Male Breast Implant Revision

Q: Dr. Eppley,   I just underwent breast implant revision with new and larger implants. I just wanted to follow up with you on my revision. No pain to complain about. No pain meds needed just the antibiotic. I was a bit worried about the shape of the right implant as it still looked a bit odd in shape. However they are gradually taking on a very nice shape. The projection is perfect. I am very pleased with your work. Thank you!

I have two questions:

1) Will these implants drop and fluff during the next 6 months or will they hold the current shape. I really like the shape and strong projection. There does not seem to be much swelling.  

2) There seems to be a lot of “gurgling” going on. I assume this will absorb into my body over the upcoming weeks.

Dr Eppley, thank you again for your outstanding work and patience with me.

A: Thank you for your early breast implant revision followup. I did debate with myself in surgery as to whether to go with the 350HP or the 400HP. The latter gives more projection but would also make the breast mounds overall bigger…so I went with our previously discussed 350s.

In answer to your questions:

1) Now that the lower poles of the breasts have been released there will be a lowering of the implant (dropping) as they heal as the scar impediment to do so has been removed. This generally takes about 6 to 8 weeks to finalize.

2) The gurgling you hear is some irrigation fluid used to wash out the pockets before placing the implants as well as an ‘air space’ existing between the implant and the overlying soft tissues. The fluid will be absorbed and the tissues will shrink back down over the implants in the next few weeks of further healing.

Dr. Barry Eppley

Indianapolis, Indiana