Breast Augmentation Revision is a specialty unto itself. It includes any Breast Implant Revision for breast implant replacement, deflation or for a change in size or style. Other reasons for Breast Augmentation Revision include correction of capsular contracture and breast implant malposition like bottoming out, symmastia (uniboob), lateral displacement and double bubble. A rare Breast Implant Complication, Breast Implant Erosion, was reviewed in last week’s Body Beautiful Sneak Peek.
Breast Augmentation Revision Video
This Breast Implant Revision Video reviews some of the most common reasons for correction and shows Breast Augmentation Revision Before and After Pictures to illustrate what Breast Augmentation Revision can do.
Breast Implant Complications corrected in this video include:
Breast Implant Deflation
Symmastia (Uniboob or Breadloafing)
Breast Implant Malposition (implants in the wrong place)
Breast Implant Erosion
Adjustment of Breast Implant Size
Breast Implant Revision Video
Breast Augmentation Revision Consultation
Breast Implant Revision covers a wide variety of procedures. If you have had Breast Augmentation, and are considering breast revision surgery to improve your results, call (925) 943-6353, today, and schedule your private and personalized consultation.
Attention Plastic Surgery Television viewers. Body Beautiful will be broadcast live on KRON4 this Wednesday, September 7, 2016, At Noon – Live. So tune-in to get the latest Plastic Surgery News, and see if I get it right on the first take.
Plastic Surgery Topics Will Include…
This week’s show will be thirty minutes packed with what’s new in Cosmetic Plastic Surgery. Topics will some of the most popular procedures here in the San Francisco Bay Area including:
Breast Augmentation Revision for…
Breast Implant Deflation
Breast Implant Exposure (Skin Erosion)
Breast Implant Malposition
Breast Implants too small
Gynecomastia Reduction (Male Breast Reduction)
Otoplasty (Ear Pinning for Prominent Ears)
Asian Blepharoplasty (Asian Eyelid Surgery)
There will be plenty of discussion and Before and After Pictures for illustration. Below is a sneak peek.
Breast Augmentation Revision
The patient below had a rare, but serious Breast Augmentation Complication, requiring staged Breast Augmentation Revision Surgery. Her breast implant nearly eroded through the skin on the bottom of her left breast. Oversized Breast Implants in small breasts with poor soft-tissue coverage are at greater risk. This is more commonly seen after Breast Reconstruction when the breast has been radiated to treat breast cancer. It is unlikely to occur in a young, otherwise healthy woman, but it did.
Breast Implant Revision: Sometimes breast implant revision is urgent. The square shape sticking out of the bottom of this patient’s left breast is her breast implant, and it’s about to fall out.
Breast Augmentation Revision Stage I – The Salvage Operation
The top row of photos are the before and after photos from the first stage of her Breast Implant Revision Surgery. The upper left photo shows that the patient’s left Breast Implant is eroding through the skin of the lower breast. It’s about to fall out, and the current breast implant needs to be removed, urgently. If the Breast Implant becomes exposed, infection quickly follows. After careful discussion, it was decided to proceed with Breast Implant Removal on both sides.
Breast Augmentation Revision – Stage I was urgent removal of the left breast implant, which had nearly eroded its way through the lower pole of the breast. It was elected to remove both implants during stage I, because replacing the original saline breast implants with smaller silicone gel filled breast implants was part of the plan to decrease the risk of recurrence.
Having one implant in and one implant out was an option, but would have left her with an almost undisguisable amount of asymmetry. Moreover, the plan was to use smaller replacement implants, to decrease the risk of another breast implant erosion. Leaving both implants out forever would also treat this problem, and completely eliminate any chance of it happening again.
Breast Augmentation Revision Stage II – Asymmetric Breast Augmentation
While the nearly Exposed Breast Implant problem was solved, there were two new problems: 1) obvious breast asymmetry and 2) breasts which are too small for my patient’s preferences. The Breast Asymmetry is two fold. The left breast is smaller than the right, and the left breast is higher and tighter on the chest wall.
