I am 5’2”, fit, early 40s. I had 295cc HP implants placed sub-fascially 4 years ago resulting in a bulging upper pole that spilled over the top of even the lightest support bras. After 4 years of daily distress, I underwent a capsulectomy and replace with a 195cc MP implant, a recommendation of the same surgeon--no discussion of the risks, or benefits. Now my breast tissue hangs off the implant, a size that is too inadequate to fill my breast envelope. What are my options?
Answer: Downsized implants, not breast hanging over implants Hard to tell what's going on, but assuming the first picture is when you had your 295 HP and the second is your 195 MP, your implants are too small. Also there is a strange contour. It should not bulge above and be flat below.
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Answer: Downsized implants, not breast hanging over implants Hard to tell what's going on, but assuming the first picture is when you had your 295 HP and the second is your 195 MP, your implants are too small. Also there is a strange contour. It should not bulge above and be flat below.
Helpful 1 person found this helpful
June 15, 2023
Answer: Breast revision Thank you for your question. A large portion of my practice is dedicated to breast revision surgery and have written many peer-reviewed papers on this topic. First of all, "subfascial" is a fantasy that some surgeons still cling to. The fascia of the pectoralis major muscle is about the thickness of tissue paper. There is virtually no support with this tissue layer. That means you are essentially subglandular. In your case, you need a lift. You probably needed a lift before your first surgery. Again, another fantasy is that by placing a an implant you will fill out the tissue envelope and not need a lift. My recommendation would be to go to another surgeon who is experienced at revision breast surgery. Best wishes to you.
Helpful 1 person found this helpful
June 15, 2023
Answer: Breast revision Thank you for your question. A large portion of my practice is dedicated to breast revision surgery and have written many peer-reviewed papers on this topic. First of all, "subfascial" is a fantasy that some surgeons still cling to. The fascia of the pectoralis major muscle is about the thickness of tissue paper. There is virtually no support with this tissue layer. That means you are essentially subglandular. In your case, you need a lift. You probably needed a lift before your first surgery. Again, another fantasy is that by placing a an implant you will fill out the tissue envelope and not need a lift. My recommendation would be to go to another surgeon who is experienced at revision breast surgery. Best wishes to you.
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June 15, 2023
Answer: Very nice result Hi M_ell,
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June 15, 2023
Answer: Very nice result Hi M_ell,
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June 15, 2023
Answer: The ledge Without an in person examination, no one can speak with certainty to your issue. However, you did mention you had a capsulectomy in your revision and you now present with this unnatural upper pole fullness and waterfall deformity. Given those two pieces of information, it appears that you had with your prior implants and have with your current implants capsular contracture. Dr. Frank Lista, who is located near Toronto, is a world renowned surgeon who advocates for subfascial implant placement and claims that capsular contracture rates are comparable to subpectoral placement despite decades of published evidence that does not support his claim. If he isn't your surgeon, maybe you should get a second opinion from him. If he is your surgeon, maybe it's time to seek out another expert's opinion. If I am correct in my diagnosis, I know what I would do: remove them and create a new subpectoral pocket for implant replacement using a biologic material known as acellular dermal matrix.
Helpful 1 person found this helpful
June 15, 2023
Answer: The ledge Without an in person examination, no one can speak with certainty to your issue. However, you did mention you had a capsulectomy in your revision and you now present with this unnatural upper pole fullness and waterfall deformity. Given those two pieces of information, it appears that you had with your prior implants and have with your current implants capsular contracture. Dr. Frank Lista, who is located near Toronto, is a world renowned surgeon who advocates for subfascial implant placement and claims that capsular contracture rates are comparable to subpectoral placement despite decades of published evidence that does not support his claim. If he isn't your surgeon, maybe you should get a second opinion from him. If he is your surgeon, maybe it's time to seek out another expert's opinion. If I am correct in my diagnosis, I know what I would do: remove them and create a new subpectoral pocket for implant replacement using a biologic material known as acellular dermal matrix.
Helpful 1 person found this helpful
June 15, 2023
Answer: Breast implants Your natural breasts are a little low and you could have benefited from a lift. But that entails scars. You can still have the lift but is it worth the scars? Otherwise your result is pretty good.
Helpful
June 15, 2023
Answer: Breast implants Your natural breasts are a little low and you could have benefited from a lift. But that entails scars. You can still have the lift but is it worth the scars? Otherwise your result is pretty good.
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