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Old 07-16-2009, 09:53 PM   #1
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To fix my complications...I have been told.......

--------------------------------------------------------------------------------

Okay, I went for my second opinion for my bottoming out, double bubble and CC complications.

He said I need on both breasts a partial submuscular augmentation and stitches to lefty to hold it up. He said this would make them look better, but also recommended I go up to 450cc to make them a better shape. 450CC!! YIKES. I love the size I am now, just not the shape. That would put me at a D for sure...


What is that; you might ask....read below


In partial submuscular implant placement, the implant is placed behind the breast tissue and partially under the pectoral and other chest muscles.

During the procedure, the lowest part of the pectoralis major muscle is cut so that the upper part of the implant sits deeply beneath the muscle, but the lower part sits beneath the breast (subglandular).

Breast Anatomy Related to Partial Submuscular Implant Placement
A woman's breast is soft tissue that extends over and beyond the pectoral muscles of the upper chest. During the procedure, the lowest part of the pectoralis major muscle is cut so that the upper part of the implant may sit beneath and deeply into the muscle. However, the lower part of the implant sits beneath the breast (subglandularly).

The breast comprises a complex group of tissues, including glandular, fatty, and fibrous tissues. The breast is positioned over the pectoral muscles of the chest wall and is attached to the chest wall by fibrous strands called Cooper's ligaments. The glandular and fatty tissue in the breast is what gives the breast the soft consistency. This tissue extends throughout the breasts, surrounding the glands and fibrous tissues.

Grand total for re-do (keeping same implants) $6K I don't have that type of money; especially when I just spend 10K on 2 previous breast augmentation's!

I don't know what to do. A previous PS visit for these complications said I needed a Left capsulopexy and Right Capsulotomy. That was for $4K

Who do I believe? Who do I trust? I'm so confused. Do I go up in size too; like the PS suggested today.


HELP!!!!!!!!!!!!!!!!!!
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Old 07-16-2009, 10:00 PM   #2
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Here's a link on JBI about Partial submuscular Placement

http://www.justbreastimplants.com/pl...t/partials.htm

Also, here are the stats on my implants choices

Natrelle 286cc, 11.7, 3.8, Made me a 34B
Natrelle 371cc, 12.9, 4.1: Made me a 34C (what I currently have)
Mentor 400cc, 13.1, 4.0, ??
Mentor 450 cc, 13.6, 4.2, ?? (This is what he recommended, but I'm not comfortable with)


What to do???
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Old 07-17-2009, 12:46 AM   #3
 
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sheeesh girl, I feel for ya! You've been thru a lot!

Now I'm a bit confused, do you not have unders right now? Partial submuscular placement is what we all usually refer to as unders, unless yours are 'complete' unders? Sounds to me like PS #2 is suggesting what you already have, and just stitching 'up' the bottomed out one (?) or am I reading this wrong? What PS #1 said makes more sense
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Old 07-17-2009, 02:10 AM   #4
 
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Did you have all these complications prior to your other surgeries? Did he say why the partial submuscular would be better? I went bigger and my breasts do have a better shape...although my left boob DB is still there.
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Old 07-17-2009, 03:48 AM   #5
 
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The doctor who suggested the 450cc sounds like he wants to fix you right.You could always go to another ps.I think if you went to 450 it wouldnt be that much bigger than you have now.Wouldnt the bigger implant help with the DB?
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Old 07-17-2009, 04:18 AM   #6
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Most girls who have 'unders' have partials, full unders are usually just for reconstructive purposes, i have partials at the moment and have bottoming out on the left, did you ask about going up to a bigger implant might mean increased risk of bottoming out again, CC is also higher risk with bigger implants studies have shown. Have you had any other consults?
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Old 07-17-2009, 05:04 AM   #7
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Well I wish I could help you make a choice, could you get another opinion to compare?? I am not sure how many repair opinions you have the way I am reading it its looks like 2? You could always get one more and go from there
and see what another PS says before making a choice with these 2 since you do not want to go to a bigger size which I would not do if you are not comfortable with it since you are going to be living with it every day. It does sound like this PS had good advice for you but if possible I would get a 3rd opinion since you would rather not go as big as this PS wants you to go.
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Old 07-17-2009, 06:27 AM   #8
 
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Well... rolling the fold in crease and under the muscle will def help. however isn't adding a bigger implant a contradiction.. i mean the weight alone and your tissue anatomy is why we bottom out? or a over disected pocket, but either way bigger for botoming out correction imo sounds wrong. why cant you use the size you are now?? what was the reasoning?
Also I am 450cc and a small build and these suckers are big! I know alot of gals on her disagree but in terms of sizes a 450cc implant is concidered big.
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Old 07-17-2009, 08:56 AM   #9
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Quote:
Originally Posted by wishfull yogini View Post
sheeesh girl, I feel for ya! You've been thru a lot!