Breast Augmentation Revision Surgery – Stage II. The second stage entailed lowering the left implant pocket, expanding the lower, contracted pole of the left breast and asymmetrically augmenting the breasts to decrease the size difference.
Breast Implant Revision Surgery was performed to asymmetrically increase the size of the breasts, and to lower the left breast to match the right. The initial results are shown above, just one week after surgery. An alternative approach would be to raise the right side with a Breast Lift; however, this would require additional, external scars on the right breast.
Breast Augmentation Revision Surgery – Stage II and a patient patient. As time marched on, the results improved. No additional surgery was performed after stage II. While initially the skin stretched well, the muscle was tight. Over several months the muscle relaxed and the symmetry improved, as expected.
The Breast Revision Before and After Photos above show the results after new, smaller Silicone Breast Implants were placed, and the breasts were allowed to heal. The left picture is one week after surgery. In this photo, the left breast mound is firmer, higher and more projecting, as would be expected when more stuffing is placed in a smaller pillow case.
As the breasts heal, the left breast skin and muscle relax, the left breast implant descends and her results improve. The right, after photo shows the results after a few months. A larger breast implant was used on the left, to correct the asymmetry, and while initially it may seem like her Breast Implant Problems are not completely corrected, over time, it settles down. It is a good deal better than the potentially life-threatening complication she presented with originally, as shown below.
Breast Implant Revision Before and After Photos – the left picture is how the patient initially presented. The second picture is a few months after completion of both stages (breast implant removal and breast implant replacement with pocket modifications).
Breast Augmentation Revision Consultations
Breast Augmentation Revision is considerably more complicated than primary Breast Augmentation. If you have problems with your Breast Implants, seek an experienced and Board Certified Plastic Surgeon for your revision surgery. If you are in the San Francisco Bay Area and would like to schedule a personalized consultation appointment call (925) 943-6353, today.
PS – Don’t forget to watch Body Beautiful live at noon, this Wednesday, September 7, 2016, on KRON4, the Bay Area’s New Station.
Two and one half years ago, I posted about Jean-Claude Mas and his substandard PIP Breast Implants. Poly Implant Protheses, PIP for short, had their Breast Implants banned in 2010, after it was revealed that industrial grade silicone was being used, rather than the medical grade silicone that has passed safety tests for use in the human body.
PIP’s Jean-Claude Mas Goes To Jail
PIP founder, Jean Claude Mas, loses appeal in French court, and goes to jail. Photo credit: Guillaume Horcajuelo
In 2013, Jean-Claude Mas was convicted of fraud. His sentence included: four years in prison, a75,000 euros ($86,000) fine and that he be banned for life from working in medical services or running a company. This year, a French appeals court upheld the decision.
Plastic Surgeons Blew The Whistle First
Plastic Surgeons were aware there was a problem years before the government took action, because PIP Breast Implants leaked about ten times as often as FDA approved breast implants. In fact, the US FDA refused PIP’s application for Silicone Breast Implant sales in the US.
Unfortunately, the Pre-filled Saline version of PIP Breast Implants was sold here for a short time. They also leaked at much higher rates than those seen with the other FDA approved Saline Breast Implant manufacturers at the time: Allergan and Mentor.
PIP – Cheaper Is Not Better
You have likely heard the expressions, “You get what you pay for,” and that, If something is too good to be true, it is false.” Well both these expressions apply to Plastic Surgery. It is not an area that you want to get the cheapest price.
PIP’s appeal was that they were cheap. While they claimed to be equivalent to other manufacturers, they were not. They cost less, because they were made cheaply. Industrial silicone is not the same grade or cost as medical silicone, and the company substituted industrial grade silicone for medical grade silicone for years without regulators catching on.
Jean-Claude Mas posing at his manufacturing facility. Only a few knew what was really going on with PIP’s breast implant quality control.
Plastic Surgeons complained for years that something was wrong with PIP Breast Implants, but the final straw was when the company supplying the large quantities of industrial grade silicone raised their suspicions also. Even the people selling the industrial grade silicone knew there was nothing good about these Cheap Breast Implants.
