Implant Pocket Adjustment | Crofts MD Plastic Surgery

BREAST IMPLANT POCKET ADJUSTMENT

What is Breast Implant Pocket Adjustment?

Most commonly, implant ptosis or “ bottoming out”, happens because the patient’s tissues are not strong enough to support the weight of the implant over time. It is more commonly seen in thin patients and with subglandularly placed implants, however, it can randomly occur with any augmentation patient. It is also true that over dissection at the time of surgery can lead to implant ptosis but this is generally not a common cause of bottoming out. Over dissection is readily recognized when, immediately postoperatively, the implant is noted to be positioned too low on the chest.

Correction of implant ptosis can be difficult and may require multiple surgeries. Capsulorrhaphy, or suturing the capsule to reconstruct the implant pocket is the gold standard for treating implant Ptosis. If capsulorrhaphy by itself is ineffective then the use of Strattice (an acellular reconstructive tissue matrix to support the tissue and hold the breast pocket in the desired location) is required. Strattice is generally very effective but can be expensive. Occasionally removal of the implant and capsule altogether is required.  The patient can go back to surgery 4-6 months after healing and start over with a new augmentation procedure. These procedures can take anywhere from 1 to 7 hours depending upon the complexity of the condition.

It is a difficult problem to address surgically. Patients should remember the larger implant is heavier and patients with thinner skin are more likely to bottom out leading to this challenging complication.

The Aesthetica Difference

Dr. Crofts has years of experience as a plastic surgeon and has performed hundreds of pocket pocket corrections. During your consultation he will meet with you to discuss your needs and make expert recommendations to help you achieve your desired results.

Journey to Confidence

FAQS

Patients experiencing implant malposition (breast implants sinking too low or not centered) that wish to adjust the position of the implant are good candidates for pocket adjustment.

Downtime for this procedure is 6-8 weeks of no lifting over 5 pounds, and no strenuous activity.

Not necessarily. New implants are not required for pocket adjustments, but if the implants you currently have are older than 10 years old, it would be ideal to replace the implants at the same time as the adjustment to ensure you get the best possible result.

Yes, both procedures can be done at the same time.

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