Breast Implant Revision SF Bay Area

Posted September 25, 2017 in Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Implant Revision Surgery, Home, Videos

Breast Augmentation with Breast Implants remains the most popular cosmetic plastic surgery. Three to four-hundred-thousand women have Breast Augmentation each year in the US alone. It is the safest and most effective means of enlarging the breasts available, but even FDA approved devices, like Breast Implants, need touch-ups from time-to-time.

Do I Need Breast Implant Revision Surgery?

The following Breast Implant Revision Surgery Video originally aired on the San Francisco Bay Area‘s news Station, KRON 4. It reviews Breast Augmentation Revision Options and describes some of the most common breast augmentation revisions. Multiple before and after pictures are included as examples.

Breast Augmentation Revision Surgery Video

Breast Implant Deflation

The introductory photo for the video above shows deflation of this patient’s left breast implant. For Saline Breast Implants, loss of the breast implant’s shell integrity results in complete deflation and loss of breast augmentation. Replacement of a deflated breast implant can be done with minimal downtime. It is also a good time to consider if your breast implants are the right size, profile or style (saline vs silicone), as there is no better time to replace both implants. In situations like the above, it is extremely helpful if you know what type and size of breast implants you have.

Breast Implant Revision – Bigger

The most common reason for Breast Augmentation Revisions is to go bigger. This is especially common after pregnancy with preexisting breast implants as shown above.

The most common reason for Breast Augmentation Revisions is to go bigger. This is especially common after pregnancy with preexisting breast implants as shown above.

The above Breast Implant Revision Before and After Pictures show two common reasons for revision. The first, and the most common, is to go larger. The second, and often seen after pregnancy with preexisting breast implants, is to correct breast tissue sagging off the breast implants.

This patient has already had a Breast Augmentation Mastopexy, also known as a breast lift, using breast implants for additional volume. The larger the preexisting breast tissue volume, the more likely the breast is to sag. This is true with or without breast implants. She desired larger breasts and a perkier appearance. A larger Breast Implant provides both additional volume and support for her breasts.

Breast Implant Revision – Smaller

The above Breast Augmentation Revision pictures demonstrate the correction of bottoming out.

The above Breast Augmentation Revision pictures demonstrate the correction of bottoming out.

Sometimes, the breast implants are too large to be supported. The before picture, in the above Breast Augmentation Revision Before and After Pictures, demonstrates what happens when breast implants are too large, even with a breast lift. Over time, the Breast Implants have over-stretched the skin of the lower breast and moved down the chest. The previous breast lift (mastopexy) scar is red and irritated, and the nipple is riding high. This patient presented with a desire for correction of the shape of her breasts, and also wanted to be smaller.

The after photo shows the results after the mastopexy was revised and the breast implants were replaced with smaller, lower profile, Breast Implants. The mastopexy scar looks less irritated. The distance between the nipples and the bottom of the breast is reduced to normal. The new breast implants are smaller, but maintain the width of the breast to preserve cleavage.

Breast Implant Revision Surgery Consultations

With the popularity of Breast Implants it is not surprising that Breast Augmentation Revision Surgery has become its own specialty. If you have breast implants which are:

  • too small
  • too large
  • too high
  • too low
  • too close together
  • too far apart
  • too hard
  • deflated or leaking
  • not supporting your breast tissue

then give my San Francisco Bay Area Plastic Surgery Clinic a call at (925) 943-6353. With 20 years of experience, I will give you up-to-date options that are personalized to your unique situation. Previous operative reports and your before and after pictures help, so bring them with you, too.

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New Body Beautiful From Head to Tummy

Posted September 09, 2017 in Breast Augmentation, Breast Implant Revision Surgery, Breast Reduction, Breast Reduction (Men), Capsular Contracture, Ear Shaping (Otoplasty), Home, Tummy Tuck (Abdominoplasty)

Dr. Mele discusses Cosmetic Plastic Surgery on Body Beautiful - September 12, 2017, at Noon.

