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Revision Breast Surgery LAWritten by Dr. Babak Dadvand
As more breast implant surgeries are performed, as are the numbers of revision breast surgeries. Dr. Dadvand specializes in revision breast surgery. The key is to individualize the plan to match the patient’s needs and goals. Los Angeles Breast Revision Expert, Dr. Dadvand’s goal is to optimize the results so the patients can enjoy their breasts and move on with their lives.
As a double board-certified plastic surgeon, Dr. Dadvand focuses his practice on revision breast surgery. Breast revision surgeries can be some of the most challenging surgeries a plastic surgeon performs. Because Dr. Dadvand’s practice is focused on revision breast surgery, his expertise will ensure that you reach your goals. Dr. Dadvand relies on years of experience performing revision breast surgeries. He uses specialized techniques, such as dual planning, internal mastopexy, and the use of Alloderm, to customize the treatment plans for his patients. Don’t trust your revision breast surgeon to just any plastic surgeon. Make sure you see the breast specialist, Dr. Dadvand.
There are many reasons why women may be unhappy with the outcomes of their prior breast surgery. Some are due to the implants, such as malposition, capsular contracture, or deflation, and other reasons are due to natural changes with the breasts, such as aging, weight changes, or pregnancies.
When the breast implant pocket is too large, the breast implant will not be centered over the breast. Sometimes the pockets meet in the midline; this is called Symmastia. Another form of breast implant malposition is called “bottoming out”. Here the breast implants are too low and cause the nipple to look too high. In addition, the implants can sit too laterally, as if they are falling off of the chest. For all of these cases, the solution will involve suturing the pockets from the inside to make them smaller (called a capsulorrhaphy, or revisionary breast surgery,) and placing the breast implants so they are centered over the breast tissue.
No matter what type of implant, whether it is a breast, chin, or hip implant, the body will form a capsule around it. In some cases, this capsule becomes very tight and thick, which makes the breast look and feel firm, full in the upper pole and sometimes painful. The treatment for this is to remove the capsule and place new breast implants. This is followed by a gentle massage protocol to keep the breasts soft.
Although not a common occurrence, breast implant deflation can occur. If your breast implants are saline implants then you will notice that one side is smaller than the other (almost like a flat tire). The saline poses no danger to your body. The new generation silicone implants are designed to maintain their shape even with a rupture. In the event of a rupture or deflation, the breast implant is removed and a new one is replaced.
Rippling is when the edges of the breast implant can be felt or seen. This occurs more often with saline breast implants than silicone breast implants, or when the breast implants are placed above the muscle. The treatment is to replace the saline breast implant with silicone implants. If the implants are above the muscle (subglandular), the new breast implants are placed below the muscle.