I'm 35, 5'2", 105 lbs, wear a 32A and have pectus carinatum. My surgeon recommended textured cohesive gel implants, however my budget just won't allow for it right now. I do recognize the value of choosing the best implant for long term. I need to know, between saline and silicone smooth, which would be least likely to migrate laterally over time? Also is a larger and higher profile or smaller, moderate profile better for my frame? I measure at 14 cm.
Answer: Breast Implants in Pectus Carinatum With limited dissection out laterally, it would not make any difference whether saline or silicone implants are used in terms of risk of implant lateralization. This is also impacted by implant size. It may make some difference with textured implants as they tend to 'stick' more in place. But with the recent potential issues with textured implants, it would not be a bas decision to stay with smooth surfaced implants for now.
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Answer: Breast Implants in Pectus Carinatum With limited dissection out laterally, it would not make any difference whether saline or silicone implants are used in terms of risk of implant lateralization. This is also impacted by implant size. It may make some difference with textured implants as they tend to 'stick' more in place. But with the recent potential issues with textured implants, it would not be a bas decision to stay with smooth surfaced implants for now.
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February 23, 2019
Answer: Implant migration There is no definite answer. Someone with a keel shaped chest or pectus carinatum is more likely to have lateral displacement over time. The smooth implants may stay in place, especially if smaller. The textured have more"drag" and thus may be less likely to to displace over time and hold the shape better. It is not one does and the other does not, but many physicians feel the textured are less likely to migrate. You must balance that over the increased risk of ALCL with textured implants. That risk also has to be calculated against the risk of repeat surgeries.Choosing an implant based on price sometimes works out fine, but other times it leads to regret and the patient instead wishing they had saved for their best implant. Obviously a repeat surgery would be much more expensive than the difference in cost between implants.The smooth saline could turn out fine, but many surgeons feel they do have more displacement over time than textured. Saline may have a different feel and higher wrinkling than gel implants.I have found that choosing the implant that you like is the best decision. Cost is secondary, and if necessary save a little more for the implants you really want. Otherwise you might be unhappy later, and additional surgery is more expensive in the long run.
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February 23, 2019
Answer: Implant migration There is no definite answer. Someone with a keel shaped chest or pectus carinatum is more likely to have lateral displacement over time. The smooth implants may stay in place, especially if smaller. The textured have more"drag" and thus may be less likely to to displace over time and hold the shape better. It is not one does and the other does not, but many physicians feel the textured are less likely to migrate. You must balance that over the increased risk of ALCL with textured implants. That risk also has to be calculated against the risk of repeat surgeries.Choosing an implant based on price sometimes works out fine, but other times it leads to regret and the patient instead wishing they had saved for their best implant. Obviously a repeat surgery would be much more expensive than the difference in cost between implants.The smooth saline could turn out fine, but many surgeons feel they do have more displacement over time than textured. Saline may have a different feel and higher wrinkling than gel implants.I have found that choosing the implant that you like is the best decision. Cost is secondary, and if necessary save a little more for the implants you really want. Otherwise you might be unhappy later, and additional surgery is more expensive in the long run.
Helpful 1 person found this helpful
