At my 3 month post-op last week, we discussed fat grafting and PS cleared me for tattoos and we made plans to schedule fat grafting in the fall. A couple days later, I woke at midnight and discovered the OTHER implant, the LEFT one had flipped while I was sleeping. I was so discouraged. I went to PS the next day. He told me I would have to have a revision. He said I could go bigger, which I don't want, or he would tighten the pocket, but it may not prevent it from happening again. I had a 50 lb weight gain due to Lyrica back in 2010. I d/c Lyrica in 2012 and lost the weight, leaving me with loose skin.
A little background: Before my PS ever put implants in, while still in the expander stage, he had originally intended on using the textured anatomicals. But he told me one day while I was in his office for an expander fill that there is a lymphoma risk with the textured implants and his practice was no longer using them. So we changed course in favor of the Inspira smooth round.
Fast fwd back to the options to correct the implants flipping. PS told me the best solution is to go in and swap my Inspiras for the textured anatomicals. He said it acts like velcro and my tissue would hold on to it so they stay in place better. He would also tighten the pockets and fat graft. I brought up the lymphoma risk and he told me it is very rare, and only associated with one brand (I don't recall which one he referred to) and they don't use that brand. I told him I really don't like the way the implants feel comfort wise anyway. They just hurt, especially around the edges. They hurt when I shut a window, pull down my SUV tailgate, open a tight lidded jar, or cut with a knife. They hurt when I lean forward, as the weight of them pulls against my skin. They hurt when I am trying to sleep, when I throw a ball for my dog, and I can't imagine living the rest of my life with them (I am 53). I said if I had my way, I would get rid of them all together and just use my own fat. He said Dr. Khouri in Miami is the only one he knows of that does it. But then he mentioned I should go to Johns Hopkins (I live near Annapolis MD, 80 miles from JH) and get a consult for an SGAP. I don't have much of a butt, and He said the SGAP would make a breast and provide a subtle lift to the butt. In researching the SGAP, I came across the LSGAP, which is probably better for me as I have more tissue in the love handles than the butt anyway. The Hopkins surgeon, Gedge Rosson, doesn't take my current insurance so I switched MCO's. I have to wait for my new MCO to go into effect before I can schedule with him, that will be Aug 4.
In the mean time, I am really not sure what would be best for me. I am nervous about going from implant to flap mainly because I have such a good aesthetic result with the implants, will I be trading it for a less appealing look?
I DO like the idea of NO IMPLANTS, soft, warm tissue but wanting to know what the resulting scars to my chest will be following an SGAP or LSGAP procedure as I had the skin sparing mastectomy. The only pictures I have seen were of immediate flap reconstruction, not implant to flap.
Do you still cut out a big elliptical shape and patch the new tissue in or can my existing wise scars be used, just the fat and tissue transferred and not the skin?
What about the comfort issues? I can't imagine the feeling of a flap once it is healed. I would think it does not have that pulling, tight heaviness that implants give me.
What are your thoughts on the textured anatomicals? Aside from the lymphoma risk, if I don't like the discomfort with the Inspiras, will anatomicals be any more comfortable? Would heavy fat grafting over the implants make them more comfortable?
If I am not a candidate for flap procedure and have to go with implants, I would want them much smaller so they are not so heavy against my thin skin. That would mean a LOT of pocket work as my capsule is already too big for the 470cc implants. Is that doable or do I have to stay in the 450-470cc range?
If I have an SGAP or LSGAP can I have a Brazillian butt lift in the future?