A 3 year followup on a mother of 2 in her late 30’s. She wanted to be able to fill her swimsuit and bra without padding, but wanted to look natural. She also wanted to avoid an overly full “matronly” look. She is 5’5” and 144 lbs and has a 325 cc smooth round cohesive gel moderate profile plus implant placed through an inframammary incision below the pectoral muscle.
Discussion: She has had a nice result after surgery. I always tell my patients that the breasts are “sisters and not twins” . Her right breast is fuller and the nipple is lower, both before and after her surgery. In the photo she is seen to have a nipple piercing. She also had a tongue piercing prior to surgery. Both of these can increase the risk of capsular contracture if they are replaced after surgery. There is bacteria in the mouth and in the nipple area that can get into the blood stream with minor trauma and travel to the implant. It can attach to the implant (“biofilm”) and lead to a capsular contracture as the body tries to “fight” the bacteria. So I have recommended that she never put these piercings back. Her breasts have stayed soft. I also recommend that my breast implant patients take a single dose of antibiotics one hour before dental procedures, including a cleaning, for the same reason. Vaginal piercings can cause the same issue. This does not seem to be a problem with other piercings such as umbilicus (belly button) or the ear.
Cosmetic & Plastic Surgery Specialist
"I treat my patients like I would treat
- Jonathan D. Hall, MD, FACSmembers of my own family."
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