Now I'm a bit confused, do you not have unders right now? Partial submuscular placement is what we all usually refer to as unders, unless yours are 'complete' unders? Sounds to me like PS #2 is suggesting what you already have, and just stitching 'up' the bottomed out one (?) or am I reading this wrong? What PS #1 said makes more sense
Yes, I already have unders. But PS #2 is talking about cutting some of the muscles (therefore peforming a partial sub) to release the implant on both sides to give it a more natural shape. He said he would still need to stitch up the lefty due to bottoming out as well as remove some CC in right.
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Old 07-17-2009, 08:58 AM   #10
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Quote:
Originally Posted by jice View Post
Did you have all these complications prior to your other surgeries? Did he say why the partial submuscular would be better? I went bigger and my breasts do have a better shape...although my left boob DB is still there.
My 1st surgery I developed CC in righty but that was because of wakeboarding accident to that side. AFter 2nd breast augmentation, I got DB, bottoming out and CC again

He just said that the partial sub would fix my problems and showed pictures, drew a diagram for me and whatnot.
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Old 07-17-2009, 08:59 AM   #11
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Quote:
Originally Posted by prrttynpink View Post
The doctor who suggested the 450cc sounds like he wants to fix you right.You could always go to another ps.I think if you went to 450 it wouldnt be that much bigger than you have now.Wouldnt the bigger implant help with the DB?
If I go up to 450, I agree the shape may be better but that would put me in a D and that's too much. I already have trouble wakeboarding with these boobs. At times, I don't like the way they look in t-shirts. I don't mind, going up to 400 though.

DB can be fix, if the pocket is raised
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Old 07-17-2009, 09:01 AM   #12
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Quote:
Originally Posted by Petite_girl View Post
Most girls who have 'unders' have partials, full unders are usually just for reconstructive purposes, i have partials at the moment and have bottoming out on the left, did you ask about going up to a bigger implant might mean increased risk of bottoming out again, CC is also higher risk with bigger implants studies have shown. Have you had any other consults?
I should have asked those questions, but I was so upset and tried of going through this, that I didn't.

I'm assuming the more surgeries, the more likelyhood of increased complications.

I have been to 1 other consult, but today I'm calling around for a 3rd and 4th opinion.
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Old 07-17-2009, 09:03 AM   #13
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Quote:
Originally Posted by catnip621 View Post
Well... rolling the fold in crease and under the muscle will def help. however isn't adding a bigger implant a contradiction.. i mean the weight alone and your tissue anatomy is why we bottom out? or a over disected pocket, but either way bigger for botoming out correction imo sounds wrong. why cant you use the size you are now?? what was the reasoning?
Also I am 450cc and a small build and these suckers are big! I know alot of gals on her disagree but in terms of sizes a 450cc implant is concidered big.
He wanted the 450 to help with the shape. I don't think it would help with bottoming out issue. I mean I'm getting stitches to repair bottoming out but with a larger implant, it could make it difficult to stay! He was trying to satifsy me with fixing my complications and making my boobs look round and normal!
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Old 07-17-2009, 09:12 AM   #14
 
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Quote:
Originally Posted by SexyWS6Mama View Post
--------------------------------------------------------------------------------

Okay, I went for my second opinion for my bottoming out, double bubble and CC complications.

He said I need on both breasts a partial submuscular augmentation and stitches to lefty to hold it up. He said this would make them look better, but also recommended I go up to 450cc to make them a better shape. 450CC!! YIKES. I love the size I am now, just not the shape. That would put me at a D for sure...


What is that; you might ask....read below


In partial submuscular implant placement, the implant is placed behind the breast tissue and partially under the pectoral and other chest muscles.

During the procedure, the lowest part of the pectoralis major muscle is cut so that the upper part of the implant sits deeply beneath the muscle, but the lower part sits beneath the breast (subglandular).

Breast Anatomy Related to Partial Submuscular Implant Placement
A woman's breast is soft tissue that extends over and beyond the pectoral muscles of the upper chest. During the procedure, the lowest part of the pectoralis major muscle is cut so that the upper part of the implant may sit beneath and deeply into the muscle. However, the lower part of the implant sits beneath the breast (subglandularly).

The breast comprises a complex group of tissues, including glandular, fatty, and fibrous tissues. The breast is positioned over the pectoral muscles of the chest wall and is attached to the chest wall by fibrous strands called Cooper's ligaments. The glandular and fatty tissue in the breast is what gives the breast the soft consistency. This tissue extends throughout the breasts, surrounding the glands and fibrous tissues.

Grand total for re-do (keeping same implants) $6K I don't have that type of money; especially when I just spend 10K on 2 previous breast augmentation's!

