Breast Implant Revision
When breast implants have been placed, either to enlarge the breasts or to reconstruct them after a mastectomy, it is sometimes necessary to perform an additional operation to address problems that have occurred. Sometimes the scar around the breast implant can tighten, changing the shape of the breast and causing discomfort. It is also possible that the breast implants can leak, requiring that they be replaced. Whenever possible going through the scar from the previous surgery, the old implant is removed and replaced with a new one. Modifications are made to the technique to try to decrease the likelihood that the problem will recur later.
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| This 42 year old underwent a breast augmentation 17 years ago with 200cc gel implants. Her left implant had ruptured. The shape of her breasts was uneven. Her breast augmentation was revised and her implants were replace with 360g Inamed Style 410 FX Cohesive Gel Silicone-Filled implants. | |
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This 68 year old had breast implants place 20 years
previously to enlarge her breasts. Her implants had
been placed behind the breasts, but in front of the
chest wall muscle. She developed severe contracture
(tightening) of the capsules around her breasts, and
an MRI indicated that her right implant had leaked.
She underwent removal of both breast implants with the capsules surrounding them and replacement with round, high-profile textured silicone gel implants positioned behind the chest wall muscles to decrease the likelihood that the contracture would recur. |
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This 50-year-old had a breast enlargement 25 years
previously with her implants placed behind the breast
and above the chest wall muscle. She subsequently
developed tightness of both breasts, and six months
previously she developed a lump in her right breast
after having been hugged tightly.
At the time of surgery her right breast implant was found to have leaked, and both implants, as well as the loose silicone gel on the right side were removed. New pockets were created behind the chest wall muscle to decrease the likelihood of recurrence of the tightening of the capsule (scar) around the implants. She had textured, shaped, cohesive gel implants placed. The implants chosen were larger than the ones that were removed to provide some lift to her breasts without any additional scars. |
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This 50-year-old had 3 previous surgeries starting 14
years previously to enlarge her breasts and treat
complications. She was unhappy with the round
appearance of her breasts, and the lack of fullness of
the top of her breasts unless she wore a push-up bra.
She underwent a replacement of her implants with textured, shaped implants with her new implants placed behind the chest wall muscles. She also had a minor revision 8 months later to improve the position of her implants. |
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