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Thank you for your questions. Sorry to hear you are having concerns. Without an in-person examination or at least pictures to reference, I cannot offer specific advice. Without knowing the details of the problem, it is impossible to offer potential solutions. Your best bet would be a consultation with a local plastic surgeon who is board certified by the American Board of Plastic Surgery.Best of luck!
I am sorry to hear about/see the problem you are having after breast augmentation surgery. You may wish to post photographs with your next question, preferably with your arms by your side, for specific assessment and advice. Generally speaking, signs of breast implant bottoming out include: 1. Breast implant "sits" too low on the chest wall.2. Excessive palpability or visibility of the breast implant along the lower breast pole.3. Nipple/areola complex seems to be sitting relatively high, because the breast implants have settled too low. 4. Discomfort along the lower breast pole (secondary to pressure from the underlying implant).5. Relative paucity of upper pole breast implant volume compared to lower pole volume.6. Increased visibility of a infra mammary fold scar (higher on the breast mound). Patients with breast implant bottoming out usually benefit from revisionary breast surgery which typically involves capsulorraphy (internal suture repair). Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. 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. In my opinion, careful attention to postoperative activity restrictions is one of the keys to success. In my practice, I ask patients to keep their elbows by their sides for at least first two weeks after the procedure is performed. Longer-term, certain activity (depending on exactly what procedure is performed) may also be restricted in an effort to avoid the potential for implant malposition recurrence.Best wishes.
It would be wise to receive clearance from your surgeon before beginning any strenuous activity. This would include yoga. To do otherwise may place you at risk for bleeding and the subsequent recurrence of capsules.
In medicine, we talk about the sensitivity of a test. An MRI is far more sensitive than an ultrasound but an ultrasound is a reasonable way to begin. If it is positive then you have your rupture diagnosis, but if it is negative it does not eliminate the possibility. Whether your implants ar...
Shaped implants are great... except when they rotate. Once this happens, the only long term solution to prevent further rotation is to remove the scar tissue, tighten the pocket space, put a drain, and hope the new capsule adheres to the implant to keep it in position. Trying to rotate an...
