Revision Breast Augmentation


 

This is a 30YO lady from Bainbridge, Georgia.  She has had a previous breast augmentation.  She has a capsule contracture of the right breast.  The right breast is indented and misshaped.  The left breast has stretched and fallen inferiorly.  She desired some reshaping and uplifting of the breasts. 

These are post op pictures of her after undergoing a revision breast augmentation with a mastopexy.  The nipples have been lifted to the appropriate position and the breasts have been shaped.  The breasts are soft with the implants in the correct position. 

 

 

This is a 40YO lady that had a previous breast augmentation.  With her original augmentation, the tissue between the sternum was released and the right breast implant had moved over to the left breast.  You can see all the fullness in the central portion of the chest and sternal area.  She also has a double bubble effect of the implant being separate from the breast tissue on the inferior portion of the breast. 

She underwent a revision breast augmentation with suturing of the torn pocket of the right breast with a bilateral mastopexy.  Now we have corrected the Symmastia as well as reshaped the breast and eliminated the double bubble effect. 

 

 

This is a 53YO lady from Fort Walton Beach, Florida.  She has had a previous saline breast augmentation several years ago.  She is complaining of breast rippling which they often do in very thin people with saline implants.  The implants have also fallen inferiorly and towards the side of her chest.  Saline implants have a propensity to ripple and silicone implants do not seem to ripple nearly as much. 

This lady underwent a revision breast augmentation.  I tightened the lateral portion of her breasts as well as the inferior portion of the breasts to help give more superior projection of the breasts and the implant.  Also, I went up on size from 400cc to 650cc.  The implants are in better position and the breasts have a better appearance.

 

 

This is a 48YO lady from Enterprise, Alabama.  She has had a previous breast augmentation around 20 years ago.  With time, breasts naturally droop which is the effect of gravity and child bearing.  As you can see from her pictures, the nipples are downward pointing and the breasts are quite full superiorly.  She has also has a mild capsule contracture which is scar tissue that forms around a breast implant.  This is causing the breast to have an unnatural appearance due to the implant being too high making the breast appears too low and pointing inferiorly. 

In order to correct this, the capsule must be surgically removed which is a fibrous body reaction to an implant that occurs in some patients.  This allows the implant to drop some and eliminates some of the superior fullness of the breasts.  Then the low breast tissue and nipple will be raised to the appropriate position.  This procedure is called a breast lift or mastopexy.

You can see from the post operative pictures that her breasts now have a nice shape with plenty of superior fullness but no droopiness of the nipple or breast tissue.  The scarring with this procedure is usually minimal.

This procedure is done as an outpatient procedure and patients can usually return to office type work in about 2 days.

 

 

This is a 32YO lady from Bainbridge, Georgia that desired some cosmetic improvement of her waist and buttocks area.  She has a moderate amount of fat in the flank area.  She has tried dieting but could not get any significant decrease in the waist circumference.  She noticed that her pants seemed to ride high because of the bulging in the love handle area. 

She underwent SAFE liposuction of the love handle area and abdomen with fat grafts to the buttocks.  As you can see, there is marked improvement in the shape of the waist and buttocks.

Fat grafting is where we remove fat from one area, process it, and inject it into an area that needs some more projection.  This helps improve contouring of the body.  Usually, about half of the fat will live permanently.  The fat does not live is reabsorbed by the body.

 

 

This patient was referred by her gynecologist.  She has breast implants placed in 1991 which were textured gel implants in the submuscular position.  She did well until just prior to presentation here in my office where her breasts had gotten progressively firm and uncomfortable to the point where she actually was seen in the ER.  She had contracted breast implants with ptosis of the breasts off the inferior border of the implants.  She wished to be smaller in that she had some upper back, neck, and posterior head symptomatology related to her breast size as well as the droopiness of the breasts.  She underwent a redo augmentation with mastopexy.  She had some gel bleed on the surface of the implant.  We were able to convert the implants and maintain a new pocket beneath the muscle and replace these with the newer cohesive gel implants.  The mastopexy centered the breast over the newly shaped breast mound.  She has maintained nipple sensation.  She is about a ½ cup size smaller than she was.  The shape of her breasts is more normal and she has maintained more attractive upper pole fullness as shown in her post operative photographs.

 

 

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.

 

 

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. 

 

 

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. 

 

 

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.

 

 

This is a lady that had implants placed almost 20 years ago.  They were saline implants place in the subglandular position, i.e. on top of the muscle.  She is a thin, athletic lady and with time the tissue over the implants has thinned and stretched to the point that the rippling implants are now visible.  The right breast has bottomed out.  This results in an implant that is too low on the chest wall and results in hollowing out in the upper poles.  In addition when she lies down her breasts slide off her chest.  She was carried to the operating room where the saline implants were replaced with cohesive Natrelle silicone gel implants.  These are smooth surface implants that is quite firm and is effective in eliminating the rippling seen with very little breast tissue coverage.  In addition, we reinforced the inframammary crease with Seri.  She has 375cc implants and we replaced them 405cc gel implants.  The result of the surgery is clearly evident on the post operative pictures.  The breasts are back up on her chest.  They have a much nicer contour with some upper pole fill.  The breasts are closer to the midline.  The rippling is not now visible.  She has gotten a very nice result and is quite pleased.  The use of Seri which is a silk based product has really improved the results of her revision breast surgery.

This is a lady that had breast implants as a young woman. These were saline implants through a periareolar incision. She has had several children and has developed some droopiness of the breasts. The breasts are now down on her abdomen and her nipple areolar complexes are down pointing. She wished to be a larger size with a hint of upper pole fullness. She underwent revision breast augmentation with mastopexy with a conversion to gel implants. She is maybe a ½ cup size bigger than she was and has a nice upper and lower pole contour. The nipple areolar complexes are now pointing straight ahead. Her scars are flat and soft and non-tender. They should lighten up over time.

Location
Feagin and Owen Cosmetic Plastic Surgery Center
4300 West Main Street, Suite 43
Dothan, AL 36305
Phone: 334-203-5925
Fax: 334-793-5425
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334-203-5925