Revision Breast Augmentation

PATIENT 26-RA

  

  

  

This is a woman who had 31YO gel implants that had gotten progressively firm and encapsulated. The left sided breast was painful and deformed secondary to the capsular contractures. She had adequate breast tissue to facilitate re-augmentation. The implants were subglandular, on top of the muscle. The MRI confirmed rupture of the left-sided implant. She was carried to the operating room where she underwent removal of the encapsulated implants. This required bilateral capsulectomies, removal of the dense scars around the old implants, and insertion of new implants beneath the muscle. She did not require a lift. She got a beautiful result from the revisional surgery. The breasts are soft and symmetrical. There is no further pain in the breasts. She measured as a full D. She enjoys the normal shape and feel of her newly reconstructed breasts.

PATIENT 25-RA

  

  

  

This is a lady that had saline implants about 10 years ago.  She presented with a recent deflation of the right breast.  Over the intervening years, her breasts began to droop and she had lost some volume in the breasts.  She wished to have them redone with gel implants and a mastopexy.  She underwent augmentation/mastopexy with 310cc silicone gel implants.  We were able to create a new submuscular pocket so that the implants could remain in a submuscular position.  Post operatively, she has maintained nipple sensation and has gained cup size in her bras.  She now has breasts that feel more natural with the silicone implants. 

PATIENT 24-RA

  

  

  

This is a 40ish, white female that had transaxillary saline breast implants placed several years ago.  She developed a C range breast from that procedure.  Over time she was considerably heavier and over the interim she has undergone a gastric sleeve procedure for weight loss.  She lost over 100lbs.  This resulted in breasts that were still large and mobile.  When she would lie down, the breasts would fall laterally off her chest wall.  She wished to be smaller with her breasts back up on her chest.  She wanted something done to keep them from falling off her chest when she lay down.  She underwent an augmentation/mastopexy.  I removed the saline implants and replaced them with smaller gel implants.  The implants she has placed in her post operative photographs are 240cc implants.  She was reinforced with Seri which tightened and diminished the pocket size.  This helps keep the implants up on her chest when she lies flat on her back.  She has maintained nipple sensation.  The breast size and shape is more amenable to her.  Ultimately, we have planned surgeries for the loose skin and stretched out abdominal muscles. 

PATIENT 23-RA

  

  

  

This is a 35YO lady that had a previous breast augmentation with saline implants. These implants deleted on the right side. You can see preoperatively that she has a lot of asymmetry of the breasts. When an implant deflates, you can get scar tissue around the implant and the implant pocket has to be re-expanded. This is what I had to do on her. She is 5 months s/p revision breast augmentation with silicone gel implants. The breasts are now in perfect position and soft.

Before n After  PATIENT 20-RA

PATIENT 20-RA  PATIENT 20-RA

PATIENT 20-RA  PATIENT 20-RA

This is a lady that had fallen and injured her right breast. She had developed scar tissue around the right breast and the implant was elevated. The nipples were also pointing downward. She underwent a revision breast augmentation and breast lift. Now the breasts are in good shape. They are soft with the nipples pointing forward as they should be.

 

PATIENT 19-RA

Before n After  PATIENT 19-RA

PATIENT 19-RA  PATIENT 19-RA

PATIENT 19-RA  PATIENT 19-RA

This is a young lady that had breast implants 11 years ago with saline implants. She went from a B cup to a D cup and then had two pregnancies aftwerwards. The breasts almost from the get go had bottomed out resulting in implants that were too low on the chest wall with loss of upper pole fullness and breast tissue extending down, up, and over her abdominal wall. She was having neck, back, and shoulder pains from the size of her breasts. She wished to have her breasts back up on her chest and a smaller size. She was carried back to the operating room where we replaced her 375cc implants with 300cc implants and then she underwent a revision of the breast capsule with inferior infralateral capsulorraphy. This was reinforced with seri surgical implants to reinforce the repair. Operations to correct capsule deformities are best reinforced with some type of dermal substitution. We have had very good luck with the seri material. She is hown postoperatively with a much improved contour and shape. There is return of the upper pole fullness, sharp creases, and a breast mound that is back up on her chest and off her abdomen. Her preoperative breast size was a DD and now she is large C.

PATIENT 18-RA

Before n After  PATIENT 18-RA

PATIENT 18-RA  PATIENT 18-RA

PATIENT 18-RA  PATIENT 18-RA

This is a 45-year-old lady from Panama City, Florida who has been having problems with her breasts. She has had a previous breast augmentation. She has gotten scar tissue around the implants. This has caused the implant to be elevated. Also, the breasts are quite asymmetrical. The scar tissue that has formed has made the breasts feel firm. It has also displaced the implant superiorly and made the nipple look like it droops over the implant.

 

We went in and did a revision breast augmentation on her. Now, the implants are in good position and the breasts have a good shape. They are now soft. She now feels much better about herself and is also much more comfortable.

 

PATIENT 17-RA

Before n After  PATIENT 17-RA

PATIENT 17-RA  PATIENT 17-RA

PATIENT 17-RA  PATIENT 17-RA

 

This is a 45-year-old lady from Andalusia, Alabama. She has had a previous breast augmentation with saline implants. The right implant had deflated. The left implant had developed a capsular contracture and the implant was elevated. This made the left breast appear to have too much fullness in the superior portion of the breast. She underwent bilateral revision breast augmentations. I inserted silicone gel implants in her. She is now doing quite well postoperatively. Her breasts look much more symmetrical and softer. 

 

 

This is a 35-year-old lady who had a previous breast augmentation. Her left implant had fallen too low. This was making her uncomfortable wearing clothes. Also, it made her clothes not fit correctly. I went in and removed her old saline implants, repaired the lower portion of the pocket on the left side, and then put in larger silicone gel implants. Now, her breasts look more symmetrical and fit her body much better.

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This is a 40-year-old lady who has had a previous breast augmentation. She developed some contractures of the breasts. As you can see in the pre-op pictures the breasts are elevated and distorted. The nipples are also a little low. She underwent a capsulectomy and revision breast augmentation with mastopexy. Now the implants are soft and in good position. The implants and the nipples are in good position relative to one another.

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This is a fifty-five-year-old lady who has had a previous breast augmentation around 30 years ago. She has contractures of both breasts. The implants had elevated and the breast tissue drooped. She desired some cosmetic improvement of the breasts.

I went in and removed the scar tissue around the implant which dropped the implant some. I then elevated the breast tissue and the nipple. Now, the breast tissue is sitting in the correct position relative to the implant.

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