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The Ryan Flap is an excellent procedure to re-define the Inframmary fold. The inframmary fold can be disrupted after procedures such as implant reconstruction as well as TRAM Flap. Without examining you and looking at pictures to see exactly what si going on, it is hard to render an opinion. Please consult with a plastic surgeon board certified by the American Board of Plastic Surgery to learn about all of your options for revision breast reconstruction. Best wishes! Rahul Vemula, MD Double Board Certified Plastic and Reconstructive Surgeon
Would definitely have to review your records and have an exam to understand the best options. Photos can be helpful in giving some more insight to your needs.
Thank you for your question and for sharing your photos. It is difficult to give you an exact answer without examining you and understanding your reconstructive goals. As you said, there will always be some asymmetry and this is normal, however, it should be possible to improve your asymmetry...
I agree with the opinion you obtained. You should have a pocket exchange and place the implant above the muscle. With regard to rippling, autologous fat grafting would be able to mitigate this to improve the result.
Thank you for your question. Implants are measured in volume. An A cup is about 150 ml, B cup 300 ml, D cup 450 cc. When one is having mastectomies, the volume which is lost is not not only the breast gland, but fat and skin. To be a C cup at least a 300 ml implant should be considered, and...