Breast RevisionBefore & After Pictures

This is a 28 year old female who presented with grade 3 capsular contracture two years after a Breast Augmentation.  She underwent a Breast Revision which included an implant exchange with capsulectomy to correct the tightness and displacement of the implants and a Revision Breast Lift to tighten up the skin. Photo 1 shows the patient pre-op  Photo 2 shows the patient with the capsular contracture Photo 3 shows the patient at 6 months after the breast revision

339 cc smooth round moderate silicone implants. At six months after surgery she developed slight fullness in the lower pole of the left breast with bottoming out. Notice how the scar in the fold under the left breast is slightly above the fold. The last picture shows the patient after we performed a revision of the left breast where the fold was lifted, adjusted and tightened up. Notice now how the scar is completely hidden in the fold under the left breast and the left implant has been moved up slightly for very nice symmetry with the other side. 

This is a 35 year old female who presents to us after previous breast augmentation surgery. The patient has saline implants in a subpectoral pocket by another surgeon. She presented with two issues. On her right breast she had significant bottoming out of the implant with the implant stretching the skin of the lower pole of the breast creating more fullness in the lower pole and making the nipple appear to be high up on the implant. On the left side she also had some bottoming out but the implant there was ruptured. The patient underwent a procedure with an incision in the inframammary fold where both implants were removed. The one on the right was intact; the one on the left was ruptured. She had a repair and reconstruction of the inframammary fold and new saline implants were replaced in the subpectoral pocket. Results at three months show very nice contour and nice position of the implant. The inframammary fold has been reestablished and the implant now sits in the proper position.

Pre-op Size” 32-B Post-op: 3-4 months. This patient had a breast augmentation with 371cc Silicone Implants. 3-4 months after surgery the patient developed bottoming out of the implant on the Right. Notice how the right implant looks heavy on the bottom and the inframammary scar is showing. Results after the bottoming out was repaired using Strattice, which is made from pig skin. This allowed us to elevate and lift the implants back into correct position.

Left side implant: 375 cc. 24 year old female interested in a breast lift with enlargement. She had a breast lift with 375 cc saline implants placed under the muscle. At one year post-op she developed a capsular contracture, notice how the implants are shifted superiorly. Results after a capsulectomy was done to open up the tight capsule allowing the implants to settle back into their normal position.

Left side implant: 401cc's Right Side Implant: 378cc's Post-op: 6 months. This 40 year old patient, who is 5'2" and weighs 113 lbs., presents with problems with implants placed 2 years prior.  She had 400cc saline implants placed under the muscle.  She developed bottoming out of the implants with the deformity known as "double bubble".  She also had some capsular contractive deformities.  This was corrected with a complete revision procedure where the old implants were removed, capsulectomies were done, new implants were replaced.  These were textured silicone implants, 378cc's on the right and 401cc's on the left.  We also did a mastopexy and used strattice which is a matrix made from pig skin.  This was used to provide additional coverage and support of the implants.  Results at 6 months show a significant improvement in the shape, contour and position of the implants.

Pre-op Size: 32AA Post-op Size: 32 cup Post-op: 3 months. This is a 24 year old female, who is 5'2" and weighs 110 lbs., presents with very asymmetrical breasts and a tubular breast deformity.  Post-op photos at 3 months showing results after smooth silicone implants were placed under the muscle.  The tubular deformity was corrected by opening the base of the breast.  Different sized implants were used to correct the asymmetry.  An inferior areola incision was used.  It usually takes 6 - 12 months for these scars to fade.  She went from a 32AA to a 32C cup size.

Implants: 300cc 35 year old female who had breast augmentation done elsewhere 10 years earlier. The patient developed a capsular contracture on both sides but she was also very unhappy with the size and position of the breast implants. They were too large and too high. The patient is very petite at 5”3” and 108lbs. she had moderate profile saline implants 300cc these fit her body much better giving her a more natural and soft look.

This 52 year old female who is 5’6-1/2” tall and 149 pounds. The preoperative photographs show the patient in 2001 where she had previous breast lift with 450cc silicone implants placed under the muscle. The patient was unhappy with these results. Notice how the right breast is still larger than the left and both breasts are still dropping. On the oblique view notice as there is more fullness on the upper pole of the breast and still significant dropping of the breasts or ptosis. Notice the position of the nipple which is much lower than the fold under the breast. The postoperative photo shows the patient only two months following a revision breast lift with augmentation. The existing implants were removed and these were placed with silicone, smooth, round 600cc implants.

This is a 31 year old female who had a Breast Augmentation with silicone implants placed under the muscle.  She developed bottoming out of the implants which created a very unnatural, heavy look lowering the infra-mammary fold.  She underwent a Breast Revision to reconstruct the fold under the breast and reposition the implants.  

Breast Revision

A 49-year-old female, 5'4" tall, 138 pounds. She has had three pregnancies, three normal deliveries. The patient came to see us because she had drooping of her implants. These were saline implants placed 20 years ago and over the years they not only drooped but the left one had completely deflated. Notice on the preop image how the left breast is flat and deflated. The patient therefore underwent procedure for removal of both saline implants, the left one ruptured, the right one was still intact. She had replacement with new silicone implants in a new pocket under the muscle and the reconstruction was reinforced with acellular dermal matrix, in this case Strattice which is a dermal matrix made from pigskin used to support and reinforce the repair. The patient had a new 475 cc smooth, round, moderate profile silicone implants placed. Postoperative photos show result at three months with the breasts nicely repositioned with a very nice contour and correction of the bottoming out.