the new breast fold. I've seen these work in about 50% of the cases. The weak link is the skin, from which the suture pulls away with time especially if you have a large implant placing downward force on the suture line. Taping up the fold with microfoam tape after surgery and having the patient wear a bra 24/7 for a months, can help but it's not a guarantee. Good luck.
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Answer: I use Prolene permanent sutures to correct bottomed out breast implants I agree that the skill of yor surgeon and the health of your tissues are the most important factors in correcting bottomed out breast implants.
Helpful 1 person found this helpful
Answer: I use Prolene permanent sutures to correct bottomed out breast implants I agree that the skill of yor surgeon and the health of your tissues are the most important factors in correcting bottomed out breast implants.
Helpful 1 person found this helpful
June 30, 2009
Answer: Bottoming out Some surgeons use permanent sutures to support the breast fold. I tend to use absorbable sutures like PDS that tend to last long enough to allow the body's natural scar tissue to develop without leaving a permanent suture in. The permanent suture can be a nidus for infection.
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June 30, 2009
Answer: Bottoming out Some surgeons use permanent sutures to support the breast fold. I tend to use absorbable sutures like PDS that tend to last long enough to allow the body's natural scar tissue to develop without leaving a permanent suture in. The permanent suture can be a nidus for infection.
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June 30, 2009
Answer: Bottoming out corrections Another option for bottoming out has been a piece of acellular tissue matrix designed to suppport tissue regeneration. It is called Strattice. This provides added support to reinforce the bottom of the implant. It is recommended for use in soft tissue repair where weakness or a deficit exists and can help in bottoming out situations.
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June 30, 2009
Answer: Bottoming out corrections Another option for bottoming out has been a piece of acellular tissue matrix designed to suppport tissue regeneration. It is called Strattice. This provides added support to reinforce the bottom of the implant. It is recommended for use in soft tissue repair where weakness or a deficit exists and can help in bottoming out situations.
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