F.29.5'3 I had my breast augmentation in 2016 (450cc) and in 2019 I removed them with en bloc capsulectomy. I regret removing them so I am looking to re implant. Although I've heard the risk of bottoming out is higher. I don't want to go as big as I was originally also. How high is this risk? And what can be done to reduce this risk?
April 1, 2024
Answer: Re-augmentation The chance of quality outcome is significantly lower than a primary augmentation based on your history. Once you take the implants out, the space gets covered in scar tissue, which does not stretch and does not have the pliability of virgin tissue. For this reason, the implant is likely to have some distortion And the potential outcome is dependent on the quality of your tissues, including how much scar tissue you have. The risk of bottoming out should be preventable, but this again has to do with how previous surgeries were done, and the quality of your tissues. Working with smaller implants is always safer, especially minimizing the chance of bottoming out. Unless you’re going back to your previous plastic surgeon, you should collect all your medical records from previous operations including complete sets of before and after pictures and all operative reports and bring those when consulting with providers for re-augmentation. Best, Mats Hagstrom, MD
Helpful
April 1, 2024
Answer: Re-augmentation The chance of quality outcome is significantly lower than a primary augmentation based on your history. Once you take the implants out, the space gets covered in scar tissue, which does not stretch and does not have the pliability of virgin tissue. For this reason, the implant is likely to have some distortion And the potential outcome is dependent on the quality of your tissues, including how much scar tissue you have. The risk of bottoming out should be preventable, but this again has to do with how previous surgeries were done, and the quality of your tissues. Working with smaller implants is always safer, especially minimizing the chance of bottoming out. Unless you’re going back to your previous plastic surgeon, you should collect all your medical records from previous operations including complete sets of before and after pictures and all operative reports and bring those when consulting with providers for re-augmentation. Best, Mats Hagstrom, MD
Helpful