PIP Knew The End Was Coming
PIP Breast Implants manufacturing was headquartered in La Seyne-sur-Mer, France. Since they were not FDA approved, they were not subject to FDA rules, like surprise inspections. Incredulously, European inspectors had to give 10-days notice prior to an inspection. During this grace period, PIP would remove drums of industrial silicone from their manufacturing facility and quickly order the medical grade silicone they should have been using all along. After the inspection, the industrial silicone was brought out again and cheap manufacturing resumed.
When it was clear that the end was near, PIP slashed its prices further. Knowing that their inventory was going to be confiscated, they sold in bulk, and they sold quickly. PIP flooded the market with cheap “European Approved” breast implants throughout Europe and South America. In the end, between 300,000 and 400,000 women in 65 countries are believed to have received PIP implants. Europe was a major market, but more than half went to South America. Fortunately, they were not sold in the United States.
Medical Tourism – Buyer Beware
Poly Implant Protheses was founded in 1991 and shut down in 2010. It is thought that the manufacture of the Bogus Breast Implants, those made with industrial grade silicone, began in 2001.
It Is Recommended That All PIP Silicone Breast Implants Be Removed
PIP Silicone Breast Implants were never sold in the US; however, if you took advantage of cheap overseas breast augmentation early this millennium, you need to check if you have PIP Silicone Breast Implants.
Breast Implant Removal Before And After Photos: One option is to have the breast implants removed and not replaced. Another is to replace your PIP breast implants with FDA approved breast implants, the later options will also preserve the size of your breast. Be certain to ask your Board Certified Plastic Surgeon about your options for treatment.
PIP Silicone Breast Implants have a higher risk of leaking than approved models, as well as being implicated in several deaths due to systemic toxicity and several cases of induced breast cancer. If you have these breast implants, the current world-wide recommendation is to have them removed, and if you desire, replaced with approved Medical Grade Silicone Breast Implants.
If you have PIP Silicone Breast Implant’s, find an Experienced Board Certified Plastic Surgeon in your area and get the information about the benefits, and risks, of having them removed. I have removed several. The Ruptured Saline Breast Implants are easy to remove. The saline is absorbed by the body, and all that remains is the solid shell. Ruptured Silicone Breast Implants, especially those filled with the less cohesive gel, are a much bigger problem.
When Breast Implants are ruptured, the gel that fills them can migrate. Most the PIP silicone Breast Implants I have removed were ruptured. The longer the Leaking Breast Implants remain in your body, the less likely it is that all the industrial silicone gel can be removed. Like most problems, the sooner it is addressed the better the outcome. Breast Augmentation Revision is a better option. If you are in the San Francisco Bay Area, call (925) 943-6353 today.
Breast Implants are used both to provide a larger bust and to augment the natural contours of the breast. The primary goal is to improve body proportions and the fit of clothing and bathing suits. Breast Implants can help when the breasts have always been small; however, the loss of breast volume after childbirth is another common reason for Breast Augmentation.
Breast Augmentation On Television
Below is a Breast Augmentation Video. It contains Before and After Pictures of Breast Augmentation with narration. Breast Implants and Breast Enhancement, including primary Breast Augmentation, Breast Augmentation Revision and the treatment of Capsular Contracture are illustrated and discussed on KRON 4, the San Francisco Bay Area’s New Station. The show is Body Beautiful, and many video segments are available here on the San Francisco Plastic Surgery Blog and Dr. Mele’s YouTube Channel. Just click on Videos under categories in the margin or the YouTube logo.
Breast Augmentation Video (Breast Implants)
Breast Augmentation Consultations
Breast Augmentation is a very personal decision. If you have always had small breasts, or your breasts have shrunk due to pregnancy, weight loss or even age, Breast Implants may be an option. To learn more, schedule a private consultation appointment with a Board Certified Plastic Surgeon in your area. If you are near the San Francisco Bay Area, give me a call at (925) 943-6353 to get all your questions answered.
