14 months PO/cohesive gel implants/submuscular placement/ifm incision /325 L, 350 R. I am worried that my left is more round and feels/appears larger than my right. Also I am worried that my right pocket has stretched, or is too big as it slides around in the pocket. I know I need to see my PS, but any insight would be appreciated.
Answer: Breast implant revision surgery in Los Angeles There is asymmetry of your breasts as seen in the AP photograph. I would employ breast biometrics to determine whether there is true symmetry and the placement of the breast implants relative to the breast. Our office specializes in breast implant revision and repair. Raffy Karamanoukian MD FACSLos Angeles, CA
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Answer: Breast implant revision surgery in Los Angeles There is asymmetry of your breasts as seen in the AP photograph. I would employ breast biometrics to determine whether there is true symmetry and the placement of the breast implants relative to the breast. Our office specializes in breast implant revision and repair. Raffy Karamanoukian MD FACSLos Angeles, CA
Helpful 1 person found this helpful
Answer: About Capsular Contracture One of the most common problems is breast capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. Every woman has a breast capsule around their implant and this is a normal phenomenon. The capsule itself could be as thin as Saran Wrap but may also become calcified and thickened. As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer #implant. Nicotine users, such as smokers, have up to a 30x increased risk of #capsular contracture.
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Answer: About Capsular Contracture One of the most common problems is breast capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. Every woman has a breast capsule around their implant and this is a normal phenomenon. The capsule itself could be as thin as Saran Wrap but may also become calcified and thickened. As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer #implant. Nicotine users, such as smokers, have up to a 30x increased risk of #capsular contracture.
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February 2, 2014
Answer: Capsular contracture on my left, or implant pocket stretching/too big on right. Thank you for the question and pictures. You are correct in that nothing will replace in person examination for accurate diagnosis, followed by treatment recommendations. For example, the presence/absence of encapsulation can only be determined on direct physical examination. However, based on your description, it is very likely that you are dealing with a breast implant displacement problem on your right side. If this is the case, and you wish to keep the breast implants better situated when you are standing or lying down, internal adjustments of the breast implant capsules (capsulorraphy) may be indicated. You may find the attached link, dedicated to revisionary breast surgery concerns, helpful to you. Best wishes.
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February 2, 2014
Answer: Capsular contracture on my left, or implant pocket stretching/too big on right. Thank you for the question and pictures. You are correct in that nothing will replace in person examination for accurate diagnosis, followed by treatment recommendations. For example, the presence/absence of encapsulation can only be determined on direct physical examination. However, based on your description, it is very likely that you are dealing with a breast implant displacement problem on your right side. If this is the case, and you wish to keep the breast implants better situated when you are standing or lying down, internal adjustments of the breast implant capsules (capsulorraphy) may be indicated. You may find the attached link, dedicated to revisionary breast surgery concerns, helpful to you. Best wishes.
Helpful 1 person found this helpful
January 31, 2014
Answer: Asymmetry after breast surgery It is very uncommon for a woman to have two breasts that are exactly the same. Based on the fact that your surgeon chose two different size implants, I assume that you had a notable asymmetry prior to augmentation. I understand your concerns about your breasts being slightly different from one another and only an in-person examination can accurately assess what may be the cause of your concerns, but I would advise you to proceed with caution before choosing to have a revision for these issues. Based on the photos you provided, you have beautiful breasts, and a revision has the potential to worsen rather than improve your asymmetry in addition to all of the other risks of surgery (bleeding, infection, etc.). See your surgeon to discuss your concerns. Best wishes.
Helpful 1 person found this helpful
January 31, 2014
Answer: Asymmetry after breast surgery It is very uncommon for a woman to have two breasts that are exactly the same. Based on the fact that your surgeon chose two different size implants, I assume that you had a notable asymmetry prior to augmentation. I understand your concerns about your breasts being slightly different from one another and only an in-person examination can accurately assess what may be the cause of your concerns, but I would advise you to proceed with caution before choosing to have a revision for these issues. Based on the photos you provided, you have beautiful breasts, and a revision has the potential to worsen rather than improve your asymmetry in addition to all of the other risks of surgery (bleeding, infection, etc.). See your surgeon to discuss your concerns. Best wishes.
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January 31, 2014
Answer: Without preop pics its tough to say much... You do have a small degree of asymmetry but it on the range of asymmetries its fairly mild. Over time the two breasts will do different things and so asymmetries may be more apparent. If you are right handed, for example, you exert different forces on that side than on the other. Talk with your surgeon at least so you have an exam and photos to reference down the road. Good luck.
Helpful 1 person found this helpful
January 31, 2014
Answer: Without preop pics its tough to say much... You do have a small degree of asymmetry but it on the range of asymmetries its fairly mild. Over time the two breasts will do different things and so asymmetries may be more apparent. If you are right handed, for example, you exert different forces on that side than on the other. Talk with your surgeon at least so you have an exam and photos to reference down the road. Good luck.
Helpful 1 person found this helpful
