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Breast Implant Support is a non-profit, privately run, support forum created for
the sole purpose of helping women who have become ill from their
saline or silicone implants. This forum will provide
information, support and a list of qualified Plastic Surgeon's that can
perform a proper explant (en bloc). We also provide information in detoxing after you have had your explant. PLEASE NOTE: This forum is for women only! By registering, you will not receive spam to your email account and your personal information will not be seen by anyone but the administrator of this board. This information is not shared with any third party companies.
Register your free account
for information relating to breast implants and their dangers.
The administrator for this board is Beth Taylor. Join this group today for
important information regarding the dangers of breast implants.
CLICK HERE TO JOIN TODAY!
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Beth
Administrator
| Joined: | Sat Apr 29th, 2006 |
| Location: | NoImplants, USA |
| Posts: | 14668 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Tue Aug 7th, 2007 12:04 pm |
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Ladies,
Following are the different four breast lifts done in conjunction with explant. Different plastic surgeons all use different methods.
The names of the four main types of breast lifts are based on the shape of the incision and resulting scar. Many women having explantation (removal of implants) have a mastopexy at the same time. Some plastic surgeons like to wait until the breast tissue is "settled" before attempting a lift. This is based on the plastic surgeons personal preference.
The more sagging you have, the more likely that you will need more extensive and longer incisions to achieve a desirable result. With any of these techniques, the nipple and areola complex can be shifted to either side as well as up, if necessary, for the most aesthetic appearance.
A breast lift does not involve removal and replacement of the nipple. The nipple and areola stay attached to the breast, and only surrounding skin is removed.
Donut Mastopexy
Also called a Benelli or circumareolar mastopexy since the incision is around the areola.
Indication -- For women with a projecting nipple/areola complex (sometimes called torpedo or missile shaped breasts), and can also be used to reduce the size of the areola at the same time.
Method -- A ring of skin from outside the areola is removed. Sutures are then placed around the areola and the skin is tightened like a purse string to lift the breast.
Puckering of the skin may occur, and usually resolves on its own within a few months.
Dr. Melmed has mastered his own technique...a combination of a Benelli lift and an internal lift - two different things. In the Benelli lift, skin is removed from around the nipple and the internal "purse string" sutures are used to pull the skin tight to achieve the lift. The lift is actually accomplished by removing skin and making the skin tighter. In an internal lift, the surgeon rearranges the breast tissue to achieve the lift. Very nice result.
Anchor mastopexy
(Also referred to as a Wise or Weiss pattern; or a full or Inverted-T incision)
Indication -- For moderate or severe ptosis; considered the 'traditional' breast lift.
Method -- The incisions are made around the areola, down the center of the lower portion of the breast and then across the breast in the inframmamary fold. Like the donut and lollipop incisions, the areola can be made smaller at the same time. The resulting scar is in the shape of an anchor.
Crescent Mastopexy
Indication -- For patients with mild ptosis (sagging), excess breast skin in the upper half of the breast, and a normal amount of skin in the lower half.
Method -- A semi-circular incision is made on the upper portion of the areola. A crescent shaped piece of skin is removed, and when the skin edges are sewn back together, the nipple and areola are raised slightly (1" to 2").
A crescent mastopexy is best for women with only mild breast ptosis (sagging).
Lollipop or vertical mastopexy
Indication -- For mild to moderate breast ptosis.
Method -- As the name implies, the incision for a lollipop mastopexy is made around the areola and then down the center of the breast to the inframammary fold. As with the circumareolar or donut lift, the size of the areola may be reduced at the same time.
____________________
My Personal Story:
http://www.ToxicBreastImplants.org
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http://www.TheClipartCorner.com
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kerry silicone2000
Senior Member
| Joined: | Mon Oct 9th, 2006 |
| Location: | |
| Posts: | 1746 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Posted: Thu Aug 9th, 2007 02:24 pm |
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thanks beth, i just sent you a link but i dont know if its a good one on lifts,i can copy and paste,lol. NOW
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Beth
Administrator
| Joined: | Sat Apr 29th, 2006 |
| Location: | NoImplants, USA |
| Posts: | 14668 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Thu Aug 9th, 2007 02:28 pm |
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| I'LL CHECK.