Breast Augmentation remains the most popular cosmetic plastic surgery procedure year after year. Breast Implants enlarge small breasts, whether you were born with small breast, lost breast volume with weight loss or your children have sucked the life out of your breasts. Capsular Contracture can interfere with good results, but before I explain what Capsular Contracture is, I need to discuss Breast Augmentation and normal healing.
How Do Breast Implants Stay In Place?
During Breast Augmentation surgery, the Breast Implants are carefully positioned. A pocket is made, often behind the pectoralis major muscle, to the dimensions required. The size of the pocket is determined by the dimensions of the breast implant used, and the implant is determined by your anatomy and the amount of augmentation desired.
What is the Breast Implant Pocket?
Breast Augmentation depends of the formation of a proper Breast Implant Pocket for the best results.
After Breast Augmentation surgery, your body will naturally form a pocket, lined with collagen, that encapsulates the breast implant. Ideally, the capsule is tight enough to keep the implant from moving, but not so tight that the augmentation feels hard.
With Breast Implants, Size Matters
The size and shape of the Breast Implant is important to get the optimal breast shape. Your cosmetic result is determined by a combination of a good plan, good surgery, good healing and little good luck doesn’t hurt either.
A Good Plan is formulated before surgery, during your consultation appointment. It should be tailored to your anatomy and your goals. Good communication is critical. It takes teamwork to get a good result, so the best way to start your Breast Augmentation journey is with an experienced plastic surgeon whom with you communicate well.
Good Surgery is only possible after a good plan is agreed upon. Just like the consultation, there is teamwork involved with the surgery, too. As the patient, you have to prepare yourself properly before surgery, and after surgery, you need give your body time to heal and adjust to the breast implants. The surgeon is responsible for the actual Breast Augmentation procedure. While exact results can never be guaranteed, choosing an experienced, Board Certified Plastic Surgeon maximizes the predictability and safety of your procedure.
Most patients have Good Healing. The majority of healing is how your body responds to the procedure. Following your surgeon’s postoperative instructions and cooperating with their aftercare helps improve your outcome. Each surgeon will have individual variations in care, depending on the technique they use, their experience and most importantly, you. The Internet is unlikely to provide you with a better plan, so any knowledge you receive online, even from the San Francisco Plastic Surgery Blog, should be discussed with your surgeon prior to implementation. Even if you are my patient, I will construct a specific plan for you. Given the specifics of your situation, I will adapt your surgery to you, rather than the generic Internet breast aug patient.
The Breast Implant Pocket
When it comes to great results, the Breast Implant Pocket is second only to selecting the proper implant in importance. The proper breast pocket supports the breast implant and protects it. The pocket needs to be both in the proper place and of the proper size. A pocket in the wrong position means your implant is in the wrong position, but the size of the pocket matters equally.
With Breast Pockets, Size Matters Too
A pocket that is the wrong size will diminish your results. A pocket that is too large results in a implant that moves around too much. The implants in a pocket that is too large may fall under your armpits when you lay down, or bottom-out when you stand.
When the Breast Implant Pocket is too big, the breast implant does not have sufficient support. The result is breast implant malposition with Bottoming-Out when standing. A capsulorrhaphy was performed to close the lower pocket and increase the breast implant’s support.
A pocket that is too small squeezes the implant, and makes it immobile. A tight pocket makes the breast implant feel hard and may over time move the implant away from its ideal position. When this happens it is called Capsular Contracture.
So, Capsular Contracture is when the normally helpful breast implant pocket becomes too tight. It is one of the most common reasons for Breast Augmentation Revision. Unfortunately, it is also one of the most unpredictable problems associated with Breast Implants.
Capsular Contracture results in a compressed breast implant that looks, smaller, feels harder and in the worst case scenario hurts. A capsulectomy and breast implant exchange was performed to provide this patient with softer, larger, painless breasts that look and feel better.
Treatments for Capsular Contracture vary with the problems it is causing. Thin, tight capsules can often be opened by dividing them with a Capsulotomy. Thick, tight capsules may require complete removal with a Capsulectomy. Sometimes replacement of the breast implant is recommended, and sometimes ADM patches are recommended, to help prevent recurrence of the Capsular Contracture.
