I recently had anappointment with a local board-certified surgeon. My augmentation has turned into a waterfall effect baker 1 capsular contracture. She literally gave me 1 option and that was to remove the implants. Not what I wanted to hear. I was hoping she would recommend a Capsulectomy, implant switch and lift. She also said if I did decide to go the route to remove them that she would not do a lift until a year later just in case I liked them the way they are after the explant.2nd opinion?
Answer: Get a second opinion for implant removal options The best second opinion requires an in-person evaluation, but here are a few things to know: First, you may have misheard something about grading contractures. Baker 1 is soft and normal, Baker 4 is hard and painful. If your implants are actually Baker 1, then just do a lift for waterfall ptosis. If there is a contracture (Baker 2-4), then a capsulectomy and implant replacement would be done. It could be risky to combine this with a lift because of blood supply to the nipple. Not sure you would need to wait a full year but without seeing you, I wouldn't second-guess your own surgeon.
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Answer: Get a second opinion for implant removal options The best second opinion requires an in-person evaluation, but here are a few things to know: First, you may have misheard something about grading contractures. Baker 1 is soft and normal, Baker 4 is hard and painful. If your implants are actually Baker 1, then just do a lift for waterfall ptosis. If there is a contracture (Baker 2-4), then a capsulectomy and implant replacement would be done. It could be risky to combine this with a lift because of blood supply to the nipple. Not sure you would need to wait a full year but without seeing you, I wouldn't second-guess your own surgeon.
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August 27, 2022
Answer: Enblock Capsulectomy, Breast Lift and Fat Transfer to Breast Thank you for your question. I recommend getting a few opinions before making your final decision. We regularly do enblock capsulectomies with breast lift & fat transfer at the same time. Less downtime and cost to the patient. That being said there are times we recommend waiting in between procedures if the patient is unsure. Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!
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August 27, 2022
Answer: Enblock Capsulectomy, Breast Lift and Fat Transfer to Breast Thank you for your question. I recommend getting a few opinions before making your final decision. We regularly do enblock capsulectomies with breast lift & fat transfer at the same time. Less downtime and cost to the patient. That being said there are times we recommend waiting in between procedures if the patient is unsure. Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!
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June 30, 2022
Answer: Surgeon gave one option: explant. Second opinions? Without the benefit of physical exam, posted pre+post-op photos, reading op-report- it's difficult to comment accurately. If you are seeking second opinions - I suggest that you schedule in person consultations with experienced Board Certified PS to review your options.
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June 30, 2022
Answer: Surgeon gave one option: explant. Second opinions? Without the benefit of physical exam, posted pre+post-op photos, reading op-report- it's difficult to comment accurately. If you are seeking second opinions - I suggest that you schedule in person consultations with experienced Board Certified PS to review your options.
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June 27, 2022
Answer: Breast Implant Exchange with Mastopexy Thank you for you questions regarding breast explant and lift. In my experience, patients do not always needs another surgical procedure for a grade 1 capsular contracture. I have also performed breast implant exchange with mastopexy (breast lift) simultaneously with great results.
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June 27, 2022
Answer: Breast Implant Exchange with Mastopexy Thank you for you questions regarding breast explant and lift. In my experience, patients do not always needs another surgical procedure for a grade 1 capsular contracture. I have also performed breast implant exchange with mastopexy (breast lift) simultaneously with great results.
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June 23, 2022
Answer: Implants You posted no photos, but typically with the waterfall problem, your tissue is sagging away from the implants and you need a lift. Your implants also may be too large for your frame and tissue. Not all women, however, can have a lift if they had very little breast tissue prior to implants. An examination will tell if you can have a lift and if you need to wait a while after removal to lift, or do it at the same time as the removal. Capsular 1 contracture is no contracture, but a very soft and normal breast. Perhaps you are a 2 or 3?
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June 23, 2022
Answer: Implants You posted no photos, but typically with the waterfall problem, your tissue is sagging away from the implants and you need a lift. Your implants also may be too large for your frame and tissue. Not all women, however, can have a lift if they had very little breast tissue prior to implants. An examination will tell if you can have a lift and if you need to wait a while after removal to lift, or do it at the same time as the removal. Capsular 1 contracture is no contracture, but a very soft and normal breast. Perhaps you are a 2 or 3?
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