Capsulorrhaphy & implant exchange (Photo)

Question

Will a capsulorrhaphy & implant exchange be sufficient in keeping my breasts from bottoming out & correct the lateral displacement? My 3rd consult was yesterday & the plan of action was to exchange my 500cc smooth round HP sil, with 485cc mod+round textured sil, and close the pocket. my current 2 yr post op, before BA and wish pics. 5’2 .115lbs . 13bwd. Unders Also, I’m aware my gbutton scar could use a fix, but I’m not interested in fixing it, it doesn’t bother me.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  There is no question that you are bottoming out, otherwise known as inferior malposition of implants.  You definitely would benefit from an inferior and lateral capsulorrhaphy-suturing the pocket and mirror image capsulotomy-cutting the pocket.  A large proportion of my practice is dedicated to revisionary breast surgery, and I wrote the original paper on how to perform capsulorrhaphy. You should be able to have the result that you're looking for.  Best wishes to you.

Alejandro Nogueira, MD · Answer

I strongly recommend you choose the following:1. Anatomical shaped implants with ultracohesive 5G gel: being so skinny the round implants will look like 2 coconuts once they are settled beneath the nipples, and they do not fill the upper pole, about this the anatomical shaped implants are unique; additionally being so transparent your skin you are prone to ripple and be it visible, so the 5G ultracohesive gel is highly recommended to prevent such side efect.2. Capsulorrhaphy is, indeed, the one and only treatment for cases like yours, it is a very very difficult technique and you have to check the proficiency and skill of the surgeon carrying it ahead; if you wish additional fixation to prevent recurrence of the bottoming out dislocation then I'd tell you the top in the market about adhesion and fixation is the biovelcro of the polyurethace coated implants.See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted.
If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath.
Feel free to request any additional information from me.

Gary M. Horndeski, MD · Answer

There
is no significant difference between 485 cc and 500 cc implants and your
breasts will bottom out again.  I
recommend explantation using The Bellesoma Method.  This will reshape your breast tissue creating
upper pole fullness without implants, elevate them higher on the chest wall and
more medial to increase your cleavage. 
Vertical scars are avoided, nipple sensation and the ability to breast
feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can
be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.

Larry C. Leverett, MD, FACS · Answer

Hello neighbor:The most important aspect of the surgery would involve modifying the pocket from inside. Some call it capsulorrhaphy. Others simply refer to it a internal pocket modification. As far as the implants go, you can either go up (modestly), go down, or stay the same. I would strongly recommend silicone because you are thin and would have a higher likelihood of seeing and feeling ripples if you were to choose saline implants. It should be beautiful.

Benjamin Wood, MD, MBA, FACS · Answer

Thanks for your question.  I agree that exchanging your current implants for a slight smaller volume, in combination with tightening of the capsule would be the best course of action.  I would also recommend using a mesh such as Galaflex, to serve an an internal bra for support.  Best of luck!

Capsulorrhaphy & implant exchange (Photo)

Answers (7)

Answer: Implants bottoming out

Answer: Implants bottoming out

Answer: Implant Exchange/Revision

Answer: Implant Exchange/Revision

Recommended reading

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.

Capsulorrhaphy & implant exchange (Photo)

Answers (7)

Answer: Implants bottoming out

Answer: Implants bottoming out

Answer: Implant Exchange/Revision

Answer: Implant Exchange/Revision

Browse related questions

Recommended reading

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.