My surgeon told me he didn’t think I needed a lift but I believe I did. I don’t have much cleavage at all. Anyone suggestions as to what could fix this problem. I wanted lots of cleavage
Answer: Cleavage It's hard to fully evaluate CC based on your photos alone. Are they firm? Painful? Did they start lower and migrate up higher? You likely could've benefited from a mastopexy - that won't improve the cleavage though - just change the nipple position that is a touch too lower. I would argue you have you quite a bit of cleavage. You have fairly large implants and they're practically touching without a bra. You could always get a 2nd in person opinion to properly assess for CC but it's likely just residue skin laxity causing the nipple drooping.
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Answer: Cleavage It's hard to fully evaluate CC based on your photos alone. Are they firm? Painful? Did they start lower and migrate up higher? You likely could've benefited from a mastopexy - that won't improve the cleavage though - just change the nipple position that is a touch too lower. I would argue you have you quite a bit of cleavage. You have fairly large implants and they're practically touching without a bra. You could always get a 2nd in person opinion to properly assess for CC but it's likely just residue skin laxity causing the nipple drooping.
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June 13, 2024
Answer: Lift I would recommend a lift. I would recommend finding a surgeon certified by the American Board of Plastic Surgery with experience in complex breast issues. This surgeon ideally has also completed a fellowship accredited by the Aesthetic Society.
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June 13, 2024
Answer: Lift I would recommend a lift. I would recommend finding a surgeon certified by the American Board of Plastic Surgery with experience in complex breast issues. This surgeon ideally has also completed a fellowship accredited by the Aesthetic Society.
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June 11, 2024
Answer: Implant malposition and capsular contracture may look similar Your right implant is definitely sitting high. Is it firm? If the breast gets firmer and the implant displaces up, that is a capsular contracture. The alternative is just an implant that is sitting high and has not dropped. It has been 10 months, so I would expect your implant to drop by now. Usually you need a bra to show a deep cleavage because breasts tend to separate without one. You are in a gray area regarding a lift. If you want your breasts lifted (such as by lifting them with the cups of your hands) and if you want your nipples situated higher, then there is really no choice. The best type of lift is a vertical lift. I use a medial pedicle. The inverted T "anchor scar" method is obsolete, in my opinion.
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June 11, 2024
Answer: Implant malposition and capsular contracture may look similar Your right implant is definitely sitting high. Is it firm? If the breast gets firmer and the implant displaces up, that is a capsular contracture. The alternative is just an implant that is sitting high and has not dropped. It has been 10 months, so I would expect your implant to drop by now. Usually you need a bra to show a deep cleavage because breasts tend to separate without one. You are in a gray area regarding a lift. If you want your breasts lifted (such as by lifting them with the cups of your hands) and if you want your nipples situated higher, then there is really no choice. The best type of lift is a vertical lift. I use a medial pedicle. The inverted T "anchor scar" method is obsolete, in my opinion.
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May 31, 2024
Answer: Capsular contracture Dear Forceful967461, capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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May 31, 2024
Answer: Capsular contracture Dear Forceful967461, capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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May 20, 2024
Answer: Breast lifting Capsular contracture usually presents with pain and hardness of the breasts. Breast ultrasound can also help to show the thickness of the capsular tissue and it is usually possible to determine with physical examination. Your preoperative nipple position seems to be in a normal location. You should not forget that bigger implants may cause more sagging after breast augmentation surgery. I would recommend you a lifting surgery with a vertical or reverse T scar.
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May 20, 2024
Answer: Breast lifting Capsular contracture usually presents with pain and hardness of the breasts. Breast ultrasound can also help to show the thickness of the capsular tissue and it is usually possible to determine with physical examination. Your preoperative nipple position seems to be in a normal location. You should not forget that bigger implants may cause more sagging after breast augmentation surgery. I would recommend you a lifting surgery with a vertical or reverse T scar.
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