____________________
My Personal Story:
http://www.ToxicBreastImplants.org
Clipart for Crafts and Scrapbooking:
http://www.TheClipartCorner.com
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shanelle
Loyal Member
| Joined: | Sun May 18th, 2008 |
| Location: | Portugal |
| Posts: | 32 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have not been Explanted |
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Posted: Fri Jun 27th, 2008 12:55 am |
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Hi Beth,
Shanelle here, I am finished with my explants thank God!! I just have a question, I took a little peek under the bandagages and they looked so wrinkley, will this smooth out??? I had a lift and fat transfer, and not very much fat cause I am fairly thin, so my breast look like they went from a D cup to a B cup, not that i really mind, I just don't want them to be saggy!
What a relief that they are out though, that gives me so much peace of mind. Now its off to get detoxed, as I am really ready to be healthy , I even quit smoking, and plan on being as healthy as possible, to make up for all those years of pain, I refuse to let this thing beat me!!
Warm Regards,
Shanelle
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Beth
Administrator
| Joined: | Sat Apr 29th, 2006 |
| Location: | NoImplants, USA |
| Posts: | 14668 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Fri Jun 27th, 2008 01:28 am |
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SHANELLE,
CONGRATS ON BEING IMPLANT FREE!
AS FOR THE WRINKLING, DO YOU MEAN DEFLATED? IF SO, YES, YOU WILL FLUFF. ALOT OF WOMEN HAVE THIS PROBLEM AFTER EXPLANT. WELL, NOT REALLY A PROBLEM BUT WE CALL IT 'FLUFFING'.
IT SHOULD TAKE SEVERAL WEEKS BEFORE YOU SEE A DIFFERENCE.
____________________
My Personal Story:
http://www.ToxicBreastImplants.org
Clipart for Crafts and Scrapbooking:
http://www.TheClipartCorner.com
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val
Loyal Member
| Joined: | Tue Feb 17th, 2009 |
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| Posts: | 333 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Posted: Sun Feb 22nd, 2009 10:40 pm |
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| Does a lollipop lift remove tissue making you smaller. Is this not a good option for someone that is small like a B cup. Would it make them an A cup after lift?
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diane L 13
Loyal Member
| Joined: | Sun Jan 24th, 2010 |
| Location: | Iowa USA |
| Posts: | 133 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Fri Feb 19th, 2010 11:41 pm |
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Beth, I talked to Dr. Melmed to see about having my silicone 25 year old BA explanted today. He said by my pictures he would do the explant and lift with the Benelli mastopexy. I ask if the en bloc would be done, and he said, Yes, if he could that would depend on once he got in there. I don't understand how you can remove a implant en bloc out of a incicsion in the areola area. If it has ruptured, which mine probably has, as they are 25 years old, how does he find all the silicone that is out in my chest from such a small incision. How do you repair any muscle problems since mine are behind the muscle, from such a small incision? I know you recommend Dr. Melmed, but he does not even have before and after pictures for me to see. You said the PS should have lots of before and after pictures to show. Can you tell me who has used him so I can contact them and talk to them about their experience. I did go to another website, http://www.explantation.com referred by Dr. Melmeds phone nurses and I fould one women who had him and her outcome looked great right after because of swelling but about 3 months later, she look very deformed and she said she was going to someone else because she could not go through another surgery that didn't work. Diane
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Diane
BA: age: 31, 5'1", 115lbs, 34 B, under muscle, 250cc silicone, for 23 years
At Explant: age: 55, 5' 3/4", 126lbs, 34 DD, Dr. Chun on 4/23/2010
Praise the Lord! He is Great.
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Zelda
Moderator
| Joined: | Tue Jun 10th, 2008 |
| Location: | California, USA |
| Posts: | 1156 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Posted: Sat Feb 20th, 2010 04:01 pm |
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Hi Diane!
I hope Beth can answer some of your questions, because they made me wonder, too! When I had my 16 year-old silicone implants removed en bloc, they made a HUGE incision in my breast crease in order to lift the implant out without squeezing it....my doctor said that was absolutely necessary. The scar healed beautifully and is hidden under my breast crease, but I share your concern. I see NO way to take any silicone implant out through the nipple incision without squeezing the heck out of it.
