UTM for natural look? (Photo)

Question

Dmx with 2 revisions about 2 years ago. I have high profile implants over the muscle. My last surgery involved fat grafting, which did not take. My chest is concave and my implants sit below the incision. I would love to have a more natural look at the top of my breasts. I have been approved for a DIEP procedure, but I am wondering if going to UTM will give me the results I'm looking for. I would like to avoid another major scar on my body from the DIEP procedure

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I have been in practice almost 30 years, and a large portion of my practice is dedicated to breast revision surgery.  I have a whole gallery of patients just like you with chronic changes associated with implants on top of the muscle.  Almost always, the implants travel down the chest.  I called this "slide down ".  In fact, I wrote a paper on repositioning implants under the muscle.  You are an excellent candidate for this along with a mastopexy-lift.  Best wishes to you.

Gary M. Horndeski, MD · Answer

At this time, your implants are quite low on the chest wall and the center of the implant is below the inframammary edge of the pectoralis major muscle. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. An examination in person would be required to properly evaluate you and determine how to best improve your situation. The good news is that you can almost certainly be helped.

Please consult with an expert board certified plastic surgeon whose practice includes implant based breast reconstruction and with whom you feel comfortable. Best of luck to you.

UTM for natural look? (Photo)

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