Mastopexy Augmentation is a common surgical procedure for patients who have had implants for over ten years. Patients who had implants placed many years ago many now want them replaced or may notice that their breast implants over time may have migrated too far laterally. In these cases the breast implants need to be repositioned more centrally. In this scenario,…
It is common for many patients who have breast implants for quite sometime to want to either change their implant size or to undergo a breast lift procedure. The medical term for a breast that sags or droops is ptosis. A ptotic breast is one where the nipple areola complex lies below the level of the breast crease. When the nipple areola complex…
Breast augmentation revision is a common procedure. Patients often wish to increase the size of their mammary prosthesis. Patients may want to exchange their implants for a variety of reasons. Some of the more common reasons for changing implant size is to change the size, change from saline to silicone, or silicone to saline, and a size change is accomplished…
It is common for patients who have had implants in for a long period of time to eventually want their implants removed. Patients often wonder, if they have their implants removed, will their breast be in a lower position. The best way to determine that is based on the degree or preoperative ptosis to the breast. If the breast is…
Women are frequently presenting in my Newport Beach office desiring a revision of their breast augmentation from 8 to 10 years prior. These women have had saline breast implants in for almost ten years and now want to exchange their saline breast implants for silicone breast implants. Often, women who have had larger implants and now want to downsize desire to have…
As I continue to learn about both aesthetic and reconstructive breast surgery, I find that the same tools, skill sets, and planning that I use for aesthetic breast procedures apply to reconstructive breast surgery and vice versa. Frequently, I see women in consultation who have undergone first a breast augmentation, second a breast reduction, and often present desiring further reduction…
I am seeing more and more women in consultation in my office with deflation of their saline breast implants. In fact, twice this month we had women who presented with the development of pain around their breast implant with an associated distortion of the breast shape secondary to breast implant valve failure. It has been my experience that the development…
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…
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…