If you are considering Breast Augmentation, or if you have breast implants and are considering Breast Augmentation Revision Surgery in the San Francisco Bay Area, give me a call at (925) 943-6353. A brief consultation appointment is usually all that is needed to review the details of your case and to formulate a plan that makes sense for you.
Breast Augmentation remains on top of the list as one of the most popular Cosmetic Plastic Surgery procedures year after year. With hundreds of thousands of women receiving Breast Implants every year in the United States, it is no wonder that Breast Augmentation Revision has become its own area of specialization.
What is Breast Revision Surgery?
Breast Revision Surgery is any surgery on the breasts to repair or improve the appearance of a previous Breast Augmentation. The urgency ranges from completely elective to an emergency. It can be caused by aging, pregnancy, changes in weight, changes in goals or changes caused by the breast implants themselves. Some of the more common reasons for Breast Augmentation Revision Surgery are covered in the video and text below.
Breast Implant Revision Surgery Video
Below is a segment from a recent Body Beautiful appearance. This video about Breast Implant Revision Surgery first appeared on the San Francisco Bay Area’s New Station, KRON 4.
Breast Augmentation Revision Surgery Video (Breast Implant Revision)
Breast Augmentation Revision to Change Breast Implant Size
There are many reasons for Breast Implant Revision Surgery. Changing size is one of the most common, and usually the desire is to Enlarge Breast Implant volumes. After pregnancy, weight loss or aging, the breast may shrink. Increasing the size of the Breast Implants may be all that is needed to restore both breast shape and confidence. Sometimes, however, the goal is to Decrease Breast Implant volumes, and rarely, Breast Implant Removal is desired. When downsizing or removing the Breast Implant, it may be necessary to perform a Breast Lift to obtain the best possible results.
Breast Implant Revision for Capsular Contracture
Hardening of the Breast Implants occurs when the normal scar pocket that holds the implant in place becomes too small. The tight pocket squeezes the Breast Implant causing firmness, increased projection, decreased diameter and sometimes discomfort. The medical term for this is Capsular Contracture. Most of the time, the breasts can be softened with release (capsulotomy) or removal (capsulectomy) of the capsule as an outpatient procedure.
Breast Implant Revision for Deflation
A deflated Breast Implant needs to be fixed. Breast Implant Replacement is most common, though sometimes a patient will elect to remove her Breast Implants instead. For Saline Breast Implants, the diagnosis is simple. The breast will quickly return to its non-augmented size. The body quickly absorbs the saline, and it is eliminated as easily as when we drink extra water.
For Silicone Gel Filled Breast Implants, the diagnosis is harder, because the gel is not absorbed. New, highly cohesive breast implants, have an extremely low risk of gel migration, so the gel most often stays in the capsule and maintains the breast fullness. Often, an MRI is needed to diagnose a leaking silicone gel implant, but even this is only 90% accurate. If an MRI shows that your silicone breast implant is leaking, it should be removed and, if desired, replaced.
Breast Augmentation Revision for Malposition
Breast Implant Malposition means the implant is in the wrong position. It can be too high, too low, too medial (to the center) and too lateral (to the side). Often, the capsule requires modification in these cases to encourage the Breast Implant to stay in the proper place. Implants that are too large, or soft tissue (skin, breast of muscle) that is too thin, can make management more difficult. Breast Implant Malposition is one of the items discussed on the Breast Revision page of DrMele.com.
Breast Augmentation Revision Surgery Consultations
There are many reasons for Breast Implant Revisions. If you are considering surgery to improve the results of your Breast Augmentation, be certain to seek a Board Certified Plastic Surgeon with years of experience, like Dr. Joseph Mele.
To schedule a personalized Breast Revision Consultation call (925) 943-6353 today.
Body Beautiful is a half-hour television show dedicated to the latest in Cosmetic Plastic Surgery. Frequently asked questions about Thigh Lifts, Male Breast Reduction, Breast Augmentation Revision Surgery and Tummy Tucks are answered and illustrated with numerous before and after pictures.
