Breast Corrections & Revisions

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This is a 64 year old mother of three children who had breast augmentation over 35 years ago. She presented with a “waterfall” deformity of her breasts with breast tissues sagging down from her large breast implants. She wished to have the old implants removed and the breast tissues lifted. She underwent breast implant removal and total capsulectomies followed immediately by mastopexies (breast lifts). She is shown before surgery and 4 weeks post-op.

* Results are not guaranteed or guaranteed to be permanent.

This is a 35 year old mother of two children who had bilateral breast augmentation with saline implants in the past. She wished to have the implants removed and to have the breasts lifted and augmented by fat transfer (fat grafting). Sheunderwent bilateral explantation of saline implants, capsulectomies, bilateral mastopexies (breast lifts), and autologous fat grafting of both breasts using a total of 300cc of fat for each breast. She is shown before surgery and about 8 weeks post-op.

* Results are not guaranteed or guaranteed to be permanent.

This is a 38 year old woman with a remote history of breast augmentation with saline implants.  She presented with progressive rippling distortion of the left breast and shape asymmetry.  The left breast had developed a grade IV capsular contracture.  She underwent bilateral breast revision in the form of bilateral capsulectomies and replacement of the old saline implants with 450cc round, smooth, moderate-plus projection silicone gel implants.  Her bra size changed from 36 C-cup to D-cup.

* Results are not guaranteed or guaranteed to be permanent.

This is a 51 year old woman with a remote history of breast augmentation with saline breast implants. She developed progressive capsular contracture of the left breast, leading to upward displacement of the implant and breast asymmetry. She underwent revision surgery of the breasts in the form of bilateral capsulectomies and exchange of the old 340cc saline implants with 450cc round, smooth, moderate plus profile silicone gel implants. Her breasts are now soft and symmetrical.

* Results are not guaranteed or guaranteed to be permanent.

53 year old woman had breast augmentation in the remote past with 350cc saline implants. She recently experienced deflation of the left implant and presented with asymmetry of the breasts and drooping of the deflated left breast. She wanted a correction of the breasts to reduce their size, to make them more symmetrical, and to lift them. She underwent removal of the old saline implants, secondary augmentation with 270cc silicone gel implants, and bilateral breast lifts (mastopexies). She is shown before surgery and about 6-8 weeks post-op. Her bra size changed from D-cup to C-cup.

* Results are not guaranteed or guaranteed to be permanent.

40 year old woman with remote history of bilateral breast augmentation. She presented wanting the breasts fuller and “not so far apart”. She had developed capsular contractures with lateral displacement of the original implants. She underwent removal of the old breast implants, capsulectomies, and secondary augmentation with 480cc saline implants. Her bra size changed from B-cup to full C-cup.

* Results are not guaranteed or guaranteed to be permanent.

This 30 year old woman presented about a year after having breast augmentation surgery in Costa Rica. She was not satisfied with the augmentation results because the original implants were “too flat,” “did not give enough cleavage,” and did not give her the desired amount of fullness. She underwent removal of the original 350cc moderate profile silicone gel implants and replacement with 600cc high profile silicone gel implants. The breast pockets were modified to allow repositioning of the larger implants closer to the middle of her chest. This gave her cleavage the wanted.

* Results are not guaranteed or guaranteed to be permanent.

This 44 year old woman presented with large and asymmetric breasts years after undergoing bilateral augmentation mammoplasty by another surgeon.  She wished to have smaller breasts and restoration of better breast symmetry.  She underwent removal of both breast implants, capsulectomies, reduction of the larger left breast, and bilateral mastopexies (breast lifts).  She is shown before surgery and approximately 6-8 weeks post-op.

* Results are not guaranteed or guaranteed to be permanent.

This 25-year-old patient had previous body contouring surgery and breast augmentation performed by another plastic surgeon. She was not satisfied with the breast or body shape and presented for secondary surgery to refine her results.

She underwent revision breast augmentation with larger implants and right breast pocket modification. She also underwent liposculpture and fat grafting of the buttocks for shaping. She is shown before surgery and six weeks after surgery.

