In May 2020, a capsulorraphy was performed and implants were changed to 355cc textured gummy (107s). Within 4 months, the implants bottomed out again, with the right side noticeably about 1 inch lower than the left. My surgeon recommended strattice however; the incision would need to be around the nipple, not under the breast. I was told that my nipples are too small, so the incision would be larger than my nipple. Are there any other options?
November 26, 2020
Answer: Breast revision Thank you for your question. A large portion of my practice is dedicated to the revisionary breast surgery. In fact, I wrote the very first paper on how to perform capsulorrhaphy over 20 years ago. You have very large inframammary crease incisions, and these can be used to perform capsulorrhaphy. I find that many surgeons do not adequately perform the capsulorrhaphy and often do not perform a mirror image capsulotomy to take tension off the repair. You are an excellent candidate and should not need any biologic (Strattice) or mesh. I would definitely not use Strattice for reinforcing capsulorrhaphy repairs as this ultimately stretches out and thins the tissue that it abuts. Best wishes to
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November 26, 2020
Answer: Breast revision Thank you for your question. A large portion of my practice is dedicated to the revisionary breast surgery. In fact, I wrote the very first paper on how to perform capsulorrhaphy over 20 years ago. You have very large inframammary crease incisions, and these can be used to perform capsulorrhaphy. I find that many surgeons do not adequately perform the capsulorrhaphy and often do not perform a mirror image capsulotomy to take tension off the repair. You are an excellent candidate and should not need any biologic (Strattice) or mesh. I would definitely not use Strattice for reinforcing capsulorrhaphy repairs as this ultimately stretches out and thins the tissue that it abuts. Best wishes to
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November 26, 2020
Answer: Breast Revision Surgery I would say that your current incision can be used to fix the issue you are having. The use of Strattice or Galaflex would be recommended to help reinforce the tissues in the repair.
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November 26, 2020
Answer: Breast Revision Surgery I would say that your current incision can be used to fix the issue you are having. The use of Strattice or Galaflex would be recommended to help reinforce the tissues in the repair.
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