I had a breast lift with 350cc smooth hp implants (dual plane) in Feb. From 2 weeks I noticed one of my breasts sat lower than the other and my nipple was pointing outwards, was higher and my scar was no longer in the crease. I had my 3 month review and it was confirmed I would more than likely need a review as the implant had dropped. I have my revision surgery booked but I'm concerned it will happen again and am unsure whether to change from smooth to textured.
Answer: Breast implant revision Thanks for your question. You have a combination of asymmetry of implant position and of the skin envelope. Switching to a textured device will not eliminate the risk of the implant dropping again (known as bottoming out), but it would be worth considering this, or a polyurethane implant, to reduce the risk. You should be aware, though, that textured devices come with their own risks including a relatively recently discovered and very rare association with anaplastic large cell lymphoma (ALCL). You could also consider revising the lower pole tissue of your breast and insertion of a supportive mesh (known as an 'internal bra') to help with implant support. Consult a plastic surgeon with a specialist interest in aesthetic breast surgery.
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Answer: Breast implant revision Thanks for your question. You have a combination of asymmetry of implant position and of the skin envelope. Switching to a textured device will not eliminate the risk of the implant dropping again (known as bottoming out), but it would be worth considering this, or a polyurethane implant, to reduce the risk. You should be aware, though, that textured devices come with their own risks including a relatively recently discovered and very rare association with anaplastic large cell lymphoma (ALCL). You could also consider revising the lower pole tissue of your breast and insertion of a supportive mesh (known as an 'internal bra') to help with implant support. Consult a plastic surgeon with a specialist interest in aesthetic breast surgery.
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October 28, 2024
Answer: Smaller implants In your frontal view, your breasts are wider than your chest wall. I recommend swapping your implants for smaller implants and I do not recommend textured implants as they are associated with BIA-ALCL.
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October 28, 2024
Answer: Smaller implants In your frontal view, your breasts are wider than your chest wall. I recommend swapping your implants for smaller implants and I do not recommend textured implants as they are associated with BIA-ALCL.
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October 28, 2024
Answer: Breasts Your tissue is not supporting this size and may bottom out again. I would suggest going down in size, Tightening the capsule, and using mesh for support. Heavy textured implants can bottom out like smooth, and textured implants have more long-term risks.
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October 28, 2024
Answer: Breasts Your tissue is not supporting this size and may bottom out again. I would suggest going down in size, Tightening the capsule, and using mesh for support. Heavy textured implants can bottom out like smooth, and textured implants have more long-term risks.
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October 27, 2024
Answer: Breast lift The problem is that the distance from your nipple to the inframammary fold is too long causing the implants to bottom out. That can be corrected without converting to textured implants
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October 27, 2024
Answer: Breast lift The problem is that the distance from your nipple to the inframammary fold is too long causing the implants to bottom out. That can be corrected without converting to textured implants
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November 22, 2024
Answer: Implant mastopexy thanks for your question; implant mastopexy is an op that is commonly done, too commonly in my view, because it has some significant drawbacks - essentially you are asking a lot of biological breast tissues to accommodate an implant (350 is reasonably large) whilst at the same time removing skin that would otherwise be available to make space for the implant. The breast and scar therefore stretch and the stretch process is not easy to predict and it may well be different one side for the other - so you end up with quite noticeable asymmetry....and almost without fail the lower curve/pole stretches and lengthens more than you might ideally want it to. Smooth implants will add unpredictability to this process because they have more tendency to move or migrate. A more sensible and predictable approach for most cases is to do either the implant or the uplift first (whichever you MOST want) and then when its all settled, do the uplift or the implant IF you still feel you want this.......on many occasions I do one and the patient says she is happy without progressing to second stage. If both the implants are soft i think I wouldn't change them but simply address the skin envelope - i.e revise the mastopexy to try and get better symmetry......
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November 22, 2024
Answer: Implant mastopexy thanks for your question; implant mastopexy is an op that is commonly done, too commonly in my view, because it has some significant drawbacks - essentially you are asking a lot of biological breast tissues to accommodate an implant (350 is reasonably large) whilst at the same time removing skin that would otherwise be available to make space for the implant. The breast and scar therefore stretch and the stretch process is not easy to predict and it may well be different one side for the other - so you end up with quite noticeable asymmetry....and almost without fail the lower curve/pole stretches and lengthens more than you might ideally want it to. Smooth implants will add unpredictability to this process because they have more tendency to move or migrate. A more sensible and predictable approach for most cases is to do either the implant or the uplift first (whichever you MOST want) and then when its all settled, do the uplift or the implant IF you still feel you want this.......on many occasions I do one and the patient says she is happy without progressing to second stage. If both the implants are soft i think I wouldn't change them but simply address the skin envelope - i.e revise the mastopexy to try and get better symmetry......
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