445cc-495cc mentor memory shape implants, textured anatomical cohesive gel silicone submuscular. 6 mos post op. I bottomed out with textured but i want rounds bc i have no upper pole. What will happen if I switch to smooth walled implants with capsulorraphy?
Answer: Bottomed out with Anatomic Implants Bottoming out with Natrelle or Sientra anatomic implants is rare because they have a more aggressive texturing than Mentor implants.Since Mentor was the last company to release anatomic implants, no plastic surgeons have a large experience with them bottoming out.You seem like a good candidate for using round implants to improve upper pole fullness. You might consider round textured implants since the texturing tends to hold them in place without as much slipping downward. You also might consider a different brand of implant which has more aggressive texturing to hold position.
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CONTACT NOW Answer: Bottomed out with Anatomic Implants Bottoming out with Natrelle or Sientra anatomic implants is rare because they have a more aggressive texturing than Mentor implants.Since Mentor was the last company to release anatomic implants, no plastic surgeons have a large experience with them bottoming out.You seem like a good candidate for using round implants to improve upper pole fullness. You might consider round textured implants since the texturing tends to hold them in place without as much slipping downward. You also might consider a different brand of implant which has more aggressive texturing to hold position.
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CONTACT NOW Answer: About Breast Implants Bottoming Out "Bottoming Out" is the term given to implant #displacement, where the implant drops down below the existing inframammary fold; the natural crease beneath your breast. This may occur when the fold has been released excessively during surgery or may be due to factors of the patient’s collagen and tissue integrity. The implants then sit very low on the chest with a lack of internal support for the implant itself.Correction usually involves #restoring the crease beneath your breast to it's normal position with internal reconstruction of the capsule around the implant (#capsulorrhaphy). Sometimes a biologic fabric (Acellular Dermal Matrix or #ADM) can be used to attach to the breast tissue internally while supporting the implant.This corrects the placement of the implant, redefines the breast shape, and also refines the internal fold. To manage scars following the procedure, I suggest #scar maturation products to my clients. Such as BioCorneum or Embrace, to name a few, are recommended. But, it's best you wait a few weeks following your surgery, to begin using them and speak to your surgeon about healing concerns
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CONTACT NOW Answer: About Breast Implants Bottoming Out "Bottoming Out" is the term given to implant #displacement, where the implant drops down below the existing inframammary fold; the natural crease beneath your breast. This may occur when the fold has been released excessively during surgery or may be due to factors of the patient’s collagen and tissue integrity. The implants then sit very low on the chest with a lack of internal support for the implant itself.Correction usually involves #restoring the crease beneath your breast to it's normal position with internal reconstruction of the capsule around the implant (#capsulorrhaphy). Sometimes a biologic fabric (Acellular Dermal Matrix or #ADM) can be used to attach to the breast tissue internally while supporting the implant.This corrects the placement of the implant, redefines the breast shape, and also refines the internal fold. To manage scars following the procedure, I suggest #scar maturation products to my clients. Such as BioCorneum or Embrace, to name a few, are recommended. But, it's best you wait a few weeks following your surgery, to begin using them and speak to your surgeon about healing concerns
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January 4, 2016
Answer: Bottoming out Revision surgery is almost always more complex than breast augmentation. Correction techniques vary based on your plastic surgeon’s experience and skill sets. Always choose a board certified plastic surgeon with expensive revision experience as even in the best of hands recurrence is frequent especially if larger implants are used. Repair techniques include some of the following techniques and recommendations:Textured implants (“Velcro effect”)Use of Smaller ImplantsMaximum Submuscular Position (not just the pectoralis major but abdominis rectus below and serratus anterior on the side)Capsulorrhaphy (tightening the pocket by sewing in-folded capsular tissue together)Use of Biologic fabrics and other materials such as Acellular Dermal Matrix, “ADM” Alloderm, Strattice, “Silk” and others that can be used to reinforce the bottom of the pocket.Change of position of implant to a new pocket location “neo pectoral pocket”Internal Ryan Procedure (sutures binding the inferior mammary fold to stronger underlying tissues (e.g. fascial, periosteal)Removal of Implants and replacement of volume using your own fat (Fat Transfer).#bottomingout#breastaugmentation#BA
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CONTACT NOW January 4, 2016
Answer: Bottoming out Revision surgery is almost always more complex than breast augmentation. Correction techniques vary based on your plastic surgeon’s experience and skill sets. Always choose a board certified plastic surgeon with expensive revision experience as even in the best of hands recurrence is frequent especially if larger implants are used. Repair techniques include some of the following techniques and recommendations:Textured implants (“Velcro effect”)Use of Smaller ImplantsMaximum Submuscular Position (not just the pectoralis major but abdominis rectus below and serratus anterior on the side)Capsulorrhaphy (tightening the pocket by sewing in-folded capsular tissue together)Use of Biologic fabrics and other materials such as Acellular Dermal Matrix, “ADM” Alloderm, Strattice, “Silk” and others that can be used to reinforce the bottom of the pocket.Change of position of implant to a new pocket location “neo pectoral pocket”Internal Ryan Procedure (sutures binding the inferior mammary fold to stronger underlying tissues (e.g. fascial, periosteal)Removal of Implants and replacement of volume using your own fat (Fat Transfer).#bottomingout#breastaugmentation#BA
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October 3, 2015
Answer: Settling not bottoming out Hi, Thanks for posting your question. I am happy to try and help you. It is important to remember that a board certified plastic surgeon will be your best resource when it comes to an accurate assessment of your situation, and concerns. Having said that,it is common to have implants settle at different rates. If your pre-existing anatomy has your breast creases or breast folds at different positions, they implants will settle to different places. So your preoperative anatomy has a lot to do with a final result. You may always have some minor degree of asymmetry. You should be prepared to accept some degree of asymmetry. Best wishes, Dr. Michael J. Brown Northern Virginia Plastic Surgeon
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Answer: Settling not bottoming out Hi, Thanks for posting your question. I am happy to try and help you. It is important to remember that a board certified plastic surgeon will be your best resource when it comes to an accurate assessment of your situation, and concerns. Having said that,it is common to have implants settle at different rates. If your pre-existing anatomy has your breast creases or breast folds at different positions, they implants will settle to different places. So your preoperative anatomy has a lot to do with a final result. You may always have some minor degree of asymmetry. You should be prepared to accept some degree of asymmetry. Best wishes, Dr. Michael J. Brown Northern Virginia Plastic Surgeon
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September 19, 2015
Answer: Anatomic implants Yes, you have bottomed out a bit and thus is why I don't like so called anatomic shaped implants. They're too bottom heavy. Capsulorraphy is one option. I would replace the implants with smooth round ones. Another option is to perform a lift as well, but that involves more scars.
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CONTACT NOW September 19, 2015
Answer: Anatomic implants Yes, you have bottomed out a bit and thus is why I don't like so called anatomic shaped implants. They're too bottom heavy. Capsulorraphy is one option. I would replace the implants with smooth round ones. Another option is to perform a lift as well, but that involves more scars.
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