Hate my Upper pole after breast implant exchange, what do I do?
Hi Gemma,Thanks for your question. Some photos would help in your assessment. I would recommend waiting as implants settle regardless of what type or cohesiveness. It also depends on what kind of pocket was done during your implant exchange a new pocket or old pocket or suturing to tighten the pocket, etc. Most implants settle. Massage will help the muscle relax but has not bearing on the final outcome. I would follow your surgeons recommendations as they are the ones that know exactly what was and not done! good Luck!
All the best,
Carlos Mata MD, MBA, FACS
Board Certified Plastic Surgeon
The roundness that you see in the upper pole is probably more related to the increase in size more than the type of cohesive gel and its relative fill volume to the implant. Usually, as time passes, with gravity, most breast implants will drop more towards the bottom of the pocket creating less upper pole fullness. Massage, in my opinion will not be helpful in the long term to accelerate this process. I would wait a few months more to see if these implants do drop producing a more natural slope. Best of luck.
Concerns after revisionary breast surgery…
I am sorry to hear about your concerns after revisionary breast augmentation surgery. There are many factors that come into play when it comes to how much upper pole fulness exists after breast surgery. For example, factors such as size and positioning of the breast implant "pockets" as well as size/profiles of the breast implants may play important roles.
Your plastic surgeon, knowing exactly what procedure was performed, will be your best resource when it comes to good advice and/or reassurance. Best wishes for an outcome that you will be pleased with long-term.
Hello,The excess amount of upper pole fullness is probably less about the gel cohesivity and more about the volume change from 350 cc to 485 cc. Regardless, implant massage is an outdated recommendation that has no place in modern plastic surgical care; there is no evidence that it has any effect on normal healing processes or in the treatment or prevention of capsular contracture. Best of luck!