5th breast surgery to fix double bubble and bottoming out? (Photo)

Question

This is my 5th breast surgery. The first time I had double bubble. That a muscle release. Then trying to fix the muscle release a Dr placed a stratice graph for support on the lower cleavage area. He had to lower my creases and put a larger implant in. ,I got bottoming out. So he put permanent sutures, but they did not work. it’s been 12 years and now I will get them done again. The doctor wants to know if I want stratus graft or tigr martix. What is better. Any advice to prevent A reoccurrence

Gianfranco Frojo, MD · Answer

I would recommend seeing a true expert in complex breast revisionary surgery. You have an extremely challenging problem that needs excellent planning and experience. I recommend seeing a board-certified plastic surgeon (American Board of Plastic Surgery). Ideally, this surgeon has also completed an accredited aesthetic fellowship (The Aesthetic Society). Experts in your area/region include Dr. William Adams Jr and Dr. Louis Strock.

Daniel Barrett, MD · Answer

Dear San Francisco1319,
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.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery, and I have been in practice for over 28 years. The question is not whether to use Tigr mesh or Strattice, but who is your revisionary surgeon. You have a very difficult revisionary breast surgery and need someone very experienced and this type of work. The use of meshes and foreign bodies will not help in your situation. I would recommend a smaller implant, capsulorrhaphy and a vertical breast lift.  You should be able to have an excellent outcome.

Gary M. Horndeski, MD · Answer

At this time, I recommend explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You need to go smaller since your tissue has not and is not supporting the weight of the implants. Mesh can only do so much, but cannot compete with heavy implants.

5th breast surgery to fix double bubble and bottoming out? (Photo)

Answers (5)

Answer: Explant with Bellesoma Method

Answer: Explant with Bellesoma Method

Answer: Implants

Answer: Implants

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

5th breast surgery to fix double bubble and bottoming out? (Photo)

Answers (5)

Answer: Explant with Bellesoma Method

Answer: Explant with Bellesoma Method

Answer: Implants

Answer: Implants

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.