Breast Revision
« Previous Entries Next Entries »Timing and Evaluation For Breast Implant Replacement
Thursday, July 28th, 2011With the recent studies from the FDA in June 2011, findings indicated that women need to replace their saline and silicone implants on the average between 8 and 10 years. Also, there are risks associated with rupture and scar tissue contracture over time. These are specific concepts that we describe to the patients during the [...]
Correction of Severe Bottoming Out
Wednesday, July 13th, 2011STYLE 45 SILICONE IMPLANTS The below patient presents with severe bottoming out where the implants have fallen significantly and the height distance from the bottom of the areola to the inframammary fold is greater than 13 cm. The patient is a model and declines to have scars throughout her breasts other than the periareolar incision [...]
Difficult Breast Revision Case
Thursday, July 7th, 2011Right double-bubble left bottoming out The preop photo shows the patient presenting from Missouri, having undergone three surgeries to correct the severe deformity of her breasts. The patient presently presents with a double-bubble deformity on the right breast with the implant on the right superiorly retropositioned, as can be seen on her preoperative photograph. She [...]
FDA’s Discussion And Update On Breast Implants
Friday, June 24th, 2011On June 22, 2011, the updates included silicone breast implants are mostly safe. The most important considerations that they determine are that the silicone and saline implants are safe; however, these implants are not lifetime devices and that they must be replaced and on the average, 8 to 10 years. The studies have shown 40 [...]
Inadequate Pectoralis Muscle Release Deformity
Wednesday, June 8th, 2011The below example is an excellent case of inadequate release of the parasternal attachments of the pectoralis major muscle. Inadequate release of the muscle attachments along the inner chest wall can lead to severe deformity which can plague the patient for years to come. The patient below has had multiple surgeries, actually three operations, and [...]
International Travelers For Breast Revision Surgery
Saturday, June 4th, 2011It is a humbling experience and a privilege to be able to operate on patients worldwide. This week alone we have had breast revision patients arrive from Bombay, India, Alberta, Canada, London, England, as well as patients from the east coast United States. The common theme has been breast revision surgery where these patients have [...]
Repair of Double-Bubble Breast Deformity
Tuesday, May 31st, 2011Recently, I performed another interesting breast revision surgery on a patient from Las Vegas, Nevada. This patient is a performer in one of the Super Shows in Las Vegas. She had implants placed twice by previous surgeons. She developed scar tissue contracture with superior retroposition of the implant. She had a horrendous double-bubble deformity which [...]
Breast Revision Surgery Downsizing
Tuesday, April 12th, 2011Every week I see multiple patients who desire to have implants replaced with smaller implants and have the same question as to what will the pocket look like, how will the skin appear after the reduction in volume. In many patients, it is difficult to determine the amount of skin tightening that will occur after [...]
New York Times Cosmetic Surgery Statistics Review
Friday, April 8th, 2011In the March 30, 2011 New York times, an article which discusses a decade of boosting breast size, had very interesting statistics, notably, the breast augmentations performed in comparison to facial plastic surgery procedures. In summary, breast augmentation procedures continue to remain stable or are on the increase, while facial plastic surgery trends have shown [...]
Reducing Rippling of the Breast
Tuesday, March 8th, 2011REDUCING RIPPLING – MEDIAL VISIBILITY Patients present to me who either have had multiple breast augmentation or breast revision surgeries and/or ectomorphic with minimal amounts of breast tissue to start. They may encounter visibility or rippling of the implant along the medial breast edge. This can occur even on a primary augmentation on very thin [...]
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