Question:

I have had saline breast implants for 20 years. I am 5'9" and went from a size A to size C. I don't like the feeling of a bra, but when I take my bra off it still feels like I'm wearing a bra since there is still some tightness around me chest. I hope this is not a sign of capsular contracture? My breasts do not feel hard. They just feel uncomfortable like they are not part of my body. Does tear-shaped implants feel more comfortable than the round ones I have?
If I had these implants removed, could a doctor make my breasts look bigger (maybe a B cup) by doing a breast lift? Or are there any advancements available art this time (stem cells, I would say fat graft but I do not have enough fat to graft) to make the breasts look a little bigger without using implants again? Or will the advancements be available in the near future since I probably will not have this surgery right away.
Also, does health insurance usually cover breast implant removal if it is causing you discomfort?
 
 

Answer:

It is hard to tell if there is a capsule forming without examining you. Capsular contracture comes in many different degrees from mild to very tight though. As to teardrop shaped implants, their incidence of capsular contracture is about the same so that would not alter the issue. If the implants are removed, a lift can certainly be done to reshape your own breast tissue but it will not be anywhere near the size you are now. A lift will just reshape the breast mound, not make it any large. Some physicians do perform fat grafting but the results are variable. Stem cells would not help the issue either. If there is pain, the insurance company may cover the cost of the removal, but that is not a 100% certainty. Sorry.

Question:

Hi doc, I was wondering your feelings on gummy bear implants..

Answer:

I personally feel they do a great job at minimizing the palpable and visible wrinkles seen in some patients, it does avoid the free flow of silicone within the breast capsule that used to occur with silicone implants. So all that is good. They do take a larger incision to place them as they are not compressible like the older silicone ones and they are textured so they will not move on the chest wall as the older ones do. I also feel, in my humble personal experience in feeling them inside of patients, that they feel firm, that is the trade-off with the form stable gummy bears, you get some and you lose some. Some people will feel the implant feels much more firm than the older type silicone implants that are not gummy bear type. So they are not for everyone.

Question:

Hi. Dr, Would it be ok to fly as a passenger five days after breast Implants? Also how after having the implants would it be safe to do exercise using the upper body, like push ups? Thanks you

Answer:

I allow flying in 5-7 days and push ups in 4-6 weeks. I wish you the best.