Dr. Mele discusses Cosmetic Plastic Surgery on Body Beautiful – September 12, 2017, at Noon.

Hey San Francisco Bay Area. Body Beautiful will be broadcast this Tuesday, September 12, at noon. You may not have noticed, but KRON 4 was acquired by Nexstar. The good news is that they have decided to continue Body Beautiful, so I’ve got new Plastic Surgery News to share with you.

Body Beautiful on KRON 4

KRON 4's Body Beautiful with Vicki Liviakis and yours truly on the San Francisco Bay Area's News Station.

KRON 4’s Body Beautiful with Vicki Liviakis and yours truly on the San Francisco Bay Area’s News Station.

I have been doing Body Beautiful live for the last 10 years. The original show was with host Vicki Liviakis, and we would take viewer calls live, on the air. It certainly added excitement. Since we were on the air live, even the “unusual” questions had to be answered.

The latest version of Body Beautiful with host Janelle Marie.

The latest version of Body Beautiful with host Janelle Marie.

Now Janelle Marie is the host, but the format remains the same. This week’s show was taped last week. Maybe KRON’s new management was a little nervous about an amateur, me, on the air live. But don’t worry, you can still submit questions for the show via email or the contact form here in the margin.

This Week’s Body Beautiful Discussion

This week’s show is dedicated to four Cosmetic Plastic Surgery Procedures:

The links above will take to more detailed information about these procedures.

Body Beautiful Airs Tuesday At Noon

Body Beautiful will be broadcast this Tuesday, September 12, at noon. Be sure to tune in or set your DVR. I you miss it, don’t worry. I will be posting the segments from the show here, and the San Francisco Plastic Surgery Blog and on my YouTube channel.

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Breast Implant Warranties – SF Bay Area

Posted July 30, 2017 in Breast Augmentation, Breast Implant Revision Surgery, Home

If you have Breast Implants, here's some peace of mind to help you chill this summer.

If you have Breast Implants, here’s some peace of mind to help you chill this summer.

Did you know your Breast Implants come with a manufacturer’s warranty? It’s true. All FDA approved Breast Implants in the US come with a Breast Implant Warranty automatically. The details of coverage have changed throughout the years, but here are the latest details for the summer of 2017.

The Big Three Breast Implant Manufacturers

In the US, there are currently three FDA approved Breast Implant manufacturers:

  • Natrelle® (Allergan)
  • Mentor (Johnson & Johnson)
  • Sientra

Below are the latest details. These have been fairly consistent over the last two decades; however, contact your breast implant’s manufacturer directly for the latest information.

Allergan Natrelle® ConfidencePlus® Warranty

Natrelle breast implants are manufactured by Allergen.

Natrelle breast implants are manufactured by Allergan.

The following applies to Breast Augmentation using Natrelle® breast implants performed on or after November 1, 2014.

Enrollment:

  • For Natrelle® Silicone Gel Breast Implants:
    • Automatic and Free
  • For Natrelle® Saline Breast Implants:
    • Standard Warranty: Automatic and Free
    • ConfidencePlus® Premier: Enroll within 45 days and pay $200

Coverage:

  • Natrelle® Silicone Gel Breast Implant coverage:
    • Lifetime FREE breast implant replacement for rupture
    • 10-year FREE breast implant replacement for grade III or IV capsular contracture
    • 10-year up to $3500 surgery cost assistance for rupture
  • Natrelle® Saline Breast Implant coverage:
    • Standard Natrelle® Saline Breast Implant coverage:
      • Lifetime FREE breast implant replacement for rupture (deflation)
    • Premier Natrelle® Saline Breast Implant coverage:
      • Lifetime FREE breast implant replacement for rupture
      • 10-year up to $2400 surgery cost assistance for rupture

Mentor® MentorPromise Warranty

Mentor breast implants are manufactured by Johnson & Johnson.

