05-31-2013, 07:17 AM
Join Date: Feb 2012
Thanked 104 Times in 98 Posts
Good morning Dr. Hedden,
We haven't met but I am scheduled for surgery with you in two weeks. Implant exchange, possible internal bra. My 400 silicones are currently unders, and I am curious to know what your thoughts are regarding sub fascial placement, if you perform it, and if not, why? Research I've read seems slightly contradictory. Some say it's better, some say it's not worth the extra time for such little extra support. But it appears contracture is much less likely with the fascia, as opposed to sub glandular.
I had sub glandular salines, 400's, pretty successfully for 7-8 years. They looked great. I had a lift a year and a half ago and went under with the 400 silicones I have now. They always feel tight, I feel hunched and they are too high and square. So I might be open to subfascial if available.
Thank you! Looking forward to hearing your thoughts.
Pocket revision, implant exchange June 12, 2013
Natrelle silicone 550cc high profile