I am 33yrs old and have silicone breast implants subglandular that are 10yrs old. I am in need of a full lift and have been told by one doctor that he could place the new implants submuscular. Another Dr said that it COULD be done but advised against it. He said that it could cause complications like the new implant flipping/turning or looking odd due to the old pocket. What complications could changing the pocket cause?
Answer: Avoid “full lift”
The biggest complication is having a full lift. This technique frequently results in ugly vertical scars, which cannot be hidden, nipple numbness and the inability to breast feed. For that reason, there is a new technique that has been developed called the Ultimate Breast Lift. This technique avoids the ugly vertical scars, reshapes your breast tissue creating upper pole fullness, elevates them higher on the chest wall and more medial to increase your cleavage. This technique maintains nipple sensation, the ability to breast feed and is stable long term by transferring the weight of the breast to the underlying muscle. At the same time, your implants can be removed or replaced with submuscular implants if desired. Unfortunately, you have not told us your bra size or provided any photographs. However, you may be a candidate for this new technique.
Best Wishes,
Gary Horndeski, M.D.
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Answer: Avoid “full lift”
The biggest complication is having a full lift. This technique frequently results in ugly vertical scars, which cannot be hidden, nipple numbness and the inability to breast feed. For that reason, there is a new technique that has been developed called the Ultimate Breast Lift. This technique avoids the ugly vertical scars, reshapes your breast tissue creating upper pole fullness, elevates them higher on the chest wall and more medial to increase your cleavage. This technique maintains nipple sensation, the ability to breast feed and is stable long term by transferring the weight of the breast to the underlying muscle. At the same time, your implants can be removed or replaced with submuscular implants if desired. Unfortunately, you have not told us your bra size or provided any photographs. However, you may be a candidate for this new technique.
Best Wishes,
Gary Horndeski, M.D.
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September 27, 2013
Answer: Moving implants from sub muscular to sub glandular or vice versa is commonly done.
I don't see the problem moving implants from sub glandular to sub pectoral. There should however be a good reason to do it. The surgeon who proposes that switch should give you good reasons why sub muscular position is better for you than sub glandular.
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September 27, 2013
Answer: Moving implants from sub muscular to sub glandular or vice versa is commonly done.
I don't see the problem moving implants from sub glandular to sub pectoral. There should however be a good reason to do it. The surgeon who proposes that switch should give you good reasons why sub muscular position is better for you than sub glandular.
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September 25, 2013
Answer: What Complications Can Occur with Breast Lift and SubGlandular to Submuscular Implant Change?
Changing from subglandular to submuscular is commonly done, and the subglandular pocket is closed off to prevent the implants from going back above the muscle. If the lift is done without getting into breast tissue, then the vascularity of the skin and nipple should be OK, but this is the major risk, since the thinned out skin and breast tissue can lose vascularity with incisions into the breast tissue.
If the subglandular pocket is completely closed off, there should not be a problem of the implant flipping or looking odd.
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September 25, 2013
Answer: What Complications Can Occur with Breast Lift and SubGlandular to Submuscular Implant Change?
Changing from subglandular to submuscular is commonly done, and the subglandular pocket is closed off to prevent the implants from going back above the muscle. If the lift is done without getting into breast tissue, then the vascularity of the skin and nipple should be OK, but this is the major risk, since the thinned out skin and breast tissue can lose vascularity with incisions into the breast tissue.
If the subglandular pocket is completely closed off, there should not be a problem of the implant flipping or looking odd.
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September 21, 2013
Answer: What Are the Complications I Could Have Moving my Existing Implants from the Subglandular to Submuscular?
The pockets are sealed and the flipping will not occur. Going submuscular will create a more durable result with greater implant camouflage. I think that you can have silicone implants placed under the muscle with a lift. I perform breast augmentation and breast lift at the same time, and I do this several times a week. For the lift, I typically start with the smallest incision and custom tailor each breast lift to the shortest scar possible. Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD Los Angeles, CA
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September 21, 2013
Answer: What Are the Complications I Could Have Moving my Existing Implants from the Subglandular to Submuscular?
The pockets are sealed and the flipping will not occur. Going submuscular will create a more durable result with greater implant camouflage. I think that you can have silicone implants placed under the muscle with a lift. I perform breast augmentation and breast lift at the same time, and I do this several times a week. For the lift, I typically start with the smallest incision and custom tailor each breast lift to the shortest scar possible. Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD Los Angeles, CA
Helpful
September 21, 2013
Answer: Switching implants
Switching the implants from above to below the muscle is possible but not always necessary. It's really a matter of opinion from the individual surgeon. I would concentrate more on the skill and experience of the individual surgeon. For this type of surgery, selection of the right surgeon is the number one consideration. If you have capsular contracture, however, I would favor placing the new implants under the muscle.
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September 21, 2013
Answer: Switching implants
Switching the implants from above to below the muscle is possible but not always necessary. It's really a matter of opinion from the individual surgeon. I would concentrate more on the skill and experience of the individual surgeon. For this type of surgery, selection of the right surgeon is the number one consideration. If you have capsular contracture, however, I would favor placing the new implants under the muscle.
Helpful