Past Body Beautiful Episodes Available Here
Previously aired KRON 4 Body Beautiful episodes are available here on the San Francisco Plastic Surgery Blog. As of this post, 120 Plastic Surgery Videos are available. Click on Videos under Categories in the left column. Most of the latest and more popular Cosmetic Plastic Surgery procedures are reviewed. Most shows were broadcast live, and many answer questions called in by viewers. In the coming weeks, tomorrow’s show will also be added. Videos may also be viewed on Dr. Mele’s YouTube Channel.
More Information Available On Line and In Person
More Plastic Surgery Information is available here and on the other websites listed under Useful Links in the margin. While every attempt is made to provide accurate information, there is no substitute for a private, in-person consultation. Call (925) 943-6353 to schedule your personalized consultation appointment.
This month, I had the unique opportunity to tape the latest installment of Body Beautiful in the newest TV studio in San Francisco. KRON 4’s new studios are bright, shiny and in high definition. The show is still live, and has a new set, new cameras, a new control room and everything worked perfectly. A big thank you to KRON for trusting me with live launch, and to the cast and behind the scenes crew who made it work seamlessly.
Breast Augmentation Revision Surgery
Over the next few weeks, I will be posting segments from the show. This week, we start with Breast Augmentation Revision Surgery. The FDA requires plastic surgeons to notify their patients that Breast Implants, like most implanted medical devices, are not “lifetime devices.” This means your Breast Augmentation may wear out before you do. On the other hand, there is no expiration date on a Breast Implant. Despite what you may read on the Internet, Breast Implants do not need to be replaced every ten years, though about a fourth of women with Breast Implants will have Breast Implant Revision Surgery in the ten years after their Breast Augmentation.
Breast Implant Revision Surgery Video
The above Breast Augmentation Revision Video reviews the most common reasons for Breast Implant Revision. The preview above shows Pictures of Before and After Symmastia (Uni-Boob) Repair. Watch the video to see treatment of many of the most common revision surgeries with Before and After Pictures of Breast Implant Revision Surgery.
Reasons for Breast Implant Revision Surgery
There are many reasons for Breast Augmentation Revision Surgery. The most common reason is to replace perfectly good breast implants with larger perfectly good breast implants. Many of the most common reasons for Breast Revision Surgery are discussed in the Breast Augmentation Video featured above. To learn more about the common reasons for breast revision surgery, just click on any of the following links:
If you have problems with your Breast Implants, and are considering upsizing, upgrading or revision surgery, give my San Francisco Bay Area Plastic Surgery office a call. While I try to supply you with the most up-to-date and accurate Breast Implant Information possible on the San Francisco Plastic Surgery Blog, there is no substitute for an in-person consultation. Call (925) 943-6353 today, to arrange your personal, private consultation appointment.
This Wednesday’s Body Beautiful on the San Francisco Bay Area’s News Station, KRON 4, will cover both Facial Plastic Surgery procedures and Body Sculpting.
Facial Plastic Surgery
One of the most frequently augmented parts of the body are the lips. Lip Augmentation with dermal fillers like Restylane, Juvederm and Perlane, offer instant gratification, minimal recovery and virtually no down-time. There is a day or two of swelling, and the volume needs to be maintained periodically, but these hyaluronic acid based fillers are softer, and last longer than the previous lip plumper: Collagen.
Surgical Lip Enhancement Before and After Pictures
Vermilion Advancement is a Surgical Lip Enhancement that permanently advances the red vermilion of the lip out of the mouth and onto the lips.
Surgical Lip Enhancement
Surgical Lip Enhancement is also an option. Dermal grafts and local tissue rearrangement can add volume and change the lip shape with longer lasting results. Unlike fillers, these procedures do require some down-time for recovery. The surgical options for Lip Enlargement with be discussed on KRON 4’s Body Beautiful this week.
