I’ve had mastectomy and reconstruction 12 months ago (brca2) Due to an error plus two complications I’ve just had my 5th surgery My first implants were teardrop in error, I had no fullness in the upper pole whatsoever, I have new implants and I’ve went with surgeons judgement on using teardrop again highly cohesive) but I still don’t feel I have the upper pole volume due to having the teardrops, would it look better If I can exchange for round implants or will fat grafting be a better solution
Answer: Upper pole fullness Dear Honest6785,
Helpful 1 person found this helpful
Answer: Upper pole fullness Dear Honest6785,
Helpful 1 person found this helpful
August 27, 2019
Answer: Breast augmentation Achieving upper pole fullness with breast augmentation is best obtained using a cohesive extra full implant. The cohesive gel is firmer and won't drop as much with gravitational forces. Alternatively you could fat graft on top of your anatomic implants but you need viable vascularized breast tissue over the implant to support the fat graft which is likely not present after a mastectomy.
Helpful 1 person found this helpful
August 27, 2019
Answer: Breast augmentation Achieving upper pole fullness with breast augmentation is best obtained using a cohesive extra full implant. The cohesive gel is firmer and won't drop as much with gravitational forces. Alternatively you could fat graft on top of your anatomic implants but you need viable vascularized breast tissue over the implant to support the fat graft which is likely not present after a mastectomy.
Helpful 1 person found this helpful
August 26, 2019
Answer: Insufficient upper pole fullness after teardrop implants. Would exchanging for round implants or fat grafting be better? I am sorry to hear about the complications you have experienced. Increased upper pole fullness may necessitate the use of larger and/or more projecting breast implants. In my experience, these types (rounder, more projecting, "augmented" look) of outcomes are best achieved with higher projecting (for example Mentors ultrahigh profile) silicone gel breast implants or the use of overfilled saline breast implants. Of course, there are pros/cons associated with the use of each type of breast implant. I hope this helps.
Helpful 1 person found this helpful
August 26, 2019
Answer: Insufficient upper pole fullness after teardrop implants. Would exchanging for round implants or fat grafting be better? I am sorry to hear about the complications you have experienced. Increased upper pole fullness may necessitate the use of larger and/or more projecting breast implants. In my experience, these types (rounder, more projecting, "augmented" look) of outcomes are best achieved with higher projecting (for example Mentors ultrahigh profile) silicone gel breast implants or the use of overfilled saline breast implants. Of course, there are pros/cons associated with the use of each type of breast implant. I hope this helps.
Helpful 1 person found this helpful
August 27, 2019
Answer: Exchange for round implants? Dear Honest6785,thank you for your question. There is a soft tissue deficit after a mastectomy. To give your the fullness yo want I would consider staging the revision with fat grafting to the upper chest and then, assuming adequate take of the fat graft I would change to a round implant with ADM support of the lower pole. Good luck & hope this helps.James Sheridan,MD
Helpful 1 person found this helpful
August 27, 2019
Answer: Exchange for round implants? Dear Honest6785,thank you for your question. There is a soft tissue deficit after a mastectomy. To give your the fullness yo want I would consider staging the revision with fat grafting to the upper chest and then, assuming adequate take of the fat graft I would change to a round implant with ADM support of the lower pole. Good luck & hope this helps.James Sheridan,MD
Helpful 1 person found this helpful
August 28, 2019
Answer: Additional surgery Since you are Honest6785 I will be Honest 78910: You don't need anything! You have a nice result following the terrible diagnosis of BRCA2, but you are alive well.....and beautiful. The teardrop, round ....blablablabla is nothing but a side show, a distraction from the unfortunate diagnosis and considerable anxiety you have experienced. No one can blame you, but we have the obligation to protect you. Five surgeries are telling us something: It is your way of feeling alive and fighting. You don't need additional trauma, you are more than beautiful in your present state. Best of luck.
Helpful 2 people found this helpful
August 28, 2019
Answer: Additional surgery Since you are Honest6785 I will be Honest 78910: You don't need anything! You have a nice result following the terrible diagnosis of BRCA2, but you are alive well.....and beautiful. The teardrop, round ....blablablabla is nothing but a side show, a distraction from the unfortunate diagnosis and considerable anxiety you have experienced. No one can blame you, but we have the obligation to protect you. Five surgeries are telling us something: It is your way of feeling alive and fighting. You don't need additional trauma, you are more than beautiful in your present state. Best of luck.
Helpful 2 people found this helpful