Mentor breast implants are manufactured by Johnson & Johnson.

The following applies to Breast Augmentation using Mentor® breast implants performed on or after May 1, 2017.

Enrollment:

  • For Mentor® Silicone Gel Breast Implants:
    • Basic warranty: Automatic and Free
    • Enhanced warranty: Enroll within 45 days and pay $300
  • For Mentor ® Saline Breast Implants:
    • Basic Warranty: Automatic and Free
    • Enhanced warranty: Enroll within 45 days and pay $200

Coverage:

  • Mentor ® Silicone Gel Breast Implant coverage:
    • Basic Mentor® Silicone Gel Breast Implant coverage:
      • Lifetime FREE breast implant replacement for rupture
      • 10-year up to $3500 surgery cost assistance for rupture
    • Enhanced Mentor® Silicone Gel Breast Implant coverage:
      • Lifetime FREE breast implant replacement for rupture
      • 10-year up to $3500 surgery cost assistance for rupture, grade III or IV capsular contracture, double bubble or late seroma
  • Mentor ® Saline Breast Implant coverage:
    • Basic Mentor® Saline Breast Implant coverage:
      • Lifetime FREE breast implant replacement for rupture (deflation)
    • Enhanced Mentor® Saline Breast Implant coverage:
      • Lifetime FREE breast implant replacement for rupture
      • 10-year up to $2400 surgery cost assistance for rupture

Sientra® Warranty

Sientra manufactures only silicone breast implants for use in the US.

Sientra manufactures only silicone breast implants for use in the US.

Sientra® offers the following Breast Implant Warranty on all their breast implants.

Enrollment:

  • For Sientra ® Silicone Gel Breast Implants:
    • Sientra warranty: Automatic and Free

Coverage:

  • For Sientra ® Silicone Gel Breast Implants:
    • Lifetime FREE breast implant replacement for rupture
    • 10-year up to $3600 surgery cost assistance for rupture
    • 5-year FREE breast implant replacement for grade III or IV capsular contracture

Breast Implant Warranty Updates

Breast Implant Manufacturers are constantly updating their warranties. Be certain to check with your Board Certified Plastic Surgeon and your Breast Implant’s manufacturer for the latest details.

If you are considering Breast Augmentation or Breast Implant Revision Surgery, give my San Francisco Bay Area Plastic Surgery Clinic a call today at (925) 943-6353.

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San Francisco Breast 2.0 Enhancement (Augmentation, Lift and Reduction)

Posted July 09, 2017 in Areolar Reduction, Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Implant Options, Breast Implant Revision Surgery, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Men), Breast Reduction (Women), Capsular Contracture, Home, Inverted Nipples, Nipple Reduction, Tubular Breasts

New Breast Enhancement Content

SanFranciscoBreast.com has been completely updated. This update includes new content, and it is artfully illustrated with new breast enhancement videos and more before and after pictures. In addition, the fresh content is wrapped in a new skin, improving navigation for the small screen and the desktop alike.

New Breast Augmentation Information

The site includes new pages featuring the most requested Breast Enhancement Procedures. For example, the Breast Augmentation Information has been exploded into a dozen detailed pages including:

  • Breast Augmentation
  • Breast Implant Options
  • Breast Augmentation Incisions
  • Breast Implant Placement
  • Today’s Breast Implants
  • History of Breast Implants
  • Breast Implant Warranties
  • Breast Implant Care
  • Breast Augmentation Lift
  • Breast Augmentation Revision
  • An Expanded Breast Augmentation Photo Gallery
  • And Hours of Breast Augmentation Videos

Breast Implant Revision Surgery

The Breast Augmentation Revision Section includes pages devoted to specific problems like:

  • Capsular Contracture
  • Breast Implant Deflation
  • Breast Implant Infection
  • Breast Implant Malposition
  • Breast Implant Removal
  • Breast Implant Rippling
  • Breast Implant Scar Revision
  • Breast Implant Replacement
  • Breast Lifts (Mastopexy)

    The Breast Lift section includes details about five main options for Mastopexy. There are also pages dedicated to the combination of Breast Lift using Breast Implants and Areola Reduction.

