I am a 68 year old woman. My first implant surgery was in 1974. I replaced my implants in 1988. I had my implants removed in 2000 and refused to replace it. In 2016 I had implant surgery using Sientra textured, shaped implants. I learned of BIA-ALCL in April 2018. My question is..Should I replace the textured implants with round, smooth implants? If so, should they again be sub muscular? It is 2 years since my most current surgery. Thank you very much
August 28, 2018
Answer: Explantation using The Bellesoma Method You are an excellent candidate for explantation using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. I do not recommend repeat implants since your skin is already stretched very thin. Best Wishes, Gary Horndeski, M.D.
Helpful 1 person found this helpful
August 28, 2018
Answer: Explantation using The Bellesoma Method You are an excellent candidate for explantation using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. I do not recommend repeat implants since your skin is already stretched very thin. Best Wishes, Gary Horndeski, M.D.
Helpful 1 person found this helpful
August 27, 2018
Answer: Should I replace my textured implants with smooth, round implants? If so, should they again be sub muscular? The risk of BIA-ALCL is between 1 in 3000 and 1 in 10,000. This makes it a rare chance, but a possibility. The general recommendation is not to change the implants but to follow closely for any changes. It is definitely possible to change the implants to smooth and keep them under the muscle.
Helpful 1 person found this helpful
August 27, 2018
Answer: Should I replace my textured implants with smooth, round implants? If so, should they again be sub muscular? The risk of BIA-ALCL is between 1 in 3000 and 1 in 10,000. This makes it a rare chance, but a possibility. The general recommendation is not to change the implants but to follow closely for any changes. It is definitely possible to change the implants to smooth and keep them under the muscle.
Helpful 1 person found this helpful