I have 10yr saline, under muscle(325ccs)implants. 5'1, 99lbs, AA before surgery. Shortly after surgery they began to move into my armpits and its gotten worse over the yrs. New PS says go with smaller silicone implants and use strattice.
Do you all agree? It's quite expensive and I dont want any regrets. How long is drain necessary with strattice? Also, I want a little smaller, but not too much. Is it safe to go close to the original size?
July 31, 2015
Answer: Breast Augmentation Revision -- Consult is Critical
Strattice for Breast Augmentation Revision -- to use or not to use -- is that the question?
Other surgeons here have given varying opinions about using a material such as Strattice. The reality is that there is not a single answer. While purported benefits of using Strattice include situations such as yours (thin tissues and need for additional reinforcement of the implant pocket), it really comes down to an assessment of your own tissues to determine what we are working with.
Your surgeon has made a recommendation to use Strattice and to downsize your implants. This sounds reasonable. And without being able to examine you, I wouldn't be able to make a different recommendation.
While your are quite thin, I have had other thin patients that have had great success with revising an implant pocket without the use of Strattice, particularly when using a silicone implant. I also feel that using silicone gel implants and downsizing both weigh a bit against using Strattice.
Hope this helps,
Nick Slenkovich, MD FACS
Helpful 2 people found this helpful
July 31, 2015
Answer: Breast Augmentation Revision -- Consult is Critical
Strattice for Breast Augmentation Revision -- to use or not to use -- is that the question?
Other surgeons here have given varying opinions about using a material such as Strattice. The reality is that there is not a single answer. While purported benefits of using Strattice include situations such as yours (thin tissues and need for additional reinforcement of the implant pocket), it really comes down to an assessment of your own tissues to determine what we are working with.
Your surgeon has made a recommendation to use Strattice and to downsize your implants. This sounds reasonable. And without being able to examine you, I wouldn't be able to make a different recommendation.
While your are quite thin, I have had other thin patients that have had great success with revising an implant pocket without the use of Strattice, particularly when using a silicone implant. I also feel that using silicone gel implants and downsizing both weigh a bit against using Strattice.
Hope this helps,
Nick Slenkovich, MD FACS
Helpful 2 people found this helpful
April 24, 2011
Answer: Strattice helps breast implant revision if tissue reinforcement is needed
Without personally examining you and discussing your goals, no one can give you definitive advice. It sounds like you are thin and the implants are large for your size, which can lead to stretching and thinning of the tissues around the implant and loss of support. If this is the case then the tissues would need to be reinforced and Strattice is a very good way to do that. On the other hand, if an revision is attempted and it fails, that can lead to even more thinning and a worse problem, not to mention spending more money in the long run than the cost of Strattice.
Helpful 1 person found this helpful
April 24, 2011
Answer: Strattice helps breast implant revision if tissue reinforcement is needed
Without personally examining you and discussing your goals, no one can give you definitive advice. It sounds like you are thin and the implants are large for your size, which can lead to stretching and thinning of the tissues around the implant and loss of support. If this is the case then the tissues would need to be reinforced and Strattice is a very good way to do that. On the other hand, if an revision is attempted and it fails, that can lead to even more thinning and a worse problem, not to mention spending more money in the long run than the cost of Strattice.
Helpful 1 person found this helpful