Your opinion please

[mafehr]

Hi I've just had my left pocket released because my last implant did not drop and as well had an exchange from hp's to mods+ of only 60cc's. During my procedure my PS placed 3 sutures above the left implant to prevent it from riding up again and advised me to wear the strap for 23hrs/day for a month. Since day 1 my breasts are soft and sitting where I think they should be. They don't look like I have any dropping or fluffing to do (you can see my pics in my profile)
My question to you is can I risk making my breast too low or bottom out if I wear my band too long? My surgeon doesn't put the strap on most pts (nor does he believe in massage) so I'm not confident when he tells me that I shouldn't worry about it when I asked him this question. He seems really worried that the sutures won't hold up and the implant going back to where it was for 4months. How often does this occur? Do you think I should wear the strap that long? What about an underwire bra while wearing the strap? How will I know that its okay to stop wearing the strap? I'd love to hear back from you. I really don't want that implant to ride back up nor do I want to risk bottoming out or having my breasts too low.

[drdonrevis]

Good afternoon,

It really depends on the situation. In my practice, the sutures I use for that maneuver aren't going to go anywhere, so I wouldn't put you into a strap because I am always worried about bottoming out because bottoming out is the most common reason I see patients for a revision. I perform the internal bra 2-3 times a week for bottoming out so I am always wary about anything that might contribute to it in my own patients.

It sounds reasonable to wear an underwire for inferior support and a strap for superior support, basically not letting the implant go anywhere, but ask your PS first-he or she may blame you if you don't follow their advice and something goes wrong.

Sincerely,
Don Revis, MD
www.SouthFloridaPlasticSurgery.com