* Results are not guaranteed or guaranteed to be permanent.

This 53 year old patient with history of breast augmentation who wished to have a reduction of her breasts and a reshaping of the breasts to make them appear more round and less droopy. She underwent removal of old saline implants, reaugmentation with higher profile silicone gel implants, pocket modification to keep the implants from falling laterally, and bilateral breast lift (mastopexies). She is shown before surgery and about 2 months after surgery. Her scars a narrow but still pink.

* Results are not guaranteed or guaranteed to be permanent.

43 year old mother of 2 presented with a deflated left breast saline implant. She wished to have body contouring as well with liposculpting of the abdomen, flanks, and back, and fat grafting of the buttocks.

* Results are not guaranteed or guaranteed to be permanent.

This 64 year old mother of two children who had breast augmentation many years before. She wanted to improve the shape of the breasts, which she thought were too droopy, and she also wanted to have smaller breasts. She underwent removal of the old breast implants and replacement with smaller implants. Her breast pockets were surgically modified so that the new implants would not fall laterally but would lie centrally on her chest. She also underwent breast lift surgery. She is shown before surgery and about 3 months post-op.

* Results are not guaranteed or guaranteed to be permanent.

This patient is 18 years old with a developmental volume and shape asymmetry of the breasts. She wished to have fuller and more symmetrical breasts. The correction involved performing bilateral breast augmentation with implants of two different sizes and projections. A 150cc low profile implant was used for the larger left breast, and a 400cc high profile implant was used for the smaller and flatter right breast. She also underwent a mastopexy (lift) of the large and drooping left breast to achieve shape symmetry. She is shown before surgery and six weeks post-op.

* Results are not guaranteed or guaranteed to be permanent.

This patient is a 49-year-old mother who, many years earlier, had undergone breast augmentation and mastopexies (by Dr. Fortes). She had been very happy with the results of her first surgery. However, she now wished to reduce her breast size to be able to be more physically active and better engage in sports activities. She underwent removal of her breast implants and secondary mastopexies. She is shown before surgery and two months after surgery.

* Results are not guaranteed or guaranteed to be permanent.

This 36 year old mother had bilateral breast augmentation many years previously. She wanted to have the implants removed and to have a mastopexy (lift) with small volume fat grafting of the breasts. She did not want new implants. She is shown before surgery and about 6 weeks post-op.

* Results are not guaranteed or guaranteed to be permanent.

This 32-year-old woman had previous breast augmentation. She presented with slowly worsening asymmetry in the shape of the breasts with the left breast implants becoming harder, more round, and high on the chest. The right breast was soft, but the implant has settled a bit too low and to the outside. She underwent breast correction by total capsulectomy of the left-sided high-grade capsular contracture and by correcting the low position of the right breast implant using Galaform (“internal bra”) soft tissue support. The patient is shown before surgery and about 2 weeks after surgery!

* Results are not guaranteed or guaranteed to be permanent.

This 41-year-old patient underwent multiple previous unsuccessful aesthetic breast surgeries by other surgeons. She presented with poor breast scars, boxy breast shape, and high positioned and encapsulated breast implants, which the patient wanted to be removed and not replaced. The breasts also had an unnatural “operated” look from the malposition of the implants relative to her breast tissue.

She underwent removal of her breast implants and bilateral total capsulectomies. She also underwent secondary mastopexies and breast scar revisions where possible. She is shown before surgery and just 6 weeks post-op.

* Results are not guaranteed or guaranteed to be permanent.

This is a 68 year old woman who had breast augmentation many years ago. She came in because the breast shape was off. Her breasts had become droppy and asymmetrical. The old implants were falling outward onto her armpits when she would lay down. She wanted them to be similar in size but more youthful.

She underwent surgery to replace the old implants with new higher profile silicone gel implants. She also underwent adjustment of the breast pockets and bilateral breast lift. She is shown before surgery and a few weeks after surgery.

* Results are not guaranteed or guaranteed to be permanent.

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