Breast Revision
« Previous EntriesDouble Bubble Deformity
Wednesday, February 1st, 2012The patient below presents with severe double-bubble deformity. The implant is superiorly retropositioned with severe malposition. She also has enlargement of the right areola. There is severe scar tissue with a Baker IV capsular contracture. The patient will undergo bilateral open periprosthetic capsulectomy, release of the infraclavicular capsule and release of the parasternal attachments of [...]
Breast Revision Pectus Carinatum
Friday, January 6th, 2012Breast Implant Revision Below is an example of a patient’s significant pectus carinatum with right posterolateral slanting of her chest wall. She has undergone augmentation mammoplasty procedure by two different surgeons with an unsatisfactory result. She has inadequate parasternal cleavage with lateral displacement of the implant, especially along the inferomedial portion of her right chest. [...]
Dow Corning Ruptured Gel Implant
Tuesday, November 22nd, 2011DOW CORNING RUPTURED CASE 2 The above patient presents with silicone gel implants placed 34 years ago. These are ruptured silicone gel implants that had been placed over one-third of a century ago. The patient left the implants in and has now noticed increasing pain. An MRI shows intra and extracapsular ruptured silicone implant and [...]
Status Post Gastric Bypass Breast Reconstruction Revision
Monday, October 24th, 2011This patient underwent a gastric bypass procedure using the Roux-en-Y Gastroplasty at over a 130-pound weight loss. She subsequently underwent augmentation mammoplasty procedure and a breast lift formal mastopexy by a different surgeon for severe involutional upper pole atrophy, and severe grade 3 ptosis. Her preoperative photos indicate unfortunate complete malposition of the implants. There is [...]
BREAST LIFT, BREAST AUGMENTATION REVISION
Saturday, October 22nd, 2011The tubular examples show patients who underwent breast augmentation and breast lifting by a different surgeon with unsatisfactory results. Both of these patients had breast lifts that were performed with inadequate amounts of skin removed as well as with implants placed in the malposition. As a result, these patients have required total breast reconstruction requiring [...]
DOW CORNING RUPTURED IMPLANTS
Friday, October 14th, 2011We see patients who present with implants from the Dow Corning era. Those are implants placed well over 20 to 35 years ago. These implants are obviously no longer allowed on the market. The company is no longer producing these implants. The Dow Corning implants were smooth shelled implants that had a Dacron patch on [...]
Plastic Surgery Consultations in Las Vegas
Wednesday, September 28th, 2011Dr. Linder was excited to see patients in Las Vegas over the weekend. Patients most often arrive for breast reconstruction and revision surgery. One of the consultations was with a patient specifically with severe scar tissue contracture with the left implant elevated superiorly and hardening with Baker IV capsular contracture and pain. These can easily [...]
Disproportionately Large Breast Implants
Saturday, August 27th, 2011DOUBLE BUBBLE BREAST DEFORMITY WITH BREAST HYPERTROPHY AND UPPER POLE VISIBILITY The patient below presents with disproportionately large breast implants that were placed for her body. The patient had a Benelli round block lift as well as large 500 moderate smooth silicone gel implants placed approximately 10 years ago. Unhappy with the appearance of the [...]
Double Bubble Breast Deformity
Friday, August 26th, 2011BECKER IMPLANTS Below is a case example of a severe double-bubble breast deformity in which the patient presented status post augmentation mammoplasty procedure 26 years ago through a transaxillary approach which she thought were saline implants. Intraoperatively, the patient was found to have Becker double lumen silicone gel, internal lumen and saline external lumen implants. [...]
SILICONE GEL IMPLANTS AND RIPPLING
Thursday, August 11th, 2011There is a fallacy in the community that silicone gel implants do not ripple. This is completely untrue. All implants, saline and silicone, can ripple. In fact, silicone textured implants can ripple more than smooth saline implants. Patients who have thin tissue, are ectomorphic, have minimal amounts of breast tissue and/or muscle, are at high [...]
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