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.
Answer: Capsulorrhaphy & implant exchange (Photo) 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.
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Answer: Capsulorrhaphy & implant exchange (Photo) 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.
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Answer: Yes, but some important comments 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.
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Answer: Yes, but some important comments 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.
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May 16, 2018
Answer: Explant, not exchange
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May 16, 2018
Answer: Explant, not exchange
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May 14, 2018
Answer: Implants bottoming out 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.
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May 14, 2018
Answer: Implants bottoming out 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.
Helpful
May 12, 2018
Answer: Capsulorrhaphy & implant exchange Thank you for the question and pictures. Based on your photographs and description of goals, I think that you will do very well with a well planned/executed revisionary breast operation. In my hands, this would likely involve capsulorraphy (adjustment of the breast implant capsule, maintaining better position of the breast implants below the nipple/areola complex). In my practicI use a 2 layered permanent suture technique to close off the space inferiorly and laterally (towards the axilla). The use of acellular dermal matrix is an option ( although not usually necessary) especially if significant implant rippling/palpability is present.
Helpful 1 person found this helpful
May 12, 2018
Answer: Capsulorrhaphy & implant exchange Thank you for the question and pictures. Based on your photographs and description of goals, I think that you will do very well with a well planned/executed revisionary breast operation. In my hands, this would likely involve capsulorraphy (adjustment of the breast implant capsule, maintaining better position of the breast implants below the nipple/areola complex). In my practicI use a 2 layered permanent suture technique to close off the space inferiorly and laterally (towards the axilla). The use of acellular dermal matrix is an option ( although not usually necessary) especially if significant implant rippling/palpability is present.
Helpful 1 person found this helpful