Otoplasty (Ear Pinning) Before and After Pictures
Otoplasty, sometimes called Ear Pinning, is a facial plastic surgery procedure that corrects prominent ears.
Prominent Ear Correction (Otoplasty)
Otoplasty is the cure for prominent ears. It is one of the few Cosmetic Plastic Surgery procedures which is performed on both children and adults. Ears are usually prominent at birth. There is evidence that immediate molding, within a few days of birth, can bring the ears in closer to the head, but after a few weeks, the ear cartilage is unbending in its prominence.
The ear reaches 85% of its adult size by age five, making this is a common time for Otoplasty. It is important that both the parents and the child feel the ears are too prominent. A second peak in the age of correction is in young adults. Usually, their prominent ears have been bothering them for quite some time, and as young adults, they now have the means to fix it.
Breast Implant Revision Surgery Before and After Pictures
A common reason for Breast Implant Revision is to correct Capsular Contracture. Before, the breast implant is firm, squeezed and pushed up out of the breast by a tight capsule, leaving the breast tissue hanging. The after picture shows the improved breast shape and support.
Breast Augmentation Revision Surgery
Breast Augmentation remains the most popular of all the cosmetic plastic surgery procedures. While Breast Implants can add volume to small or deflated breasts, the results can change with age.
Breast Implant Revision has almost become a specialty unto itself. The reasons for revision and the methods are reviewed on my SanFranciscoBreast.com web site. Some of the most common breast revision surgeries, and the results, will be discussed this week on Body Beautiful.
Gynecomastia (Male Breast Reduction) Before and After Pictures
Gynecomastia is Male Breast Enlargement, and not in a good way. The problem can occur at any age, but is most common during puberty, and in one-third of cases, lasts a lifetime. Gynecomastia Reduction can help masculinize the chest again.
Male Breast Reduction (Gynecomastia Reduction Surgery)
Gynecomastia Reduction Surgery is one of the most common male cosmetic plastic surgery procedures. Removing disproportionate breast tissue can help smooth out the chest both in and out of clothing. I practice Plastic Surgery in the San Francisco East Bay Area city of Walnut Creek. It’s been warm here all winter, and gets hot in the summer. I know I have done a good job when my patients ditch the bulky hot sweatshirts they wear during their initial consultation, for a t-shirt after their Gynecomastia Reduction. Wearing a sweatshirt in Walnut Creek during the summer is no fun.
Body Beautiful Wednesday at 11 AM
This Wednesday, March 11, at 11 AM, host Janelle Marie and I will be discussing Lip Augmentation, Otoplasty, Breast Implant Revision Surgery and Male Breast (Gynecomastia) Reduction in the new KRON 4 studios. If you have questions about these, or any plastic surgery procedures, that you would like answered on the air, use the contact form in the margin to drop me a note.
If you would like to schedule a consultation, call (925) 943-6353 to arrange a personal, in-person review of your options.
Breast Augmentation remains the most popular Cosmetic Plastic Surgery procedure. With over fifty years of use, Breast Implants remain the safest and most reliable way to increase the size of a woman’s breasts.
Breast Implants have been an option for women with small breasts for over fifty years, but many myths about Breast Augmentation persist.
Ten Breast Augmentation Myths
A large amount of Breast Augmentation Information is available here on the San Francisco Plastic Surgery Blog and many other places on the Internet. Despite this, many misconceptions about Breast Enhancement still exist. Below are a few of the most common:
Breast Implants must be replaced every ten years. Breast Implants do not have an expiration date. As long as they are intact, look good and feel good, there is no reason to change them. The most common reasons for Changing Breast Implants is to change size or change from saline to silicone gel.
Breast Implants Cause Cancer or Connective Tissue Disorders. Breast Cancer is the most common cancer in women, and for Hispanic women, breast cancer is the leading cause of deaths from cancer. For all other ethnicities, lung cancer is the cancer most likely to kill you. Large studies show that your risk of cancer is the same with or without breast implants. Similarly, connective tissue disorders like Rheumatoid Arthritis, Scleroderma and Lupus are more common in younger women, but are found at the same rates in age matched populations of women with and without Breast Implants.
