Hi Dr. Rosenberg,
I wrote before regarding problems with 'bottoming-out' and an over-dissected crease on one side of my breast. In addition, I had a delayed reaction with the PDS sutures 6.5 months post op, which had ultimately led to necrosis and an emergency surgery to remove the implant. Now I am living with one implant on one side.
My question is that will the over-dissected crease ever be 'gone for good' now that the implant has been removed? Or would I need internal stitches for pocket work when the implant is put back in in the future?
I have very thin skin, and the fact that I am pretty much allergic/ultra sensitive to most if not all suture material out there and have severe inflammatory responses as a result (with the exception of Monocryl), chances are that I may reject other foreign material such as alloderm and strattice as well.
I am concerned about that my crease was over-dissected, and therefore would need pocket work in the future but there is no sutures suitable, in addition, that alloderm / strattice is too risky to use (as I know a few cancer patients who were rejecting them), and therefore, no support would be there and the possibility of 'bottoming out' again and/or thinning of the breast tissues and impending extrusion as it happened before...
Will implant removal allow the breast itself to return to its pre-op state completely and if a crease is created at the right location next time (i.e. higher), then even without pocket correction, the same problems I had previously will not occur?
Would appreciate your insights, as in the past, I think you are one of the very few PS who can say the right thing and explain situations with soiund judgement.
Thank you very much in advance.