Breast Revision
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Thursday, March 3rd, 2011Placement of Breast Implants Saline or silicone implants may be placed in one or two planes, either the subglandular retromammary or the dual plane technique or subpectoral two-thirds under the muscle, one-third over. The majority of our patients with primary augmentation we prefer the dual plane technique, placing the implant behind the muscle along the [...]
International Plastic Surgery
Monday, February 21st, 2011Having the opportunity to reconstruct and revise patients internationally is both a privilege and a humbling experience ! Dear Dr. Linder, Further to my very recent breast revision surgery carried out by yourself, I would very much like to express my greatest satisfaction and gratification, on the excellent works carried out to convert the horrendous [...]
Severe Double-Bubble Breast Deformity with Combined Capsular Contracture, Baker IV
Tuesday, February 1st, 2011Below is an excellent case of a patient who has undergone bilateral breast reconstruction for breast cancer mastectomy. The left implant had ruptured and the right implant shows a severe double-bubble breast deformity with superior retropositioning of the implant. Her surgery was done by a different surgeon approximately 12 years ago. She has had increasing [...]
Capsulectomy Versus Capsulotomy
Tuesday, January 11th, 2011BEVERLY HILLS BREAST REVISION When performing breast revision surgery, it is extremely important to understand when to do a capsulectomy versus capsulotomy or perform both operations at the same surgical setting. One of the most common complications after breast enhancement surgery is scar tissue formation around the implants. This can happen to any patient at [...]
Conversion Of Saline to Silicone Implants
Wednesday, December 22nd, 2010FACTORS TO CONSIDER Many patients who have had saline implants placed over the last 10 to 15 years are now presenting for replacement of their implants with silicone gel. Several factors should be discussed with the patient upon this conversion to a completely different product. 1. Silicone implants in general, at least in my opinion, appear [...]
Bottoming Out and Downsizing of the Breast
Friday, October 29th, 2010Many women present to me who have had breast implant surgery several years ago throughout the United States. As many women age, they desire to downsize their breast implants in order to reduce the heaviness of their breasts as well as at times with bottoming out that may incur, they also desire to tighten up [...]
Textured vs. Smooth Implants Beverly Hills
Tuesday, September 7th, 2010TEXTURED VS. SMOOTH IMPLANTS Back in the 70’s and 80’s, textured implants were the most favorable implants used. They believed using a textured implant over the muscle reduces capsular contracture and scar tissue formation. This has been found to be true. However, in 2010, most of the time we place implants subpectorally in the dual [...]
Breast Implants, Above Vs. Below The Muscle
Tuesday, August 24th, 2010Saline and silicone implants can be placed either subpectoral, dual plane technique or subglandular (above the muscle). The plane of dissection normally depends upon each individual woman’s chest wall anatomy. For the majority of women, we do prefer to place the implants in the dual plane technique, two-thirds under and one-third over laterally. The reason [...]
“WHAT IMPLANT AM I GETTING?”
Monday, July 26th, 2010It is unbelievable to me, seeing the number of revisions that I perform, that patients have no idea what implants they have received from past surgeons. Not only do they not know the manufacturer of the implants, they often do not know the volume in cc’s, the shape of the implant or whether they are [...]
Examination Of The Implanted Breast
Thursday, July 22nd, 2010MASS VERSUS IMPLANT EDGE Many patients present to Dr. Linder for breast revision surgery. They have concerns over “feeling something that is just not right” within one or both breasts. It is important to decipher whether there is a mass, lesion, scar tissue contracture or the implant edge that is leading the patient to this [...]
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