Case Study: BREAST CORRECTION OF SURGERY DONE ELSEWHERE

Correction of Surgery Done Elsewhere – Case 1

This patient presented to me with a common problem: an incomplete (or failed attempt) at correction of tuberous or constricted breast hypoplasia.

Her implants were originally placed (by someone else) over the muscle and she still showed the double bubble of constricted breast fold, and hallmark pointy, triangular, cone shaped breasts.

I removed the implants, created a new pocket under the muscle, and added allograft support.I also did a circumareola lift and release of constriction and lastly placed new implants.

Now a beautifully attractive full D cup outcome.

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Correction of Surgery Done Elsewhere – Case 2

Redo breast surgery requires caution and ingenuity Without prior knowledge of how a previous breast surgery has been done, “outside the box” creativity is often needed to transform large, saggy breast with a new lifted, more youthful appearance.

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Correction of Surgery Done Elsewhere – Case 3

Among the most difficult challenges to deal with is when a patient presents with nipple areola malposition, asymmetry of nipple areola, and implant asymmetry. I’ve corrected all of these using techniques of total capsulectomy, placement of strattice ADM, reconfiguration internally of new space with differential internal release (allowing nipple and areola to migrate back over the new implant) capsule/space-plasty and new implants, all achieving the patients goal of full round, DD breasts.

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Correction of Surgery Done Elsewhere – Case 4

This patient presented with concerns about loose skin and large saggy implants. She preferred no implants. I removed her implants and all scar tissue (capsulectomy) and then did a breast lift. A very nice outcome and a small B cup breast.

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Correction of Surgery Done Elsewhere – Case 5

This patient presented to me unhappy with previous attempts elsewhere at post mastectomy breast reconstruction. I created an entirely new implant space, utilizing tissue recruitment techniques, allografts, and new implants better proportioned to her body. Later, I did nipple areola reconstruction, the results are amazing.

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Correction Of Surgery Done Elsewhere – Case 6

Sometimes subtle changes can really add up to make a significantly nice change. Here, I replaced saline with silicone implants. I increased projection, made her breast slightly larger, and reconfigured internal space to make nipples sit higher and better projecting from the breast.

Overall, a very nice outcome.

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Correction Of Surgery Done Elsewhere – Case 7

This case shows a common problem:

The problem is large saline implants over the muscle with sag and bottoming out. a combination of breast lift, new sub-muscular pocket, tissue graft support by strattice, and silicone implants have revitalized her breast and her body from matronly to youthful!

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Correction Of Surgery Done Elsewhere – Case 8

This case shows another common problem:

Poor shape from implants which fail to fill the lower pole aesthetically. I reconfigured the entire implant space and transformed her breast to a beautiful artistic feminine form!

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Correction Of Surgery Done Elsewhere – Case 9

This patient just wanted to have her large, saggy implants (which were placed elsewhere) removed.

I combined total remove (total capsulectomy, and explantation) with a breast lift to give her a nice, shapely, smaller breast.

A good solution for her concerns!

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Correction Of Surgery Done Elsewhere – Case 10

Revision reconstruction of previous bilateral mastectomy reconstruction with tissue expander (implants) using total capsulectomy/ insertion of a full sheet of alloderm and implant (smooth round) replacement. Quite a significant improvement.

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