I had surgery April 19th 2016 (almost a year) and had 520cc put in. I was a small A cup before and now bigger than a DDD. I recently was told the my right breast implant has bottomed out and need to have a casulorrhaphy (internal bra procedure) done to repair it. I was then told by another Dr that I could not have the internal bra procedure done due to the size of my implants and I would have to go done to around 300cc. Which is right?
February 19, 2017
Answer: Internal Bra / Bottoming Out Repair Good morning!Absolutely you are an excellent candidate for the Internal Bra, my strong permanent internal suturing technique which corrects bottoming out and supports your implants over the long term. It is even MORE important with large implants, because it helps support the weight.The Internal Bra is the most common revision procedure I perform, 5-6 times a week- it works and it lasts. I have attached a link to my Internal Bra / Breast Augmentation Revision photo gallery for your review- hope it helps!
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February 19, 2017
Answer: Internal Bra / Bottoming Out Repair Good morning!Absolutely you are an excellent candidate for the Internal Bra, my strong permanent internal suturing technique which corrects bottoming out and supports your implants over the long term. It is even MORE important with large implants, because it helps support the weight.The Internal Bra is the most common revision procedure I perform, 5-6 times a week- it works and it lasts. I have attached a link to my Internal Bra / Breast Augmentation Revision photo gallery for your review- hope it helps!
Helpful
February 19, 2017
Answer: Asymmetry You do have some asymmetry with your right breast a bit lower than your left. This may be due to just normal asymmetry that you had preop or you, indeed, bottomed out. Hard to say from your photos, but I suspect the former. Regardless, the decision for revision should be based on whether this asymmetry bothers you. Clearly smaller lighter implants may stretch you out less. However, this may not be desirable as you may prefer the larger volume. Internal bra procedures will not work in your case. You will require internal soft tissue support. This can be achieved with the use of ADM, or mesh which I prefer.Good luck, Ary Krau MD FACS
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February 19, 2017
Answer: Asymmetry You do have some asymmetry with your right breast a bit lower than your left. This may be due to just normal asymmetry that you had preop or you, indeed, bottomed out. Hard to say from your photos, but I suspect the former. Regardless, the decision for revision should be based on whether this asymmetry bothers you. Clearly smaller lighter implants may stretch you out less. However, this may not be desirable as you may prefer the larger volume. Internal bra procedures will not work in your case. You will require internal soft tissue support. This can be achieved with the use of ADM, or mesh which I prefer.Good luck, Ary Krau MD FACS
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