revision,going smaller

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kae_md99
kae_md99 Member Posts: 621
edited June 2018 in Breast Reconstruction

Hi all,

has anyone did a revision and went smaller? how was the healing process?thanks in advance

Comments

  • Shoregirl
    Shoregirl Member Posts: 375
    edited May 2018

    kae_md99, I had a revision last Nov. Went from 470cc to 440. Not nearly as small as I wanted so I am going back for another downsize June 14. Significantly smaller implants, then fill the space with fat. The recovery was very easy. My PS used drains. She always does when using Alloderm. The surgery was outpatient. I was out Christmas shopping 3 days later.

    Best wishes!!

  • kae_md99
    kae_md99 Member Posts: 621
    edited May 2018

    shoregirl,

    thanks! i am 415 cc and to be honest i want to be like 250-300cc... does the fat add weight to the implant? are you nipple sparing? my neck hurts from all the weight.. i’ve heard fat grafting is painful

  • Asmont
    Asmont Member Posts: 3
    edited June 2018

    I am also curious about a revision to go to a smaller implant. My PS said at the width he used, I either could choose an implant that was 365cc or 485cc. The TEs filled for 365 seemed too small so I went with the bigger but now they seem too big. I think I need to get an opinion from another PS reading that smaller increments are possible. My pS also didn’t do fat grafting because he said I didn’t need it because my implants are under the muscle. I’m so up

  • Lula73
    Lula73 Member Posts: 1,824
    edited June 2018

    Fat grafting is painful in the areas they lipo for the fat. You may also have some rather large bruising in those areas and perhaps some minor bruising on your breasts where they go in to do the graft.

  • kae_md99
    kae_md99 Member Posts: 621
    edited June 2018

    can i go with smaller width during revision?...

  • Shoregirl
    Shoregirl Member Posts: 375
    edited June 2018

    kae, sorry I didn't see your comments. Unfortunately I can't add much more info as my surgeon stopped participating w/my insurance so now I am left to find another. It is not easy finding a PS that will do high volume fg in reconstruction in my area. I would think that you may be able to go a little narrower in width but not sure. I went wider in width with my 1st revision. I believe when you go narrower the projection goes fuller, but I would check with Whippetmom.

    Sorry you are having neck pain. Are your implants pre-pec? Mine are. They are 470 and very heavy. Hopefully we can find solutions!!

    Hugs! Heather

  • kae_md99
    kae_md99 Member Posts: 621
    edited June 2018

    shoregirl,

    mine are 415 and very heavy,pre pecs.my PS said he could make them smaller and cut some skin..maybe in the 200-250's .i was really small..

  • Shoregirl
    Shoregirl Member Posts: 375
    edited June 2018

    So you were small to begin with and he put these big 415s in you? Did you *want* to be bigger? My 1st PS made me bigger than I wanted, also a male. If he is willing to downsize and that is what you want that is wonderful! My 1st ps balked at the idea of going smaller so I left.

  • kae_md99
    kae_md99 Member Posts: 621
    edited June 2018

    i want to be small and i thought i will remain the same.. my PS is male also.

  • Shoregirl
    Shoregirl Member Posts: 375
    edited June 2018

    So is he onboard to downsize for you? To answer your previous ?s I don't think the small amts of fat that is grafted adds weight, it just cushions the edges of the implants, helps to plump up the skin that is so thin. It also created warmth which is one of my biggest pet peeves. I hate the cold clammy feel of implants. Sometimes you may need or want more than one round of fg as often 30-40% of what is grafted is absorbed by the body. I have read the subsequent rounds of fg tend to do better than the initial graft. Even women with BMI of 19 have enough fat for these purposes. I was not nip sparing.

  • kae_md99
    kae_md99 Member Posts: 621
    edited June 2018

    yes,he is on board for reduction

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