American Society of Plastic Surgeons
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Breast Augmentation

Revision possible pocket displacement?

11 months ago

I had initial surgery in 2005 mentor smooth saline under the muscle shortly after got capsular contracture had another surgery to fix left breast since getting the implants I’m always sick my right breast looks so much smaller than left and when I bend over they don’t stay rounded more so cone shaped what could the issue be and is it covered through warranty if not rough estimate?

Shashidhar Kusuma, MD Plantation, FL
11 months ago

Hello Brittaney,

Every surgeon might have a strategy to work and improve on various aspects of breast issues. As long as the results and outcomes are consistent in the hands of the surgeon, different strategies might be good to listen to and understand.

In my hands, when there are large pockets, lateral displacement of implants, or not enough cleavage, capsular contracture and various other pocket related issues, I prefer to start new. I prefer to use a NEOPOCKET, where I create a new space above the old scar tissue or capsule and control the dissection as precisely as possible and position the implant where I want to get the best shape possible. If there is skin laxity, or nipple position issues etc, then you can do a lift at the same time. In general, it is best in my opinion to have the same foot print of the breast or as close as possible. So, I try my best to have the same volume, size of implant etc to gain consistency in outcomes.

J. Gerald Minniti, MD Beverly Hills, CA
11 months ago

It might be possible, but without high quality photos or preferably an examination, nothing for certain can be said about you specifically. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. Best of luck!

Steven Wallach, MD New York, NY
11 months ago

Sorry that you were having so many issues. The only way to really know what would be best for you is to see you in person. I’m sorry but I just can’t say for sure without an exam.

Jon Ver Halen, MD Colleyville, TX
11 months ago

Hello and thank you for your excellent question. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!


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