2 years later after BA, developed cap con in the left breast, going to replace both implants. Going from Natrelle Inspira 375cc, mod profile, unders to maybe Natrelle Inspira FULL profile, 485cc overs in hopes to achieve more upper pole fullness. Don't want to go bigger, but fuller. My frame is 5'6", 215 pds, 15bwd. Dr suggested I go with Natrelle Extra Full profile, 545cc, but I feel that will be too big :( . Thank you in advance.
Answer: Higher risk of CC if above muscle The information yo are presenting does not make sense since we know above the muscle implants have a much higher risk of CC and bottoming out since no muscle to hold implant against the chest wall. The thoughts that I have are as follows. Remove both implants and perform a mastopexy that really lifts your tissue. At a second operation 4-8 months later place new implants. Yes this seems like a lot but doing another less then ideal operation which is what I think you are looking at now IMHO is a bad idea. Seek out a few well respected board certified plastic surgeons please. Good Luck
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Answer: Higher risk of CC if above muscle The information yo are presenting does not make sense since we know above the muscle implants have a much higher risk of CC and bottoming out since no muscle to hold implant against the chest wall. The thoughts that I have are as follows. Remove both implants and perform a mastopexy that really lifts your tissue. At a second operation 4-8 months later place new implants. Yes this seems like a lot but doing another less then ideal operation which is what I think you are looking at now IMHO is a bad idea. Seek out a few well respected board certified plastic surgeons please. Good Luck
Helpful 1 person found this helpful
July 15, 2019
Answer: Explant and The Bellesoma Lift Unfortunately, you had an improper lift. The Wise pattern is notorious for bottoming out. At this time, I recommend explantation and a lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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July 15, 2019
Answer: Explant and The Bellesoma Lift Unfortunately, you had an improper lift. The Wise pattern is notorious for bottoming out. At this time, I recommend explantation and a lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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July 15, 2019
Answer: Capsular contracture Discuss with your surgeon in more detail if you are planning to have your new implants placed on top of the muscle (subglandular) as this has a higher incidence of recurrence of capsular contracture. It's also recommended to use a textured implant in that case, which is associated with ALCL. These issues are more important than implant volume.Best wishes,Dr.Bruno
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July 15, 2019
Answer: Capsular contracture Discuss with your surgeon in more detail if you are planning to have your new implants placed on top of the muscle (subglandular) as this has a higher incidence of recurrence of capsular contracture. It's also recommended to use a textured implant in that case, which is associated with ALCL. These issues are more important than implant volume.Best wishes,Dr.Bruno
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September 28, 2019
Answer: Will Natrelle full profile, 485cc, over the muscle, look unnatural? Based on your photos, I think you need a revision of your breast lift and perhaps slightly larger implants to give you the upper pole fullness you are looking for. Switching the implants to on top of the muscle will likely cause significant bottoming out, less upper pole fullness with time, and an increased risk of recurrent capsular contracture. Best regards.
Helpful 1 person found this helpful
September 28, 2019
Answer: Will Natrelle full profile, 485cc, over the muscle, look unnatural? Based on your photos, I think you need a revision of your breast lift and perhaps slightly larger implants to give you the upper pole fullness you are looking for. Switching the implants to on top of the muscle will likely cause significant bottoming out, less upper pole fullness with time, and an increased risk of recurrent capsular contracture. Best regards.
Helpful 1 person found this helpful
July 15, 2019
Answer: Implant size Dear curvyme123,
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July 15, 2019
Answer: Implant size Dear curvyme123,
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