What are my options now? Had a repair of inferior displacement utilizing a strattice 3 months ago (Photos)
Doctor Answers 6
Breast implants bottoming out again
- I am so sorry you are having these problems -
- I agree you appear to be back to square one.
- I believe you need at this point to have opinions from several Board Certified Surgeons.
- Above all the cause of the pain has to be determined and a way to correct it.
- At least in the photos, you seem to have large implants for your frame - so don't be surprised if you are told that part of the correction will include a switch to smaller implants.
Breast Implants Keep Bottoming Out
I am sorry to hear that you've had a rough go of things after your breast augmentation. It is very upsetting to require multiple surgeries to correct a problem resulting from an elective surgical procedure.
Revision breast work is challenging, and it must be done by an experienced surgeon who is familiar with all of the recent techniques available to fix your problem. Your main issue is that the implants keep wanting to slide down your chest past your breast fold. This may have been the result of this area being overly dissected (basically loosened up or freed up too much) when the original implants were placed. Preservation of your natural breast fold is crucial in an augmentation because it maintains normal anatomy and acts as a "shelf" that holds the implants up in the right position.
Since your implants continue to bottom out it is likely that you will need to have them placed into a new pocket. They can remain under the muscles, but it is possible to create a new plane and insert the implants into this new area, which will provide a "snugger fit." I would need to see the operative note from your second surgery to determine exactly where and how the Strattice was placed. You may or may not need an adjustment of this +/- some new internal sutures to hold the implants in the right place permanently.
The best place to start is to voice your issues to your actual Plastic Surgeon. See what he or she recommends and offers to fix this problem. It is always appropriate to seek an opinion of other board certified Plastic Surgeons as well. Best of luck!
You might also like...
Difficult Breast Revision
Best of luck! Dr. Subbio
Board-Certified Plastic Surgeon
Newtown Square/Philadelphia, PA
Get another opinion
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.