Breast implant 5 years after removal, new pocket, drains?

Question

I had 220cc allergen textured implants sub muscular in 2007, recovery was extremely painful. Was this possibly not duel plain? Removed 5years ago, would I need a new pocket sub muscular? Would it be as painful. Are drains required? What is difference between duel plain technique and sub fascia? What is recommended? Very flat chested not even AA cup size. Additionally, thoughts on safety of micro textured or smooth implants please ? Are micro implants at safe for ALCL ? Thank you so much

Daniel Barrett, MD · Answer

Dear glark,
I tend to prefer the periareolar incision because its the most well hidden. There is a natural border between the areola and the rest of the breast skin the hides the incision extremely well. You have to be completely naked to see it vs other incisions like transaxillary and inframammary are visible in clothing such as sleeveless shirts and bikini tops when extending your arms up. I've also noticed increased rates of bottoming out with inframmary incisions that is not reported. Transaxillary implants are always wide in appearance because the surgeon is not able to dissect medially enough to provide better cleavage. Ultimately, I can perform any of the incisions but I recommend the periareolar. There is no difference in sensation because the nerves that control nipple sensation come in laterally from the back and injury to them occurs when surgeons dissect to far laterally which is why transaxillary incisions have the highest nipple sensation disruption. There is no difference in breast feeding ability. One study did show a slight increase in capsular contracture with use of periareolar but that study was small and did not incorporate modern techniques such as below muscle placement, keller funnel usage and triple antibiotic irrigation. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

If you have little breast tissue, I would suggest placing the implants behind the muscle for better coverage and support. Yes, it may be painful since the muscle will be stretched again. Usually drains are not needed. I would stay with smooth implants for fewer long term risks.

Breast implant 5 years after removal, new pocket, drains?

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Breast implant 5 years after removal, new pocket, drains?

Answers (2)

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.