I have HP415 implants above muscle. The left keeps flipping so the flat side is facing out. My surgeon flipped it back manually 2 times, but now he can't. I've seen a few 'revision experts' & the simple solution offered by one was to go in and make the capsule a little bit smaller to prevent it from flipping back. I've also been told full capsulectomy and switch to textured implants or put under muscle. I need a revision, but which is best? How do you fix an implant that keeps flipping?
March 7, 2018
Answer: How to prevent implant flipping If the implant is continually flipping, it is really a combination of factors that are involved. One important factor is the size of the pocket that the implant is in. Other important considerations are the profile of the implant, and the width of the implant in relation to your breast diameter. The higher the profile the rounder the implant, making it theoretically easier the flip. Also, the greater the discrepancy between the implant diameter and your breast diameter, the higher the chance of it moving or flipping (meaning if the implant chosen is narrow compared to the width of the breast, it has a lot of wiggle room) Smooth texture also does not adhere to the adjacent tissue, whereas a textured implant does. However, this does not mean you need a full capsulectomy and changing to a texture implant. If you go back for surgery, the first matter is confirming proper implant choice, and the second matter is choosing the location of the implant. I prefer placing implants under the muscle for reducing the risk of capsular contracture, allowing easier visualization of breast tissue during mammogram, and providing a less obvious implant look. Thus, assuming the implant size and profile is appropriate, I would likely recommend moving the implant to behind the muscle (or "dual plane") position, rather than doing the "quick fix" of reducing the size of the pocket, though that is also an option. You would really need to be seen in exam to give definitive recommendations since the above is based on limited info and no exam. Make sure the surgeon you choose is a board certified plastic surgeon (certified by the American Board of Plastic Surgery) who has experience doing implant revisions.
Helpful 1 person found this helpful
March 7, 2018
Answer: How to prevent implant flipping If the implant is continually flipping, it is really a combination of factors that are involved. One important factor is the size of the pocket that the implant is in. Other important considerations are the profile of the implant, and the width of the implant in relation to your breast diameter. The higher the profile the rounder the implant, making it theoretically easier the flip. Also, the greater the discrepancy between the implant diameter and your breast diameter, the higher the chance of it moving or flipping (meaning if the implant chosen is narrow compared to the width of the breast, it has a lot of wiggle room) Smooth texture also does not adhere to the adjacent tissue, whereas a textured implant does. However, this does not mean you need a full capsulectomy and changing to a texture implant. If you go back for surgery, the first matter is confirming proper implant choice, and the second matter is choosing the location of the implant. I prefer placing implants under the muscle for reducing the risk of capsular contracture, allowing easier visualization of breast tissue during mammogram, and providing a less obvious implant look. Thus, assuming the implant size and profile is appropriate, I would likely recommend moving the implant to behind the muscle (or "dual plane") position, rather than doing the "quick fix" of reducing the size of the pocket, though that is also an option. You would really need to be seen in exam to give definitive recommendations since the above is based on limited info and no exam. Make sure the surgeon you choose is a board certified plastic surgeon (certified by the American Board of Plastic Surgery) who has experience doing implant revisions.
Helpful 1 person found this helpful
March 7, 2018
Answer: Flipping implant I think you have answered your own question. Things that can prevent flipping are a smaller pocket, decreased profile implant and a textured implant. Any and all of these things will help with your problem. The best thing to do is discuss all the options with your surgeon to come up with a game plan. I hope this helps!
Helpful
March 7, 2018
Answer: Flipping implant I think you have answered your own question. Things that can prevent flipping are a smaller pocket, decreased profile implant and a textured implant. Any and all of these things will help with your problem. The best thing to do is discuss all the options with your surgeon to come up with a game plan. I hope this helps!
Helpful
