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.
Answer: I hate these Natrelle shed breast implants. = Consider sientra round implants #breastimpants #gummybearimplants In the world of silicone breast implants, there are two type of implants: round and shaped .Shaped implants are the new type of implants that have a tear drop shape and give a "natural" shape to the implants. However, the term "natural" doesn't mean that is what the patient in the United States wants.In the US, most of the patient want to have a Pamela Anderson or nowadays Nicky Minaj or Sofia Vergara breast look: a lot of upper pole fullness, This is only achieved with round implants. The shaped implants, since they give an smooth transition from the chest to the breast, they don't give an upper pole fullness. Shape implants are common Europe. However, in the US they are not as popular since they don't deliver the type of breast shape the US patients wants. In my practice I recommend the brazilian gummy bear breast implants made by sientra. They come in both shape and round shape, but I only use round ones. They give excellent upper pole projection and they have minimal risk of rippling even in thin patients.Patients interested in breast implant revision/exchange should ideally wait at least 6 months to a year to undergo the procedure.
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Answer: I hate these Natrelle shed breast implants. = Consider sientra round implants #breastimpants #gummybearimplants In the world of silicone breast implants, there are two type of implants: round and shaped .Shaped implants are the new type of implants that have a tear drop shape and give a "natural" shape to the implants. However, the term "natural" doesn't mean that is what the patient in the United States wants.In the US, most of the patient want to have a Pamela Anderson or nowadays Nicky Minaj or Sofia Vergara breast look: a lot of upper pole fullness, This is only achieved with round implants. The shaped implants, since they give an smooth transition from the chest to the breast, they don't give an upper pole fullness. Shape implants are common Europe. However, in the US they are not as popular since they don't deliver the type of breast shape the US patients wants. In my practice I recommend the brazilian gummy bear breast implants made by sientra. They come in both shape and round shape, but I only use round ones. They give excellent upper pole projection and they have minimal risk of rippling even in thin patients.Patients interested in breast implant revision/exchange should ideally wait at least 6 months to a year to undergo the procedure.
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Answer: Rippling If your implants are above your muscle, which appears to be the case, there is very little you can do to hide the rippling. Fat grafting can help but you don't appear to have much extra fat. Overall I think your result is good and you may have to live with some degree of rippling given how thin you are
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Answer: Rippling If your implants are above your muscle, which appears to be the case, there is very little you can do to hide the rippling. Fat grafting can help but you don't appear to have much extra fat. Overall I think your result is good and you may have to live with some degree of rippling given how thin you are
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May 23, 2016
Answer: Timing of revision surgery Thank you for your question and photos. I am sorry you are unhappy with your last procedure. You will likely get different answers, but I think waiting about 6 months is reasonable. You are thin, so you do want to confirm that your implants are under the muscle. This will add tissue coverage along the upper breast. Strattice, Alloderm, or Seri are all products that could potentially be utilized to add coverage over the implant. You may wish to get a second opinion if your surgeon does not wish to consider a tissue product. Also, fat grafting may be an option, but there is still some concern regarding the safety of fat for purely cosmetic purposes. Good luck.
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May 23, 2016
Answer: Timing of revision surgery Thank you for your question and photos. I am sorry you are unhappy with your last procedure. You will likely get different answers, but I think waiting about 6 months is reasonable. You are thin, so you do want to confirm that your implants are under the muscle. This will add tissue coverage along the upper breast. Strattice, Alloderm, or Seri are all products that could potentially be utilized to add coverage over the implant. You may wish to get a second opinion if your surgeon does not wish to consider a tissue product. Also, fat grafting may be an option, but there is still some concern regarding the safety of fat for purely cosmetic purposes. Good luck.
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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
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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
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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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