saline implants

Q: Breast Pain Very Scared!

Submitted by Q-A from clee on Sun, 05/15/2011 - 11:35

I've had saline under the muscle implants for 5 yrs. I got a deep tissue massage 1 week ago on my back. It was very uncomfortable for my boobs. After a while my left boob started to hurt a lot so she stopped. Afterwards when I looked at my left breast there was a small red bump which hurt to press on. My left breast is burning and hurts to press on. my nipple is sensitive. The bottom half of the areola hurts when i press on it where the valve is. did i damage the valve or tissue or chest muscle?

A: Difficult to know if the bump arose from the massage

Based on your provided information, it is difficult to know if the bump arose from the massage or was simply painful because of the massage. It is very possible that an infection in the skin became worse with the massage. If the lesion becomes worse or fails to improve in the next several days, it would be prudent to see your family doctor or surgeon. With your photos provided, I doubt there to be a problem with the implant itself.

Q: Breast Explantation Due to Intracapsular Rupture with Fluid Build

Submitted by Q-A from clee on Sat, 05/14/2011 - 09:07

fluid build up in my right breast, ultrasound showed there is a thick film of capsular around my implant. Look swollen but no pain. I went to 2 surgeons, one said to remove implant without removing any capsules nor stitch up the implant pocket. While the other one will remove all capsules, stitch up pocket.

My implants are under the skin and they're saline. I have them for 7 yrs. Which one should i go with? Will the fluid goes away so i can leave them in since I have no pain? Please advise.Thx

A: Not really understanding some points...your clarification necessary

You mentioned that you have saline implants for 7 years, yet they are ruptured with fluid and swelling. Saline ruptures lead to deflation and their treatment is by replacement usually with assistance of the manufacturer provided the parameter of the warranty are followed.

Silicone is a different matter. 7 years ago there was a moratorium on their placement. Ruptures silicones should probably be removed.

If you are having exchange of implant, then either a pocket exchange or capsulectomy would be wise since the capsules are thick according to your imaging studies.

Q: Saline or Silicone for Someone with Adequate Breast Tissue?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:07

Getting BA done next month. My doctor usually recommends silicone because most of his patients have an A cup. After my exam, he said I could go with silicone or saline because I'm a full 34B cup. He said I have enough breast tissue so there wouldnt be a difference, and would get the same results.

It will be soft as silicone, and give me good projection. I'm a 34 full B, shooting for a 34 full D.What would you suggest? Also, 450cc or 500cc?Would like fuller, natural feel, look, and movement.

A: You have choices, let your preferred incision guide your implant decision

Let your incision choice and size of implant dictate your type of implant. If you prefer to scar in the areolar complex, then use a saline implant as your areola is not large enough to permit placement of a large silicone implant. If you prefer the inframammary incision, then go with the cohesive get as the feel more natural. Request for them to be place in the submammary position as it is far less painful and you have sufficient breast to adequately prevent ripples even from saline implant to show.

Q: Left Breast is Shrinking 3 Months Post-Op Breast Augmentation

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:46

Hi there, I had my augmentation on January 18th of this year. I had saline under the muscle surgery. My left breast was slightly lower and slightly larger before my augmentation so my doctor tried to even things out by putting 20 cc more saline in my right breast. 570cc in my left and 590cc in my right to be exact.

As you can see from the pics things looked pretty even on surgery day but as time goes on it seems like my left breast is continually shrinking. PLEASE HELP!!!

A: Implant deflation likely

Implant deflation can result from rupture of the device or valve failure. Rupture presents with a rapid deflation over 1-2 days. In your case it has been more insidious with likely a leak at the valve giving rise to a progressive but slow diminution of size. Most major manufactures have a warranty program in place to assist in the cost of correction. It might be a good time to review the particulars of the warranty. Good job with your photos as it is more information to base an opinion.

Q: 500CC, Under Muscle, Saline Implants: Is my Right Breast Bottoming Out?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:15

I had my BA surgery done on 3/16/2011. I have saline and placed behind the muscle. Rt 500 cc Lt 475 cc, Right after the surgery I experienced a lot of pain in my abdominal area. After one month of the surgery, I have still disconfort on my right breast (bottom part).

I would like to know if my breasts are bottoming out? and also if they look too low.. I can feel the bottom of the implants in both side.

A: Not bottoming out on photos

There is no evidence of bottoming out on your photos. It is normal for the lower edge of the implant to be more palpable as the thinner breast tissue provide less coverage over the implant.

Q: Will my Implant Drop Into the Pocket?

Submitted by Q-A from clee on Fri, 05/13/2011 - 10:36

I am 3 weeks post op from having a breast augmentation. I was a small B and they were low and very loose. I am 5'9 and went with saline under the muscle, I had a crescent lift on the right breast which was my larger breast.

I had 550cc in the right breast and 600cc in the left breast. My concern is that the right breast is very RECTANGULAR, and the implant is obviously high, when I bend over my saggy small breast still dangles and my implant is in my chest wall. Will it drop into the pocket?

A: Submuscular implants with mastopexies can be problematic

Subpectoral augmentation with mastopexy tend to be problematic as then lax tissue mastopexy tends to slide over the top of the muscle over time leading to a double bubble type of deformity. The submuscular implant tends not to drop and may accentuate the deformity with descent of the breast.

You are still early after surgery and might respond to breast garment straps to externally push the implants inferior. At the lest it might prevent further migration superior.

Hopefully this will address your issue. However, if you have the misfortune of requiring a revision then discuss with your surgeon the possibility of having submammary repositining of implants with cohesive gel and mastopexy.

Q: Strattice Breast Augmentation Revision: Uneven and Bumpy

Submitted by Q-A from clee on Fri, 05/13/2011 - 07:45

I am two days post of from a breast augmentation revision. I went from approx 400cc saline under muscle to 375 silicone moderate profile plus under muscle.
Strattice was used laterally and i think underneath as well (the old implants had shifted into my armpits.)
I'm 5'1 99lbs. I have drains too. The outsides, by my armpits, have a concave indentation in them, and it's swollen under my armpits in an uneven way.From front view they look uneven and one almost saggy?? I'm a little concerned.

A: Too early to worry following breast implant revision

Revision breast surgery especially attempts to control pocket with implanted materials is substantial surgery that will swell and undergo many changes over the following weeks to months. Two days is too early to be concerned.