Nicoles ImplantInfo

Q: Tear or Round Shape for Revision?
Dr. Edwards, The question is: in redo op, is it possible to use tear shape drop implant or is it a must to go with round shape since the tear drop might turn due to the soft and stretched tissue. I have two totally opposite opinions from 2 doctors so far. Thanks

Visitor Follow-up Response:
Sorry, I have silicon now, not saline - mistake

Dr. Edwards:
I would still say the same thing. If you want to be a little larger, consider the larger implant. As you probably know the teardrop implants are textured and by virtue of the fact that they are taller than they are wider, if they do not adhere to the capsule inside, they can flip or turn. I have seen this in a patient who came to me for revision surgery. If you have a smooth implant now the capsule will be smooth and therefore the new textured implant will not adhere well. This is of course just my opinion but I would not use a textured shaped implant in a revision case without removing the capsule.

Visitor Follow-up Question:
Only one more - in redo op, undermuscular, saline, 285 cc, - one of the doctors says he would go with Mentor 295 Cohesive gel II, the other chooses Mentor Cohesive gel II, round, minimum 350 cc. He says I need more volume to solve rippling in right breast upper inner quarter. I prefer this second opinion. Do you agree?

Dr. Edwards:
I would need to see you in consultation to give you an opinion on this. You should look at the implants side by side with an implant filled to the size you have now. 55cc would make you a bit larger. Dr Edwards

Visitor Follow-up Question:
I need it, because the breasts are very narrow now, inside the rib cage. You can see ribs on the sides. One of the doctors says the capsule if left inside would provide for extra coverage. Is this your opinion too?

Dr. Edwards:
I think it does.

Visitor Follow-up Question:
Dr. Edwards, Is it better not to remove the capsule, since it might provide additional coverage - as an extra layer, so to say.

Dr. Edwards:
It depends on how tight your capsule is, what kind of implants you have now (saline or silicone), etc. In a woman without much breast tissue, removal of the capsule can thin your tissues and possibly alter your result. Dr Edwards

Visitor Follow-up Response:
Thanks, you helped a lot.

Dr. Edwards:
Best of Luck.

Q: When Will Implants Fully Drop?:
I am 4 months post op and my breasts still haven't fully dropped. I have 425CC smooth saline unders. My nipples are still pretty low on my breasts and I have too much upper pole fullness. The right is a little bit higher than the left. Is it likely that they will drop to fill out at the bottom at this point? If not, what can be done to correct the problem? I would wait until I was at least a full year post op before having anymore surgery, but I'm beginning to lose hope of them ever fully dropping on their own.

Dr. Edwards:
The farther out you are from surgery there is a decreasing chance they will drop, especially if your nipples are low on your breasts. There will no doubt be women on the site that say their implants dropped after 8-12 months. I would want you to wait at least 6 months prior to a revision surgery but you should visit with your plastic surgeon to review your plan. I wish you well. Dr Edwards

Dr. Edwards:
Thanks for all of your questions. I will continue to check the forum periodically to answer questions or you can contact me through my website at info@medwardsmd.com. Dr Edwards

Nicole:
Thank you Dr. Edwards
It looks like it was a good session

Visitor:
Thank you Nicole for working with doctors and providing an open forum for us to communicate and ask questions. This message board is wonderful!

Visitor:
Nicole, You Rock! This site is so helpful. Thanks a lot.

Visitor:
Thank you so much for offering this great feature. It is a wonderful site............

Nicole:
You're welcome! I'm happy that we have the opportunity to help you make an informed decision.

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