Perhaps he's going to use the Benelli incision for the lift, but actually take the implant out through a breast crease incision?
Anyway, best of luck. Hope Beth or maybe one of the mods has some answers for you.
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diane L 13
Loyal Member
| Joined: | Sun Jan 24th, 2010 |
| Location: | Iowa USA |
| Posts: | 133 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Sat Feb 20th, 2010 05:01 pm |
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Zelda, who did you have do your explantation done with and how many sizes did you go up for implant and down for explant? Did you have a lift and what kind if you did? Were you happy with the results? When I ask Dr. Melmed how he could get a en bloc implant out of a small areola incision he laughed and said he would have to kill me if he told that, like some secret info , I guess. I didn't like that responce, but being unprepared for such a responce I said nothing and decided maybe someone hear could help understand. Diane
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Diane
BA: age: 31, 5'1", 115lbs, 34 B, under muscle, 250cc silicone, for 23 years
At Explant: age: 55, 5' 3/4", 126lbs, 34 DD, Dr. Chun on 4/23/2010
Praise the Lord! He is Great.
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Zelda
Moderator
| Joined: | Tue Jun 10th, 2008 |
| Location: | California, USA |
| Posts: | 1156 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Posted: Sat Feb 20th, 2010 09:40 pm |
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Diane, I was thrilled with my outcome...I like how my breasts look now much more than either before implants or even with them. They're just a better shape, thanks to the lift, I suppose. I was a flat, saucer-shaped A" cup beforehand, somewhere between a HUGE "C" and "D" with implants, and am now a nice "B."
I used Dr. Jae Chun in Newport Beach, CA. He made very sure I understood that the only way he could get the implants out safely, en bloc, would be to make that breast crease incision, and that it would be fairly long. My lift was a full anchor lift, and I was initially very apprehensive about the amount of inicisons they make -- breast crease and then a "lollipop" incision around each nipple . But it turned out to be fine; the scars are, truly, barely noticeable now that I'm at the 18 months post-op point, and I'm such a beautiful shape.
I think I might be inclined to get a second opinion, if I were you, just to be on the safe side. I know they CAN take saline implants through the nipple, but they usually extract the saline first using a big hypodermic. Perhaps that's what Melmed does with the silicone as well?
Last edited on Sat Feb 20th, 2010 09:41 pm by Zelda
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diane L 13
Loyal Member
| Joined: | Sun Jan 24th, 2010 |
| Location: | Iowa USA |
| Posts: | 133 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Mon Feb 22nd, 2010 02:43 pm |
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Zelda, Sorry I took so long to get back to you, I have a very bad/slow internet connection where I am right now, so being on internet can be very frustrating. I do feel I need a anchor lift or at least a lollipop, over the benelli lift. I don't think Dr. Melmed likes to do anything but benelli lifts because of scaring. I really don't care about the scaring as much as the sagging. It has nothing to do with what my husband likes or dislikes. It is me and how it feels to me. I hate the feel of it and then feel uncomfortable with my husband. But what I have been reading here on the forum is there is a much more danger of necrosis with the anchor and lollipop lift right after explantation. So now I need to make the decision if I just go for the explantation and wait for 6 to 12 months to heal and then go back for a lift or just go with the benelli lift and see how it looks, and if I don't like it, wait for a year and go back for another lift. I just don't know if after you have a benelli lift if that can interfere with later lifts down the road. Yes I do plan on getting other opinions. I asked Dr. Melmed and he said that they remove implant intact. I still think it would be easier to get all implant out through crease scar under breast too. You are lucky you had a great success and like your shape with out complications. Just don't want to be that small % that has trouble. I have had these toxic bags for 23 years and am 55 years old. Don't know if that makes any difference or not. Diane
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Diane
BA: age: 31, 5'1", 115lbs, 34 B, under muscle, 250cc silicone, for 23 years
At Explant: age: 55, 5' 3/4", 126lbs, 34 DD, Dr. Chun on 4/23/2010
Praise the Lord! He is Great.
