250-299cc

Q: Palpable Implants in a Thin Woman - Problem or Normal?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:21

12 days post BA - 250cc silicone unders.Today I can feel implants under the bottom of both breasts; the right I can see protruding along the suture line (sulture line is clean). Can actually palpitate the edge of the left breast at the corner near clevage. Is this normal? My PS is a 90 min international flight away and I won't see him until next Thursday. I have been wearing the strap 24/7 but will this make it better or worse? Does this affect wearing a bra?

A: Looks fine.

Your photos show the implants in good position and nothing that you describe is alarming. Just continue with what you are already doing.

Q: Pain when Wearing a Bra Post-op

Submitted by Q-A from clee on Fri, 05/13/2011 - 09:23

20 days post-BA (250cc silicone moderate profile unders inframammary). At 14 days with surgical strap I felt the implant edge on the left breast. My PS said to stop wearing the strap and try a supportive sport bra. The sport bra hurts: muscle spasms, tightens up, feels like 'let down' when breast feeding. Some numbness and tingles. Have tried different bras. Am massaging. The muscle is tight and ROM is limited on left side. Sensitive to touch. Can feel the implant over most of the left breast.

A: Common with subpectoral implant

What you are experiencing is very common after subpectoral implantation. I am not fond of massages with textured implants under under the muscle as it may increase your symptoms and does not decrease capusules from forming. Your implants appear to be well positioned so the need for any type of external bra or straps is unnecessary. Just use what makes you comfortable and time will take care of the rest.

Q: What are the Risks of Capsular Contracture with Vitiligo?

Submitted by Q-A from clee on Fri, 05/13/2011 - 08:17

I am 22 days post BA (250cc silicone unders). I have vitilago (which some doctors consider an auto-immune disease and some would not) for 38 years that has periods of remission and advancement.

I take no medications nor treatment. My PS assured me that my risk of developing capsular contracture was the same as any other patient. What are the risks? I am massaging often during the day but worry about any tightness that I experience. My next check up with PS is in three weeks. Thank you.

A: Vitiliigo does not affect capsular contracture

Vitiligo does not affect capsular contracture.  Massage is unproven but very popular recommendation.  I do not recommend massage for textured implants early after surgery as it may affect its ability to adhere to the pocket.