31F 5'6" 113 w pectus + chest wall asymmetry. I know my pectus is partially responsible, but I'm unhappy w implants moving closer together/lifted skin in my cleavage (+pain)/lack of lateral fullness. I narrowed down to 2 local docs: A: sew middle, bigger outer pocket, maybe wider implants for more side boob + thong bra 24/7 for healing B: 2 surgeries- explant/sew middle. Once healed put in implants/bigger outer pocket. Which is more realistic + is more lateral fullness achievable w my anatomy?
Answer: Realistic I think that is a relatively adequate and stable result given the pectus deformity. I would highly consider not having any attempt at revisionary surgery.
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Answer: Realistic I think that is a relatively adequate and stable result given the pectus deformity. I would highly consider not having any attempt at revisionary surgery.
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December 5, 2024
Answer: Revision surgery Dear Jubilant712483,breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
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December 5, 2024
Answer: Revision surgery Dear Jubilant712483,breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
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December 2, 2024
Answer: Symmastia correction Thank you for your question. The correction of symmastia can be a bit challenging and there are several techniques that can work. In my practice, I do not separate this correction into 2 surgeries and have had good success doing this in 1 stage. I prefer to sew the middle pocket (capsulorrhaphy) and open the lateral pocket (capsulotomy), and will often reinforce the middle repair with a mesh like Galaflex or Tigr to prevent recurrence. For more side-boob, I think your current implants are actually well proportioned for you and would look great if they were pushed outwards a few cm. Be careful going bigger/wider, as this woud just put more stress on the pocket correction. Best of luck with whatever option you choose.
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December 2, 2024
Answer: Symmastia correction Thank you for your question. The correction of symmastia can be a bit challenging and there are several techniques that can work. In my practice, I do not separate this correction into 2 surgeries and have had good success doing this in 1 stage. I prefer to sew the middle pocket (capsulorrhaphy) and open the lateral pocket (capsulotomy), and will often reinforce the middle repair with a mesh like Galaflex or Tigr to prevent recurrence. For more side-boob, I think your current implants are actually well proportioned for you and would look great if they were pushed outwards a few cm. Be careful going bigger/wider, as this woud just put more stress on the pocket correction. Best of luck with whatever option you choose.
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November 19, 2024
Answer: Symmastia and Implant Correction Thank you for your question. You may have symmastia, lateral capsule contracture, and a higher crease on the left side by looking at your photos. In option A, your surgeon wants to suture the inner pocket to correct symmastia by closing the central space between the implants and expanding the lateral pocket to improve lateral fullness, use wider implants to achieve additional lateral fullness, and use a thong bra 24/7 post-op to keep the implants in place. However, wider implants to achieve lateral fullness may be limited by the anatomy of your chest wall and pectus condition. Additionally, if the skin in the cleavage area has already stretched, one procedure might not be enough to achieve a stable outcome. In option B, your surgeon wants an explanation and central pocket repair in the first surgery, allowing the tissues to heal and secure the pocket closure, then re-implantation with potential lateral pocket expansion in a second surgery after healing, allowing optimal placement and stability. So, a staged approach (Option B) is likely more effective for lateral fullness and correct asymmetry.
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November 19, 2024
Answer: Symmastia and Implant Correction Thank you for your question. You may have symmastia, lateral capsule contracture, and a higher crease on the left side by looking at your photos. In option A, your surgeon wants to suture the inner pocket to correct symmastia by closing the central space between the implants and expanding the lateral pocket to improve lateral fullness, use wider implants to achieve additional lateral fullness, and use a thong bra 24/7 post-op to keep the implants in place. However, wider implants to achieve lateral fullness may be limited by the anatomy of your chest wall and pectus condition. Additionally, if the skin in the cleavage area has already stretched, one procedure might not be enough to achieve a stable outcome. In option B, your surgeon wants an explanation and central pocket repair in the first surgery, allowing the tissues to heal and secure the pocket closure, then re-implantation with potential lateral pocket expansion in a second surgery after healing, allowing optimal placement and stability. So, a staged approach (Option B) is likely more effective for lateral fullness and correct asymmetry.
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November 12, 2024
Answer: Implants With your anatomy, I would suggest not going larger because of your bone structure will just bring you back to where you are now. Also, I would not go wider because you will still have the same tissue. Your bases are small and wider won't fit. Trying to tighten the medial pockets and perhaps go smaller would be more helpful. Once settled, one areola could be raised to appear more even if you wish.
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November 12, 2024
Answer: Implants With your anatomy, I would suggest not going larger because of your bone structure will just bring you back to where you are now. Also, I would not go wider because you will still have the same tissue. Your bases are small and wider won't fit. Trying to tighten the medial pockets and perhaps go smaller would be more helpful. Once settled, one areola could be raised to appear more even if you wish.
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