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Breast Implant Revision for Slight Bottoming out

UPDATED FROM Lost100
1 year post

Not ideal results, but the best possible

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Lost100
$1,045
The strattice worked great to keep my implants from bottoming out, but because of my bad skin integrity they still fall to the sides. This has nothing to do with how the doctor performed the surgery.
Years down the road I think I will have a lift and go with smaller implants. I think if I had done this in the first place there would not have been a need for any revisions. For those who are considering implants after a lot of weight loss I really recommend considering your skin and the size of the implants. Most times women want to go bigger, but in this case that can have a negative impact on your results. And even if you don't "need" a lift, remember that the implant will weight down the skin and stretch it more. So the lift in the beginning would save a great deal of trouble.

Lost100's provider

David L. Robbins, MD, FACS

David L. Robbins, MD, FACS

Board Certified Plastic Surgeon

Lost100

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Replies (1)

June 9, 2024
You still look great! I understand how frustrating that can be though. Are your implants under the muscle? I had some slight bottoming out on one side very soon after my first surgery, had a revision that didn’t hold (no mesh used, just stitches) and went a little bigger (not the best idea), and stayed that way for a number of years. The problem side was always a little uncomfortable. Over the years I just felt they were too big for my frame. I had a revision with a new surgeon several months ago and it was the best decision ever. I went considerably smaller and they look SO much better and feel like they suit me. Switched from saline to silicone and they are much softer. This surgeon also did not use mesh, but we deflated my saline implants first (just an in-office procedure) and wanted 5 weeks to let my tissues naturally retract and heal. That process also helps reduce the possibility of needing a lift (and yay I didn’t need one). Doing that and going smaller helped a ton. I also believe she used a lot more stitches. They felt much different and were more noticeable during the healing process. She did the bottoms and sides, so they are close together even with a smaller implant. I am so happy with my decision to go smaller and definitely recommend it if you feel like yours are too heavy for your body to support at the sides. I went from 550 ccs (was supposed to be 480 ccs, so my old surgeon filled them more than he was supposed to) to 310 ccs.
UPDATED FROM Lost100
9 months post

I’m afraid that I’m turning into one of those people who is never satisfied.

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Lost100
3+ months post 2nd revision with strattice.
They haven’t dropped down, which is perfect, but they have dropped to the sides even more than before this last surgery.
When I saw the nurse for my post op I even asked if they were supposed to be so far apart. She assumed I just needed time to heal. Well I have. It’s all ok until I have to lay down, especially in a swimsuit.
I will call and talk to the doc. But I’m not paying for another revision.

Replies (2)

October 3, 2018
Did you go to doctor Robbins or did you go somewhere in Cedar Rapids?
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October 3, 2018
I went to Dr. Robbins for all 3 of my surgeries. I know I sound kinda bitchy in some of my posts but I really like how he works and the whole practice. My issues and results are less than great because of my skin integrity and not anything he did. He let me know every time what I might expect, there was just no way to predict how my body would heal. One thing that I could have used more guidance on was breast size. I went with bigger because that's how they were before I lost weight. In my opinion he should have known more or had more insight about how the size/weight of the implants would affect already loose skin. He did offer to cover 100% of any more surgery if I had more problems come up. I'm just not going to do it again because there's nothing that can be done about my skin. Let me know if you have any more questions, I'll be happy to answer anything.
October 3, 2018
Thanks for answering love! & for now I don’t, but I do have my surgery scheduled with him end of November. :-)
UPDATED FROM Lost100
6 months post

Final thoughts and a bit of advice.

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Lost100
This revision did not work. I ended up having another one a few weeks ago which included using strattice. This is something I would recommend 100% to anyone who has lost a lot of weight or has very thin skin. It is costly which is why I didn't do it to start with. Had I known that my skin was too weak to hold the implants I'd have had the Strattice put in at the start.

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