I had a BA done in October of 2020. 375cc mentor moderate plus profile placed in dual plane. I have thin breast tissue. I'm 5'8" and 135lbs. Now I have some rippling and muscle deformity. My tissue is too thin for above the muscle, even with galaflex. My thoughts are is it best to do a smaller more cohesive implant such as natrelle soft touch with galaflex and possibly break up the breast tissue? Any advice is much appreciated!
February 2, 2025
Answer: Poor Judgement I am not a fan of what this surgeon did to you. It doesn't matter what plain an implant is placed (over or under the muscle), anatomic limits of the breast reign supreme in determining what size implant can be used, and your doctor used one far too big. The problem is this: no surgeon wants to tell a prospective patient no; they know you'll just go somewhere else and get the size implant you want. And therein lies the answer to your problem. You'll need to remove your current implants, tighten the pocket and reinforce that repair with mesh, and replace with new, smaller implants that match your actual breast width. This is the only way you're going to have breasts that have a normal appearance.
Helpful 1 person found this helpful
February 2, 2025
Answer: Poor Judgement I am not a fan of what this surgeon did to you. It doesn't matter what plain an implant is placed (over or under the muscle), anatomic limits of the breast reign supreme in determining what size implant can be used, and your doctor used one far too big. The problem is this: no surgeon wants to tell a prospective patient no; they know you'll just go somewhere else and get the size implant you want. And therein lies the answer to your problem. You'll need to remove your current implants, tighten the pocket and reinforce that repair with mesh, and replace with new, smaller implants that match your actual breast width. This is the only way you're going to have breasts that have a normal appearance.
Helpful 1 person found this helpful
January 29, 2025
Answer: Advice This is inframammary fold malposition due to placement of too large of an implant at the initial augmentation and likely over release of the sternal attachments/inferior origins of the pectoralis major muscle. Over time this implant stretched out the lower pole of the breast and the pectoralis major has ridden up (like a window shade being slowly pulled up over time). The crease across the lower pole of the breast is a combination of the previous inframammary fold and pectoralis major muscle that is over released. The new fold if below the crease as the implant settled into a final position. The best way to fix this is remove the breast implant and wait 4 weeks for soft tissue retraction. After 4 weeks, proceed to the OR for pocket tightening, fixing the fold malposition, inserting Galaflex, new implants that are slightly smaller, and removing some inferior skin of the lower pole.
Helpful 1 person found this helpful
January 29, 2025
Answer: Advice This is inframammary fold malposition due to placement of too large of an implant at the initial augmentation and likely over release of the sternal attachments/inferior origins of the pectoralis major muscle. Over time this implant stretched out the lower pole of the breast and the pectoralis major has ridden up (like a window shade being slowly pulled up over time). The crease across the lower pole of the breast is a combination of the previous inframammary fold and pectoralis major muscle that is over released. The new fold if below the crease as the implant settled into a final position. The best way to fix this is remove the breast implant and wait 4 weeks for soft tissue retraction. After 4 weeks, proceed to the OR for pocket tightening, fixing the fold malposition, inserting Galaflex, new implants that are slightly smaller, and removing some inferior skin of the lower pole.
Helpful 1 person found this helpful