    Breast Reduction for Women and Men

    Options for Breast Reduction for Women are also reviewed, as several techniques have evolved during the 20+ years I have been in practice. Breast Reduction for Men, also known as Gynecomastia Reduction, is covered with attention paid to the causes and the most current treatments available.

    Specialty Breast Procedures

    A section on the often overlooked details of Breast Enhancement is also included. San Francisco Breast’s Specialty Breast Pages include:

    • Inverted Nipple Correction
    • Areola Reduction
    • Nipple Reduction
    • Tubular Breasts
    • Poland Syndrome
    • Other Congenital Breast Abnormalities
    • Areola Reconstruction
    • Nipple Reconstruction

    A Plastic Surgery Web Site Dedicated to Breast Enhancement

    I have tried to create an all inclusive Breast Enhancement site designed to provide detailed information about the many Plastic Surgery options available for Breast Enhancement, whether that be Breast Enlargement, Breast Reduction or Breast Reshaping.

    While the San Francisco Breast web site in meant to provide information, it is just a starting point. The Internet cannot take the place of a thoughtful, in-person consultation with a qualified Board Certified Plastic Surgeon. If you would like to schedule a private, personalized consultation appointment call (925) 943-6353 today. My San Francisco Bay Area Plastic Surgery clinic specializes in helping you obtain the best possible results.

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Breast Implant Revision Video – SF Bay Area

Posted September 11, 2016 in Breast Implant Revision Surgery, Home, Videos

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)
  • Capsular Contracture
  • 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.

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Body Beautiful On KRON4 Wednesday At Noon – Live

Posted September 04, 2016 in Asian Eyelid Lift (Asian Blepharoplasty), Breast Augmentation, Breast Implant Revision Surgery, Breast Reduction, Breast Reduction (Men), Capsular Contracture, Ear Shaping (Otoplasty), Eyelid Lift (Blepharoplasty), Home

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)
    • Capsular Contracture
    • Symmastia
    • Breast Implant Malposition
    • Breast Asymmetry
    • 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 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.

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 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.

As time marched on, the results improved. No additional surgery was performed after stage two. While initially the skin stretched well, the muscle was tight. Over several months the muscle relaxed and the symmetry improved, as expected.

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 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.

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Bogus Breast Implants – PIP President Goes To Jail

Posted August 28, 2016 in Breast Augmentation, Breast Implant Revision Surgery, Home

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

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.

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.

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.

Breast Implant Revision Surgery Consultations

The UK’s National Health Service (NHS) recommendations include seeking immediate care if you have any of the following signs:

  • Lumpiness or swelling in and around the breast
  • A change in the shape of the breast
  • Redness
  • Pain and tenderness
  • A burning sensation
  • Enlarged lymph nodes in the armpit

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.

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Breast Augmentation SF Bay Area with Breast Implants

Posted April 09, 2016 in Breast Augmentation, Breast Implant Revision Surgery, Capsular Contracture, Home, Videos

Breast Augmentation remains one of the most popular cosmetic plastic surgeries year after year. The 2015 Plastic Surgery Statistics show Breast Augmentation was a close second to Liposuction, with 305,856 breast enlargements performed.

Breast Implants

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.

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What is Breast Implant Capsular Contracture?

Posted February 20, 2016 in Breast Asymmetry, Breast Augmentation, Breast Implant Revision Surgery, Capsular Contracture, Home

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.

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.

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.

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.

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.

Breast Augmentation

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.

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Breast Augmentation Revision Surgery SF Bay Area

Posted January 02, 2016 in Breast Augmentation, Breast Implant Revision Surgery, Capsular Contracture, Home, Mommy Makeover, Videos

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.

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