I received high profile silicone implants in January 375cc I believe… my scar over the last month is now visible on top of my breast instead of underneath in the fold where the were. I have lost some fullness above the nipple. I am only 5’2 and 100 lbs. is this normal or should I speak with my plastic surgeon
Answer: Scar This can occur when the incision is not planned in the correct future breast fold. This occurs because the implant stretches the lower pole of the breast and the scar gets pushed on to the lower pole. This usually occurs when implants that are too large are placed; the incision location is poorly planned; or due to the intrinsic properties of the breast tissue (such as lots of laxity and inadequate support). I recommend finding a board-eligible or board-certified plastic surgeon with at least 6 years of plastic surgery integrated residency training and ideally another extra year aesthetic fellowship accredited by the Aesthetic Society.
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Answer: Scar This can occur when the incision is not planned in the correct future breast fold. This occurs because the implant stretches the lower pole of the breast and the scar gets pushed on to the lower pole. This usually occurs when implants that are too large are placed; the incision location is poorly planned; or due to the intrinsic properties of the breast tissue (such as lots of laxity and inadequate support). I recommend finding a board-eligible or board-certified plastic surgeon with at least 6 years of plastic surgery integrated residency training and ideally another extra year aesthetic fellowship accredited by the Aesthetic Society.
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Answer: Scar has moved from my breast fold It appears that your implants have settled in a position below your original crease or fold. As a consequence, the scar is now above the crease. As the implant is lower, there is less fullness in the upper part of your breasts. Your implants appear very large, and the weight may have contributed to this development. Ideally, you would have a revision to reposition the implants. Seek a return visit to your surgeon to discuss your options.
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Answer: Scar has moved from my breast fold It appears that your implants have settled in a position below your original crease or fold. As a consequence, the scar is now above the crease. As the implant is lower, there is less fullness in the upper part of your breasts. Your implants appear very large, and the weight may have contributed to this development. Ideally, you would have a revision to reposition the implants. Seek a return visit to your surgeon to discuss your options.
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November 9, 2023
Answer: Bottoming out Hi. Your breast implants have something called bottoming out. That means that there isn't enough support to hold the implants higher. You should talk to your surgeon ASAP so that he/she can fix it before it gets worse. You will need surgery to give more support at the bottom of your breast to keep the implants up. This can be done with stitches or mesh. Your surgeon can discuss the options with you. Best of luck!
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November 9, 2023
Answer: Bottoming out Hi. Your breast implants have something called bottoming out. That means that there isn't enough support to hold the implants higher. You should talk to your surgeon ASAP so that he/she can fix it before it gets worse. You will need surgery to give more support at the bottom of your breast to keep the implants up. This can be done with stitches or mesh. Your surgeon can discuss the options with you. Best of luck!
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November 7, 2023
Answer: Revision Your implants are large and in front of the muscle. They appear to be quite heavy and the skin is stretching out. The implants will continue to descend lower and lower. You will need smaller implants or plications inferiorly and laterally to hold the implants in place. Another option is to remove the implants and do a breast lift. I recommend 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 or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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November 7, 2023
Answer: Revision Your implants are large and in front of the muscle. They appear to be quite heavy and the skin is stretching out. The implants will continue to descend lower and lower. You will need smaller implants or plications inferiorly and laterally to hold the implants in place. Another option is to remove the implants and do a breast lift. I recommend 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 or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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November 7, 2023
Answer: Bottomed out Dear Enthusiastic, Your implants have dropped too far down and the skin has stretched. That makes your nipples at the top of your implants instead of in the middle. The lower pole breast skin can be shortened with a "horizontal mastopexy," but you may need the skin reinforced with some type of "mesh." I prefer Strattice. If the implants are above the muscle, I recommend placing them below the muscle and using the Strattice to reinforce that skin and fold, like an internal bra. Best of luck to you!!
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November 7, 2023
Answer: Bottomed out Dear Enthusiastic, Your implants have dropped too far down and the skin has stretched. That makes your nipples at the top of your implants instead of in the middle. The lower pole breast skin can be shortened with a "horizontal mastopexy," but you may need the skin reinforced with some type of "mesh." I prefer Strattice. If the implants are above the muscle, I recommend placing them below the muscle and using the Strattice to reinforce that skin and fold, like an internal bra. Best of luck to you!!
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