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Zelda
Moderator
| Joined: | Tue Jun 10th, 2008 |
| Location: | California, USA |
| Posts: | 1156 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Posted: Mon Feb 22nd, 2010 03:48 pm |
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Good luck Diane. The one thing about the age of your implants is that it be an absolute, certifiable miracle if you don't have either gel bleed or a rupture. So it's good that your first priority is getting them out. I hear you on the scar issue, too. Once we get to a certain age, our health is WAY more important than a few scars.
I did my implant and lift at the same time, and Dr. Chun told me that it was less than a 1 in 100 chance for something to go wrong, like necrosis or seroma. But he's been doing the explant/anchor lift combo for years, so I suppose that makes sense. If you're not against having two procedures, then I think waiting for the explant to heal does provide the ultimate safety. I honestly wanted to get it all over with at once so I could just get on with my life. But if I had any reason to think there might have been problems with healing, I would have done as you are, and taking it in two steps.
Anyway, best of luck!
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surfincowgirl
Loyal Member
| Joined: | Fri Mar 12th, 2010 |
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| Posts: | 176 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Wed Mar 31st, 2010 02:24 pm |
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| Hi, I talked to my original PS yesterday. He actually called me because I have an appointment with him next Tuesday. I told him I was getting a couple of oppinions with 2 other PS and he said that was fine. He also said they cannot remove the implant thru the incision I have (under nipple) because that would cause the nipple to fold in. He said he would do the incision in the bottom crease of my breasts. I am going to my 2nd PS today and I have printed out all the questions to ask (thanks to this site). I plan on really using all of my $75 dollar consultation. This is a PS that is listed on this site and I have read he does a great job and really cares about his patients. I hope he has before and after pics too. I went to my original PS and he did not have any. I was a little dissapointed. Anyway good luck to you.
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diane L 13
Loyal Member
| Joined: | Sun Jan 24th, 2010 |
| Location: | Iowa USA |
| Posts: | 133 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Posted: Thu Apr 1st, 2010 01:58 am |
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I got my MRI back and it states both implants are ruptured within the scar tissue. Does not surprise me as I have had them 23 years. Had a consult with Dr. Chun today. Had good vibs with him except on one question. He said that as far as muscle repair goes, you can not repair or stitch the muscle because it will not hold. So unless it is real important he does not do it except on thin or small breasted women, because it doesn't bother bigger breasted women. He said in order to do muscle repair you need to use I think he called it aloderm which is real expensive like $1000 for each breast. I have under the muscle implants so I am sure the muscle is detacted. Any oppinions on this matter? I don't know if this is something that is important or not for me.
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Diane
BA: age: 31, 5'1", 115lbs, 34 B, under muscle, 250cc silicone, for 23 years
At Explant: age: 55, 5' 3/4", 126lbs, 34 DD, Dr. Chun on 4/23/2010
Praise the Lord! He is Great.
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val
Loyal Member
| Joined: | Tue Feb 17th, 2009 |
| Location: | |
| Posts: | 333 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Thu Apr 1st, 2010 02:07 am |
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Hello
You actually can repair and stitch muscle, but it is not an ordinary procedure. It is very difficult and specialized. There are only two explant surgeons that I know of from these boards that do it. Dr Ahn and some other guy in Arizona I think. They use alloderm in cases where the implants were already explanted and the muscle shrinks or maybe in extreme detached cases. But not with the most common muscle problem. There are quite a few women on these boards that have had to go back and get there muscle repaired and pay thousands to do it. , as they were in pain , had major weakness, and deformity. If your implants are under the muscle , and you have suspicion of muscle damage. Save yourself time, heart ache, and money, get the repair by the explanting doctors that know how to do this. It is best to be well infored on this subject, research on this site to help make your decision.good luck.
Val
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diane L 13
Loyal Member
| Joined: | Sun Jan 24th, 2010 |
| Location: | Iowa USA |
| Posts: | 133 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Posted: Thu Apr 1st, 2010 02:53 am |
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Hi Val, Thanks for your reply. How do I know if I have muscle damage? I have muscle weakness in my hands and arms but I felt that was due to my fibromyalgia. Would that be a sign of muscle damage. Diane
____________________
Diane
BA: age: 31, 5'1", 115lbs, 34 B, under muscle, 250cc silicone, for 23 years
At Explant: age: 55, 5' 3/4", 126lbs, 34 DD, Dr. Chun on 4/23/2010
Praise the Lord! He is Great.