Saline Breast Implants are safer than Silicone Breast Implants. The FDA has approved both Silicone filled Breast Implants and Saline filled Breast Implants as safe and effective. Both have advantages and disadvantages, and these should be discussed with a Board Certified Plastic Surgeon before you make your Breast Implant Selection. Most patients who have had both types prefer the look and feel of Silicone Breast Implants over Saline Breast Implants.
Breast Augmentation with Fat Grafting is better than Breast Implants. The argument is that fat is “natural”; however, Fat Grafting of the Breasts was around before Breast Implants. Since the invention of breast implants, nothing has been shown to be safer or more effective. Fat grafting offers advantages for filling partial defects, like those seen after a large breast biopsy; however, fat is not a reliable substrate. The volume of fat transferred to the breast may not be the volume that survives. Fat grafting is unpredictable. It may take 100%, or may take 50%, and the amount of take may vary with location in the same breast. The fat will continue to change volume with your weight, and fat that does not take may disappear silently or form hard lumps that can calcify and make mammography more difficult to read. On the other hand, a precise Breast Implant volume can be selected.
You cannot breast feed after Breast Augmentation. Current recommendations are to try to Breast Feed whether you have Breast Implants or not. The breast milk is not changed by your breast implants. Incisions placed beneath the breasts (the IMF) are less likely to interfere with the lactiferous ducts ending in the nipple. Larger breast implants may be more likely to trick the breasts into thinking they are full, so lower volumes of breast milk may be produced.
Nipple sensation is lost after Breast Augmentation The vast majority of Breast Augmentation patients have no change in breast or nipple sensation after Breast Implants. Approximately 15% of women will have a change in sensation. The most common change is increased sensation, which often resolves in a few months. Decreased sensation can also occur, but is rarely permanent.
Breast Implants will Lift My Breasts. Breast sagging, or ptosis, is caused by a combination of factors. Loose skin and a low nipple position are the most common. The best treatment for breast ptosis is a Breast Lift. Sometimes, a Breast Implant will help provide additional upper pole fullness. Rarely, Breast Augmentation alone will correct a deflated breast. It requires a specific type of sagging called pseudo-ptosis (fake sagging).
Textured breast implants will prevent Capsular ContractureCapsular Contracture occurs when the pocket of scar that hold the breast implants in place becomes too tight. Texturing allows the scar to adhere to the surface of the breast implant and may reduce the risk of Capsular Contracture for some patients, but it can still occur. For patients who have had problems with Capsular Contracture in the past, switching to a textured Breast Implant may reduce the risk of recurrence. On the other hand, textured implants have a higher risk of rippling, wrinkles in the breast implants transmitted to the surface of the breast.
Darker Skin means darker, thicker scars. While the incidence of Keloids is higher in darker skinned individuals, it is still not common. A good test is to check your ear piercings. If you have a large lump of scar around the piercing, you may be at higher risk of a thicker scar, but this is true regardless of your skin type. It is how your body heals, not the color of your skin, which determines the appearance of your Breast Augmentation Scars.
Breast Implants provide Improved Self Esteem. This is something I have seen in print repeatedly. Self esteem is difficult to measure. It is clear that women often feel more confident and comfortable both in and out of clothing after their Breast Augmentation; however, it takes a fair bit of self esteem to find a Plastic Surgeon and show them a part of your body you want improved.
Breast Augmentation Facts
The Internet can provide a lot of information about Breast Implants and Breast Augmentation, but it is hard to sort through all the “facts” without years of training. After doing your online research, the best way to reach your Breast Enhancement goals is to consult a Board Certified Plastic Surgeon. There is no substitute for an in-person evaluation and consultation. Your goals and options will be explained in detail, and a safe and predictable plan constructed.
To schedule a private Breast Augmentation Consultation, call (925) 943-6353, or send me a message via the contact form in the left margin. Breast Augmentation is no myth. It is the most popular Cosmetic Plastic Surgery performed in the San Francisco Bay Area, and the United States.