How Can My Breast Implant Pockets Be Tightened And Lifted?

Q: Dr. Eppley, I have had my saline implants since 1997 and my pockets have stretched. I am looking for breast revision. I’m interested in the techniques used along with before and after pictures.

A: When you refer to having your breast implant pockets stretched, I will assume that means your implants have both dropped (too low) and are even too far to the sides. (particularly when you lay done) Revision of your breast implants by etightening the implant pocket (making it smaller) is done by two fundamental techniques. The most common method is to remove part of the inferolateral capsule and tighten the pocket and lift the implants into a higher position using permanent sutures. This will be successful in the majority of cases. In patients that fail this method or have very thin capsular tissue and overlying skin, the entire lower breast pole may be supported by a sling of allogeneic dermis to provide the necessary lower pole support. This is not a first choice method due to the high costs associated with it although it is commonly used in breast reconstruction because insurance pays for the material. (the dermis material alone can cost anywhere from $4,000 to $6,000)

Dr. Barry Eppley

Indianapolis, Indiana