BA in 2002 Mentor Hi Pro sm rd Saline (375cc?). Revision Aug 2019 for bottoming out and for lateral displacement when laying down. Revision doctor replaced implants with Mentor MemoryGel sm rd mod plus profile 400cc. He preformed capsulorrhaphy with dissolvable internal sutures, closed the capsule lateral and inferior, opened medial and superior. 14 weeks post op there is significant rippling and deformities. Revision doctor offers no options except implant removal. Are there any other options?
Answer: Is my only option removal I'm sorry to hear of all the issues you have been having with your implants. Removing your implants is not the only option, but a revision will be needed to improve the rippling. As you appear to be thin you may consider having the implants placed beneath the muscle to help disguise some of the implant characteristics. The gel implants are a better choice than saline for you, as they tend to ripple less and feel more like natural breast tissue.
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Answer: Is my only option removal I'm sorry to hear of all the issues you have been having with your implants. Removing your implants is not the only option, but a revision will be needed to improve the rippling. As you appear to be thin you may consider having the implants placed beneath the muscle to help disguise some of the implant characteristics. The gel implants are a better choice than saline for you, as they tend to ripple less and feel more like natural breast tissue.
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December 6, 2019
Answer: Explant after 2 failed augmentations You are very thin and have very little breast tissue. Your implants are relatively large at 400 cc and they weigh almost 1 lb each. After 2 failed attempts, it is time to come to the conclusion that implants may not be the best solution for you. The alternative I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
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December 6, 2019
Answer: Explant after 2 failed augmentations You are very thin and have very little breast tissue. Your implants are relatively large at 400 cc and they weigh almost 1 lb each. After 2 failed attempts, it is time to come to the conclusion that implants may not be the best solution for you. The alternative I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
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December 6, 2019
Answer: Implant revision for bottoming out now have rippling and deformities. Is my only option removal? Thank you for sharing your question and photographs. It appears that your implants are above your muscle and the overall balance of your natural breast tissue to implant is low. This is resulting in the increased visibility and palpability of your implant. As a result the best option is to reposition the implant below your chest muscle and possibly add a skin substitute for greater tissue thickening.
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December 6, 2019
Answer: Implant revision for bottoming out now have rippling and deformities. Is my only option removal? Thank you for sharing your question and photographs. It appears that your implants are above your muscle and the overall balance of your natural breast tissue to implant is low. This is resulting in the increased visibility and palpability of your implant. As a result the best option is to reposition the implant below your chest muscle and possibly add a skin substitute for greater tissue thickening.
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December 6, 2019
Answer: Revision surgery Dear AZ03,
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December 6, 2019
Answer: Revision surgery Dear AZ03,
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December 6, 2019
Answer: Implant revision for bottoming out now have rippling and deformities. Is my only option removal? No... I am sorry to hear about your concerns after breast augmentation surgery. I have found that severe breast implant rippling (present in your case) is best treated with revisionary breast surgery. Breast implant removal surgery is not the only option.Maneuvers such as conversion to sub muscular positioning (if the current breast implants are in the sub glandular position currently), adjustment of the overlying breast implant capsules (capsulotrraphy), use of acellular dermal matrix for additional breast implant coverage, and the use of the most highly cohesive silicone gel breast implants possible may all be helpful maneuvers.
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December 6, 2019
Answer: Implant revision for bottoming out now have rippling and deformities. Is my only option removal? No... I am sorry to hear about your concerns after breast augmentation surgery. I have found that severe breast implant rippling (present in your case) is best treated with revisionary breast surgery. Breast implant removal surgery is not the only option.Maneuvers such as conversion to sub muscular positioning (if the current breast implants are in the sub glandular position currently), adjustment of the overlying breast implant capsules (capsulotrraphy), use of acellular dermal matrix for additional breast implant coverage, and the use of the most highly cohesive silicone gel breast implants possible may all be helpful maneuvers.
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