Something doesn't look right am I bottoming out? Breast do not look "round", fall toward my armpits when laying down. (photo)
Doctor Answers 8
Implants are out of position.
The pocket space does seem to be over dissected. A hematoma is not caused by over dissection, but having a hematoma can stretch out the pocket. Regardless, the issue appears to be implant malposition. Size may also contribute, although 375cc implants are not typically "large" implants. An in person consultation would be necessary for any further detailed recommendations.
So it is difficult to speculate exactly what happened in the operating room as only your surgeon knows exactly what happened. Are the implants too big for you, it appears they are likely bigger than your chest width can handle(that volume and profile chosen), the pocket was possibly over dissected laterally and inferiorly, again tough to speculate as only your surgeon was in the operating room. A hematoma post-op can definitely cause problems. Rippling has to do with your breast and muscle coverage, you are small and thin, likely had small breasts prior to this augmentation, so at this point harvesting some fat from somewhere(your abdomen or anywhere you have some to harvest) and transferring to the areas that ripple to obtain more coverage over the implant would be a good strategy at this point, a "composite" breast augmentation. Another option would be to switch to an anatomic "gummy bear" implant as they do not ripple like silicone or saline implants do. Switching to a smaller size and correcting the capsule would also be an option. At this point discussing your issues/desires with your surgeon or seeking a second opinion would be your best plan of action.
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Something doesn't look right.
Am I bottoming out with my breast augmentation?
Good luck to you.
Frank Rieger M.D. Tampa Plastic Surgeon
Something doesn't look right am I bottoming out? Breast do not look "round", fall toward my armpits when laying down.
Generally, the lateral and inferior (bottoming out) breast implant displacement can be corrected using an internal suture technique (capsulorraphy), decreasing the size of the pockets and moving the implants toward the midline. Doing so will prevent the breast implants from migrating to the sides when you lie down and will help centralize the position on the breast mounds. In my practice, this repair is done with a 2 layered permanent suture technique. The use of acellular dermal matrix is an option ( although not usually necessary) especially if significant implant rippling/palpability is present. I hope this (and the attached link) helps.
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