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…
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…
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 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…
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.)…
It’s widely known that Capsular Contracture can occur in patients who have breast implants. This is the time when patients can choose to remove their saline implants and replace them with silicone implants. Often we discuss with the patient the option to improve the position of the implants at this time. While many reasons contribute to a capsular contracture, I find…
