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…
Capsular contracture surgery involves removing the breast capsule that has formed over many years and then place a new breast implant of similar or different dimensions or size. Typically recovery from capsular contracture surgery can be quicker than the recovery from the original breast augmentation procedure. The goal of capsular contracture surgery is to remove the painful capsular contracture and…
Breast reduction surgery is a common surgery. Patients who wish to undergo breast reduction surgery typically mention that they have pain in their neck and shoulders as well as their lower back. Occasionally when patients have large breasts, they have rashes in their breast creases. After breast reduction surgery, not only are the breasts lighter and is pain relieved, but…
Mastopexy augmentation and revision mastopexy augmentation are some of the more common operations performed in our Newport Beach office. We frequently see patients who have had implants placed several years ago and who have now lost weight or who have had several children. The result is a breast shape that has become ptotic as well as a loss of volume.…
Capsular contracture surgery is common in patients who have had breast implants in for a long period of time. While implants can last several years without having the need for revision, when implants have been in for over 20 years or more, the lining that the body produces around the mammary prosthesis can begin to contract. When the lining contracts,…
The superior medial pedicle reduction mastopexy allows for consistent removal of breast tissue from the lateral region of the breast. Often the breast tissue that is directed lateral to the anterior axillary line can get in the way of performing different types of physical activity. The superior medial pedicle allows the operating surgeon to maintain the superior medial fullness to…
Capsular contracture surgery procedures are common when breast implants have been in for over 10-15 years. Removal of mammary prosthesis and capsules involves a surgical procedure requiring general anesthesia. Following surgery, patients are required to wear a support bra, such as a jogging bra or other bra with significant support. This should be worn 24 hours a day seven days a…
Capsular contracture surgery and revision breast surgery are some of the more common aesthetic procedures performed in our Newport Beach practice. Capsular contracture is common in patients who have had mammary prosthesis in for over 10 to 15 years. When a breast implant is placed in the body, the body always forms a lining around the breast implant. Occasionally, the…
Mastopexy and breast reduction procedures are common in our Newport Beach practice. Patients often want to have their breasts lifted to give a more youthful appearance to the breast. The ptotic or “sagging” breast tends to have the nipple areola complex below the level of the inframammary fold. The breast lift procedure is designed to lift the nipple areola complex…
Capsular contracture can occur in patients who have breast implants. While there can be many reasons to have capsular contracture, I find that the more common reasons tend to be: history of hematoma or undetectable hematoma history of previous infection or subclinical infection long duration of implant placement patient specific factors (i.e. prone to keloid, hypertrophic scar, capsular contracture, etc.)…
Mastopexy augmentation procedures are common procedures. Patients who present for a mastopexy augmentation are typically patients who have had several children and have breast fed or who have lost weight for a variety of reasons. As women age, the nipple areola complex tends to drop below the level of the inframammary fold or breast crease. When the breasts sag, this…