I don't know what to do. A previous PS visit for these complications said I needed a Left capsulopexy and Right Capsulotomy. That was for $4K

Who do I believe? Who do I trust? I'm so confused. Do I go up in size too; like the PS suggested today.


HELP!!!!!!!!!!!!!!!!!!
For me I am a little confused because what you are describing is what those of us with unders have already, I thought you had them too. When I was first reading I thought he was going to do full unders and that for sure would hold everything in place.
As for going bigger the weight of the implant is a factor in bottoming out so going bigger in a bottoming out repair does not sound like a great idea but 80cc is only about 1/2 cup size, if that is what the PS says you need to make things right, it's hard for me to question. He is the doctor I am not. He does sound like he is going to make things right. Does he offer any guarantee?
Perhaps one more consult would give you more to work with and help you make a final decision.
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Old 07-17-2009, 09:35 AM   #15
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Sounds like a plan to go ahead and get a 3rd if not 4th opinon to stay the size you want to be and find a PS to be able to fix your complications
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Old 07-17-2009, 09:57 AM   #16
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Quote:
Originally Posted by Iris View Post
For me I am a little confused because what you are describing is what those of us with unders have already, I thought you had them too. When I was first reading I thought he was going to do full unders and that for sure would hold everything in place.
As for going bigger the weight of the implant is a factor in bottoming out so going bigger in a bottoming out repair does not sound like a great idea but 80cc is only about 1/2 cup size, if that is what the PS says you need to make things right, it's hard for me to question. He is the doctor I am not. He does sound like he is going to make things right. Does he offer any guarantee?
Perhaps one more consult would give you more to work with and help you make a final decision.
as you know, no guarantee is ever given in plastic surgery. I do have unders and the way he described it was that he would just go in and cut some of the muscle on the lower part away and that would give them that better shape, as well as lift left. I guess he just calls it a partial sub. I don't know and I'm more confused than ever.
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Old 07-17-2009, 11:06 AM   #17
 
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Quote:
Originally Posted by SexyWS6Mama View Post
as you know, no guarantee is ever given in plastic surgery. I do have unders and the way he described it was that he would just go in and cut some of the muscle on the lower part away and that would give them that better shape, as well as lift left. I guess he just calls it a partial sub. I don't know and I'm more confused than ever.
I know there are no guarantees, what I meant was if you still had trouble afterwards (which I pray you do not!!!) will he stand by his work and at least waive his fee to correct it?
My PS is willing to fix my bottoming out but he is charging a small fee even though the papers I signed say only hosp and anesthesia, he somehow tagged on a $750 "booking and scheduling" fee. Like it costs that much in office time to book a surgery! But the new papers for the revision says if a revision is needed I will be responsible for all fees. Kinda shadey I think since he is my original PS. I am going to get a second opinion myself.

Sorry you are so confused. At this point I really think another opinion might really help you out!
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Old 07-17-2009, 11:23 AM   #18
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I just got another consult with a different PS July 30. I also contacted my original PS to see if he can help. He said he would re-do it with just hospital and anesthesia fees. However, he moved 3 hours away.

I couldn't sleep last night...so upset and confused. I hate this and I hate my boobs
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Old 07-17-2009, 11:47 AM   #19
 
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Sorry to hear about all your going through. Having a complication is hard. I think your on the right track with going on other consults & talking to your previous ps. It's ok that he is over 3hrs away as long as your trust him that he will help you & he is the one you want. With this consult you just had are you able to go back in there & talk to him if you have more questions or could you call or email him to ask him any more questions. I know anytime I leave my ps I always seem to walk away with more questions after I process my visit in my head. Thank you for talking to me during my hardtimes & if you ever need to talk I am here.
(((Hugs & Wishes)))
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Old 07-17-2009, 11:52 AM   #20
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Quote:
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Sorry to hear about all your going through. Having a complication is hard. I think your on the right track with going on other consults & talking to your previous ps. It's ok that he is over 3hrs away as long as your trust him that he will help you & he is the one you want. With this consult you just had are you able to go back in there & talk to him if you have more questions or could you call or email him to ask him any more questions. I know anytime I leave my ps I always seem to walk away with more questions after I process my visit in my head. Thank you for talking to me during my hardtimes & if you ever need to talk I am here.
(((Hugs & Wishes)))
I trust my original PS, however I also am scaried. I mean, having such an active lifestyle and not allowing all the time to heal probalby has something to do with problems that I have had. But you just don't know. It could have been PS mistake, accidently, luck of the draw, anything.

Yes, if I have questions, I will go back and ask the other PS, but for now, I'm just confused on who to trust, what to believe and where to go from here. Thank goodness I have till December!

I mean it's so hard to find a PS that does revisions and does them good!
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