I have a bottomed out breast, uneven nipples, nipples that sit high on the breast, and one breast that is more lateral than the other. If I were to have a revision, what would be the best way to prevent this from happening again? Is it best to use internal sutures or strattice? What are the cons of both methods? My original PS advised against internal bra using mesh.
Answer: Implants Implants bottom out because of stretching your tissue thinly and not having enough support to hold them in place. You need to go smaller and may need mesh for good support. Please do not go larger.
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Answer: Implants Implants bottom out because of stretching your tissue thinly and not having enough support to hold them in place. You need to go smaller and may need mesh for good support. Please do not go larger.
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February 5, 2024
Answer: Revision Your breasts are wider than your chest wall which leads to mechanical instability. The only thing holding up your implants is the skin envelope and the breasts will continue to bottom out. You need smaller implants, the pockets need to be reinforced inferiorly and laterally and dissected more centrally and upward to allow the implants to sit higher. At the same time, you will most likely need the areolas displaced more medial and elevated as well. Mesh is usually not effective as it will be absorbed.
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February 5, 2024
Answer: Revision Your breasts are wider than your chest wall which leads to mechanical instability. The only thing holding up your implants is the skin envelope and the breasts will continue to bottom out. You need smaller implants, the pockets need to be reinforced inferiorly and laterally and dissected more centrally and upward to allow the implants to sit higher. At the same time, you will most likely need the areolas displaced more medial and elevated as well. Mesh is usually not effective as it will be absorbed.
Helpful
February 4, 2024
Answer: Breast revision Thank you for your question. A large portion of my practice is dedicated to breast surgery and revision breast surgery. I have been in practice for over 28 years. In your case, you would benefit from an internal bra procedure - capsulorrhaphy. I wrote the very first paper on capsulorrhaphy over 20 years ago. I find that many surgeons are not skilled at this procedure and have high rate of recurrence. You should be able to have an excellent result. Best wishes to you
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February 4, 2024
Answer: Breast revision Thank you for your question. A large portion of my practice is dedicated to breast surgery and revision breast surgery. I have been in practice for over 28 years. In your case, you would benefit from an internal bra procedure - capsulorrhaphy. I wrote the very first paper on capsulorrhaphy over 20 years ago. I find that many surgeons are not skilled at this procedure and have high rate of recurrence. You should be able to have an excellent result. Best wishes to you
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February 5, 2024
Answer: Bottoming out Dear snw54568,
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February 5, 2024
Answer: Bottoming out Dear snw54568,
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February 3, 2024
Answer: How can bottoming out breasts be prevented? To correct bottoming out an internal bra with a long term absorbable mesh, combined with infra mammary fold correction usually works well
Helpful 1 person found this helpful
February 3, 2024
Answer: How can bottoming out breasts be prevented? To correct bottoming out an internal bra with a long term absorbable mesh, combined with infra mammary fold correction usually works well
Helpful 1 person found this helpful