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val
Loyal Member
| Joined: | Tue Feb 17th, 2009 |
| Location: | |
| Posts: | 333 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Thu Apr 1st, 2010 12:39 pm |
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Hi Diane,
The weakness would be more in your chest, sometimes women have reported they feel pain. That could be one sign. Sometimes you just dont know. But from what I noticed on these boards is the women that have muscle problems either went too large for there frame(they cut more to fit implant), no drains , no capsulectomy, when one switches from overs to unders or poss vice versa. I am not a doctor , but i took special interest in this subject and pretty much studied peoples results and circumstances, and it looks like this is what many had in common.
Val
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diane L 13
Loyal Member
| Joined: | Sun Jan 24th, 2010 |
| Location: | Iowa USA |
| Posts: | 133 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Posted: Thu Apr 1st, 2010 04:45 pm |
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Hi Val, Thanks for the information. I only had 255 implants put in and had only that one set for 23 years. I have been emailing Dr. Ahn office back and forth for about 2 weeks now with pics and infor. I remember her saying something about doing muscle repair. Dr. Chun said he did not think I needed it because it didn't sound from what I had complained about, it was important to me. I guess I will have to do some more reseach. Who did your explant? Did you have muscle repair?
____________________
Diane
BA: age: 31, 5'1", 115lbs, 34 B, under muscle, 250cc silicone, for 23 years
At Explant: age: 55, 5' 3/4", 126lbs, 34 DD, Dr. Chun on 4/23/2010
Praise the Lord! He is Great.
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val
Loyal Member
| Joined: | Tue Feb 17th, 2009 |
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| Posts: | 333 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Thu Apr 1st, 2010 05:25 pm |
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Hi Diane
I had Dr Ahn do my explant and muscle repair. It is possible that i did not need muscle repair but for me it was not a chance i wanted to take due to my athletic lifestyle. There was no way I was going to let something like fake boobs change my entire life. If it was explained to me back in 1995 what is done to put implants under the muscle, I would have NEVER done this. But thankfully my muscles are 100% fully functional. The only neg. thing about Dr. Ahn is she pushed fat transfer and a full lift on me, knowing i was not even slightly interested in this. It would have been shameful to have done these procedures ,as my current result is perfect in my eyes and would not change a thing. For some these options are great, for me I knew I would not need this.And I was right.
Val
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diane L 13
Loyal Member
| Joined: | Sun Jan 24th, 2010 |
| Location: | Iowa USA |
| Posts: | 133 |
| Type of Implants?: | Silicone Gel | | Explant Status: | Have been Explanted |
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Posted: Thu Apr 1st, 2010 08:34 pm |
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Hi Val, So it sound like you were very happy with your results and Dr. Ahn's work. I don't think I have heard anything negative about her yet.
____________________
Diane
BA: age: 31, 5'1", 115lbs, 34 B, under muscle, 250cc silicone, for 23 years
At Explant: age: 55, 5' 3/4", 126lbs, 34 DD, Dr. Chun on 4/23/2010
Praise the Lord! He is Great.
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oppjopp
Loyal Member
| Joined: | Sat Apr 17th, 2010 |
| Location: | Huntington Beach, California USA |
| Posts: | 197 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Sat May 8th, 2010 06:44 am |
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| I keep hearing about muscle damage with under the muscle implants. Is this common and what are symptoms if you have a problem, how would I identify it?
____________________
Explanted by Dr Robert Pollack in San Diego 'en bloc' removal 6/30/10.
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Tabitha
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| Joined: | Tue Mar 2nd, 2010 |
| Location: | Oregon USA |
| Posts: | 114 |
| Type of Implants?: | Saline Filled Silicone | | Explant Status: | Have been Explanted |
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Posted: Mon May 10th, 2010 05:15 pm |
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| In my experience, I do not have as much strength as I use to. My muscles lift up when I make certain movements or even shiver. It is ALOT better than it was right at first and I heard it takes about a year to heal but that the muscle may never fully reattach to the ribs. It think that is what they mean by muscle damage.
____________________
Tabitha
My Story
http://www.breastimplantsupport.org/view_topic.php?id=7831&forum_id=1
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