Pocket repair, BA revision. The sooner, the better? (Photos)
Doctor Answers 18
I'm sorry the panel brought up issues that were not concerning to you
Asymmetry after breast augmentation...and they are touching too
Pocket repair, BA revision. The sooner, the better?
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Timing of revision surgery
Hi and thank you for the question. I think the first thing to do is see your plastic surgeon some time toon to go over your concerns. He or she should be able to go over these with you and explain your options to improve the result. The right implant is a bit low. There are a couple of ways this can be fixed including the use of sutures and/or graft material. I think your implants are a bit large for your frame and that your nipple position would look better with smaller, narrower implants. I usually have patients wait six months before performing a revision procedure. Good luck to you.
Pocket repair, BA revision.
I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation.
There are no "absolute rules" when it comes to timing for revision surgery; allowing for six months to one year to pass will allow for "thickening" of the breast implant capsulea and possibly increased strength of the repair.
Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with revisionary breast surgery. I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.
Revision Discussion-Communication is Paramount
Hi Maggie123, It is important you meet with your surgeon and express your concerns now. Revision surgeries can be done as soon as 3 months post op, but most surgeons will want to wait until after 6 months. But, until that time, there needs to be open lines of communication between you. I agree with some other surgeons that answered that your implants are quite large for your frame. This can be the root of, or contributing to, your issues and I hope that there was considerable discussion and understanding of this possibility before you chose this size implant. Regardless, if you decide to have a revision and go smaller a crease repair would likely be in order to help prevent the same problem from occurring again. Most importantly, meet with your surgeon, formulate a plan of action with a timeline. If you are not satisfied with the level of communication and recommendation made, definitely get a second opinion. But keep in mind, revision/repair surgeries can be very complicated and when the surgeon doing them is not your original surgeon, their compensation request will reflect this. Best of luck to you!
Breast augmentation - problem after 3 months
- I am sorry this is happening.
- Your photo suggests your lower implant is bottoming out.
- Your implants look very large for your frame - this can be the problem.
- You should return to see your surgeon to discuss the problem.
- S/he may want you to wait a little longer, even another 3 months for more swelling to subside.
- If you were my patient and you had very large implants and early bottoming out, I would recommend repair of the inframammary crease and smaller implants on both sides - or the problem may return.
- Such surgery is usually done in the operating room.
- If you feel you do not have a good surgeon, you will need to find a new one.
- But start by seeing your own surgeon as her/his fees for revision will be lower compared to a new surgeon's.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.