I previously had saline implants. Rippling and bottoming out after 7 years caused me to revise with Naterelle 410s. I hate them, still rippling and now I feel like I'll never be able to wear a normal bra again because they don't move. I don't know how long to wait before revising again. My plastic surgeon says that I'm too thin to fat Graft, but I'm 5'2" and 105-ish and I feel like there's enough fat to improve upon the rippling. He didn't think Strattice would be worth the expense.
May 23, 2016
Answer: Breast Implants / Breast Augmentation/ Breast Fat Transfer/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery Thank you for your question.Best to wait 6 months to 1 year for a revision surgery. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.Best of luck! Dr. Schwartz Board Certified Plastic Surgeon Director-Beverly Hills Breast and Body Institute #RealSelf100Surgeon
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May 23, 2016
Answer: Breast Implants / Breast Augmentation/ Breast Fat Transfer/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery Thank you for your question.Best to wait 6 months to 1 year for a revision surgery. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.Best of luck! Dr. Schwartz Board Certified Plastic Surgeon Director-Beverly Hills Breast and Body Institute #RealSelf100Surgeon
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May 23, 2016
Answer: How long to wait before undergoing additional breast surgery? I am sorry to hear about your concerns after breast surgery. There are no absolute rules when it comes to how long to wait prior to undergoing additional surgery; in my practice, I would likely advise that you give yourself at least six months after the last procedure before deciding whether or not to proceed with additional surgery. Although I cannot provide you with specific advice, some general thoughts may be helpful to you. You may also find the attached link, dedicated to revisionary breast surgery (specifically breast implant rippling/palpability) concerns, helpful to you as you learn more.Palpability and rippling of breast implants may be related to several factors. These include the amount of soft tissue and breast tissue coverage over the breast implants, the position of the breast implants (submuscular versus sub glandular), the type of implants (saline versus silicone), and the degree of overfilling of saline filled implants. Correction of the rippling may involve further surgery including implant pocket exchange if possible (sub glandular to submuscular), implant exchange if possible (saline to silicone), and/or the use of allograft to provide an additional layer of tissue between the implant and the patient's skin. Specifically, given your photographs and concerns, I would likely recommend the use of acellular dermal matrix if I were seeing you in my practice. I hope this, and the attached link, helps. Best wishes.
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May 23, 2016
Answer: How long to wait before undergoing additional breast surgery? I am sorry to hear about your concerns after breast surgery. There are no absolute rules when it comes to how long to wait prior to undergoing additional surgery; in my practice, I would likely advise that you give yourself at least six months after the last procedure before deciding whether or not to proceed with additional surgery. Although I cannot provide you with specific advice, some general thoughts may be helpful to you. You may also find the attached link, dedicated to revisionary breast surgery (specifically breast implant rippling/palpability) concerns, helpful to you as you learn more.Palpability and rippling of breast implants may be related to several factors. These include the amount of soft tissue and breast tissue coverage over the breast implants, the position of the breast implants (submuscular versus sub glandular), the type of implants (saline versus silicone), and the degree of overfilling of saline filled implants. Correction of the rippling may involve further surgery including implant pocket exchange if possible (sub glandular to submuscular), implant exchange if possible (saline to silicone), and/or the use of allograft to provide an additional layer of tissue between the implant and the patient's skin. Specifically, given your photographs and concerns, I would likely recommend the use of acellular dermal matrix if I were seeing you in my practice. I hope this, and the attached link, helps. Best wishes.
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