Is the tissue strattice matrix the best option? Need second opinion because it is expensive.
Obviously without examining you this is somewhat difficult to answer. I use Strattice often in my practice when repairing a bottomed out implant or helping with rippling. There is another product called Seri that I also use since it is somewhat cheaper and a good product. You may want to ask your surgeon about this option. Good Luck!
Strattice not required
breasts are one of the most difficult deformities to correct. The technique I recommend is Implant Exchange
with Mini Ultimate Breast LiftTM.
Using only a circumareola incision it is possible to reshape your breast
tissue creating upper pole fullness, elevate them higher on the chest wall and
more medial to increase your cleavage.
At the same time, your implants can be exchanged for new ones. Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant.
Small round textured silicone gel implants placed retro-pectoral look
and feel more natural, are more stable, less likely to ripple or have
complications needing revision. Implant
profile is irrelevant in the retro-pectoral position since the muscle
compresses it. You are an excellent
candidate for this technique to revise your previous result. Saline implants ripple more and should be
replaced with silicone. This technique
will decrease the gap between your breasts when you lie down and elevate them
higher on the chest wall. The cost of
this procedure is $11,500. Your excess
skin is used to make an internal support bra and strattice is not required.
Gary Horndeski, M.D.
Acellular Dermal Matrix and Revision
Sounds like you have a complex problem that is even harder to asses without photographs. I would say your PS is probably giving you good advice but I would seek a few other opinions. We all do things differently and the more opinions you get the better your understanding will be of the issues and the more likely you are to choose the right surgeon for the right price.
Strattice for the correction of implant pockets that are too large
It would be helpful to see pictures, but from your description it sounds like your surgeon is on the right path. Silcone gel implants are artistically superior to saline implants are are less prone to rippling. For complex revisional breast surgery I have found materials such as strattice extremely helpful to reduce the size of the pocket and maintain proper dimensions. Very often patients who seek revisional surgery have weak tissue structure, and the simple use of stitches to control the pocket shape doesn't work very well. Materials such as strattice are expensive, but yet another surgery is even more expensive. Best of luck!
How to treat rippling
Rippling is one of the most distressing of all postoperative complications.Three factors contribute to it: the type of implant, the thickness of the tissue coverage, and the tightness of the skin envelope.
Saline typically ripples more than silicone, but if a saline implant was "overfilled" it may actually ripple less than saline. Textured implants tend to ripple more than smooth, but there are several type of silicone implants that ripple less than the smooth implants, namely any of the textured anatomic high cohesive implants, particularly the one made by allergan (because it is the firmest.) The textured round by Sientra also has a low degree of rippling.
Tissue coverage is the most important thing that predisposes to rippling. Thin patients nearly always ripple to some degree, and patients with thick breast tissue never ripple. The point of Strattice is to thicken the tissue coverage. Are you already behind the muscle? Because if not, just going behind the muscle and switching to silicone will make some difference, perhaps enough given the situation. But if you are already behind and have a rippling problem, then Strattice™ may be critical. Fat injections can also help, but frequently patients who ripple do not have donor fat. Strattice™ is wonderful, but it is not a cure-all.
Droopiness also contributes to rippling. When the envelope is under filled with the implant, then the implant will tend to ripple. Tightening a loose envelope can go a long way to helping to reduce rippling.
RIppling is actually a complex problem. No one who has not evaluated you in person should offer you specific advice. You need to ask around and find someone in your area with real experience in this.