Revision and still insure


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Dr. Michelle Roughton Dr. Rafi Fredman

**long post, sorry 😭**

 

I had revision surgery the beginning of August to correct some lateral displacement. (first surgery was August 2019 mastopexy and aug 330mod implants) Surgeon ended up doing a capsulorophy during the revision to raise the right pocket up to match the left side) and tightened the pockets both laterally and inferiorly on both breasts. I had the revision done because I hated how β€œsaggy” they looked to me and felt just after one year PO and because the implant in my right breast slid off my chest when I laid flat and because the right implant sat lower than my left. 

 

I am now 1 month po that surgery (also replaced my 330mods soft touch with 415hp soft touch and I am not 100% happy with my results. I told my surgeon I wanted my implants in the same position on my chest( meaning I didn’t want one higher or lower than the other), I wanted them as full (volume) and as round and shapely that I could get. I feel like they are still uneven, I feel the right side is still lower and I feel like I need to flex that side to make it feel even with the other side (i can feel the difference still and it makes me want to walk with that side raised up to make it feel even) and I don’t fell they are as full and round that they could be and now I feel like my left breast is oddly shaped at the bottom and my left nipple is pointing off to the side now. 

 

I don’t know what to do or think at this point. My idea of what I want my breasts to be hasn’t been achieved. This is my second surgery and my husband is growing frustrated too (probably because I’m not happy again) and because I’m now $15k in surgery costs. 

 

I’m looking for an honest opinion... should I just be happy with what I have and stop searching for a sense of perfection or do you feel like there is something that hasn’t been done right or something that could be fixed?

 

I got a second opinion on my first surgery and that surgeon wanted to replace my 330 mods with 495 UHP implants and wanted to use the highest cohesive implant to help maintain shape and I got scared of that number and then my PS who did my surgery said I needed pocket work done so I just went back to him and maybe I should have gone to the other surgeon. Im just at a loss, after pregnancy and breastfeeding i just wanted round,full, perky breasts and I just feel like mine are long (from top to bottom) and don’t have good shape. Ughh so frustrated and I’m trying to love them but every time I look In the mirror I find myself ready to cry and trying to make myself love them. I thought this revision surgery would fix it but it’s not feeling or looking that much different. 

 

Maybe what I’m looking for is not achievable. Sorry for this long long post β€οΈ 

 

I have been in an underwire bra since surgery to help with placement and it still feels like my breasts aren’t even😭

 

Photo one is 1 month po revision surergy and the second photo is surgery day for my revision (1 year po) The other photos are yesterday. 

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  • I am SO sorry. You do not need to accept the results the way they are and in my opinion it could be fixed. Everything you have described-flexing one side to make it feel even, wearing an underwire bra, speaks to you needing more support. Everyone's tissues are different and support implants differently. From your 1 year po photo, and your current photos, I see a lack of support in the lower pole of both breasts and I do not think your tissues can support the implant without help. You need a solution that will not rely on your own tissue to support the implant over time. That is where mesh is useful. It acts like an internal bra. There are different kinds-I like Galaflex in many cases (less expensive than some of the others).

    Regarding the position of your left nipple, it could be that as the implant is being pushed down and to the middle (the odd shape you mentioned), your nipple has moved out to the side more. Sometimes this can happen with lateral tightening of the pocket. Same solution in my opinion-use internal support to support the implant and not your tissue. 

     

    I would be honored to see you at my office in St. Louis, MO!
    (Travel patients get $500 off )

    Like 1
    • Dr. Rafi Fredman 

      Thank you so much for your response and that makes sense and i think that could be the problem. I’m going to bring it up to my surgeon but I’m not sure with having had two surgeries already from him if I will stay with him or choose a new surgeon. I have also noticed that my current surgeon is a board certified cosmetic surgeon and not a plastic surgeon. Are techniques and skills different between those two areas? 

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      • Lilimoon
      • Lilimoon
      • 1 mth ago
      • Reported - view

      Littlemomma2 

      I have the same issueπŸ˜”

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    • Lilimoon Its the worst. I just had a revision and im back in the same boatjust with better upper pole this time. I hate the thought of a third surgery but i also want to love what ive already spent 15k on. I hate it. What are you planning to do?

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      • Lilimoon
      • Lilimoon
      • 1 mth ago
      • Reported - view

      Littlemomma2 I decide to have surgery again I very much hope it will be right this time Because in the first surgery, I limited the surgeon and wanted him to use as small a prosthesis as possible

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  • In order to become a board certified plastic surgeon, after medical school, a doctor must complete at least 6 years of plastic surgery training and then go through the rigorous process of obtaining and maintaining board certification with the American Board of Plastic Surgery who ensures that plastic surgeons practice with the highest level of safety and skill-set. As an example of what that entails, during my training I performed over 2,500 surgeries. 

    In order to become board certified in cosmetic surgery by the American Academy of Cosmetic Surgery a person can come from other medical fields (does not even have to be a surgeon) and then does a 1 year fellowship where they participate in at least 300 surgeries. 

    There are board certified cosmetic surgeons across the US who have busy practices, and likely share in techniques used by plastic surgeons. Like all physicians, skills and experience can vary. 

    I am glad you are going to talk about it with your surgeon.

     

    I would be honored to see you at my office in St. Louis, MO!
    (Travel patients get $500 off πŸ™‚)

    Like
      • Lilimoon
      • Lilimoon
      • 1 mth ago
      • Reported - view

      Dr. Rafi Fredman 

      Hi. I had mastopaxy and prosthesis 16 months ago but I'm not pleased by it. My breasts are unformed  . Can I have a another surgery to make my breasts well-formed? The downside has no form.     I have 225cc prosthesis high mentore under muscle.
      I just wanna know your opinion.
       

      If I want to have a bigger implant just in case to have better roundness?
              how much more cc do you suggest? And with what kind of profile? For example do you think 350cc ultra can solve my problem? or The bigger width is necessary? for example  375 cc high?, the
      upper side is fine butThe downside has no  form.πŸ˜”

      Like
  • I think an exchange for a bigger implant, staying with the high profile makes sense and would give you more roundness at the bottom. I agree that it would be good to maintain the implant width (meaning not going to ultra high). If you have any wish pics I would be happy to look at those. Both wish pics and a Vectra 3D image are helpful in deciding what size you want. 

     

    I would be honored to see you at my office in St. Louis, MO!
    (Travel patients get $500 off πŸ™‚)

    Like
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