I have found an increasing number of women who present to my office in consultation who had saline breast implants placed ten years ago and who are now requesting removal and replacement of their mammary implants for highly cohesive silicone gel mammary prosthesis. Often these women underwent reduction mammoplasty with an implant to maintain upper pole fullness, but now want…
I have been using the Keller Funnel routinely for my periareolar and transaxillary breast augmentation cases. The Keller Funnel allows me to deliver larger implants through a smaller incision without traumatizing the breast implant, the skin, or having the breast implant come into contact with the skin. I believe strongly that this “no touch technique delivery system” can help reduce…
We are starting to see many patients come from out of state to have their revision augmentation procedures or capsulectomy surgeries performed at the Roxbury Clinic & Surgery Center in Newport Beach. I have been using the Strattice in the manner as taught to me by Neal Handel, M.D. When working through small incisions, I have found the use of…
Capsular contracture occurs when the lining around a breast implant contracts aggressively. When capsules are not removed in their entirety on the anterior surface of the breast, then the breast can not expand or splay out over the new implant in its entirety. Occasionally, in the re-operative or revision breast surgery patient implants can become infected and need to be…
Having great interest in Breast Reconstruction, Aesthetic Breast, and Revision Breast surgery has afforded me ample opportunity to study the manipulation of the infra-mammary fold and its relation to the perception of breast symmetry. Two determinants of breast symmetry in photographs or when the patient looks in the mirror is the position of the nipple areola complex (NAC) and the…
Synmastia occurs when a breast implant begins to cross the midline towards the sternum. This is often upsetting to the patient and is often even more accentuated when wearing a bra or low cut shirt. Correction of synmastia can be challenging for both the patient and surgeon. Appropriate steps in synmastia correction require accurate diagnosis of the problem. Synmastia can…
