Cosmetic Surgery Blog

Q: Right breast deformed post op, why did it happen and how can this be corrected?

Submitted by Q-A from clee on Thu, 05/12/2011 - 02:04

I had a breast augmentation one year ago (round silicone mod+ 275 ml placed  partially under the muscle). I had aalso a Benelli breast lift 7 weeks ago. My right will not drop and there is a ridge on lower pole. Is it my muscle creating this deformed line? Its like the implant is hung up on something and my tissues won't cover the bottom half of implant or allow it to relax and drop fully. Basically, my right lower pole is completely deformed. My creases were not lowered and the right is sitting higher than original fold.

A: Benelli mastopexies can cause wrinkles that take time to settle but this looks more than expected

Benelli mastopexies have the advantage of confining the scar to around the areola but problems with early wrinkling of the scar and flattening of the breast from circumferential pressure. In your photos, the deep visible banding exceeds what I would expect from the wrinkling of a Benelli. Instead, it is possible that the increased pressure from the recent mastopexy may have brought out some latent problems with your 1 year old implants. There may have been some underlying degree of capsular contracture that became visible with the breast tightening from your mastopexy. This can be easily confirmed with a physical exam. If a firm underlying band is present, then a capsulotomy with implant exchange may be necessary to correct the underlying problem.

Q: SCUBA diving after breast augmentation

Submitted by Q-A from clee on Thu, 05/12/2011 - 01:23

I had silicone breast implants placed 2.5 weeks ago via infra mammary incisions. When if ever, can I resume SCUBA diving? Any depth limitations?

A: Strenuous activity should be limited for 6-8 weeks then no restrictions

After breast augmentation, 6-8 weeks of avoiding strenuous activity is recommended (especially if placed under the muscle). Thereafter, no restrictions on activities are necessary. SCUBA diving is not a problem with your implants. The increased pressure from the depth of the dive does not cause any problems for the implant as these forces act evenly over the entire surface of the implant. A similar analogy is that your skin is not damaged from the pressure of a dive as these forces are evenly applied. In contrast, uneven forces such as may occur from accidental trauma might cause implant damage just as it would to your own tissues.

In summary, SCUBA is fine 6-8 weeks after surgery. Have fun diving!

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