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Advanced Art of Cosmetic Surgery Thomas M. DeWire, Sr., MD, FACS Specializing in Cosmetic Plastic Surgery |
Body Contouring |
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| Breast Augmentation Revision and Correction Surgery |
| Revision of Previous Breast Augmentation Surgery: | ||
| In some instances, changes occur after breast implant augmentation that lead to an unfavorable result. Although choosing an experienced and qualified Board Certified Plastic Surgeon is the best way to avoid complications or problems down the road, occasional problems will occur in even the best of hands. The best test of a Plastic Surgeon's | artistic and technical skills is demanded to identify, analyze, and then correct such problems, to improve, or salvage, an unsatisfactory result. Several such problems are identified below, followed by individual pages analyzing the problem and its surgical remedy. | |
| Commonest Post-op Implant Problems: | |||
| Implant Displacement or Bottoming Out | Deformity of the augmented breast with loss of breast mound proportion by Bottoming Out of the implant below the original fold, and upward positioning of the nipples off the mound apex | See: | Case
1: Bottoming out with Capsule Contracture
Case 2: Correction of Bottoming Out after Multiple Failed Tries |
| Symmastia | Unnatural touching of implants across the breastbone with elevation of the pre-sternal skin (Kissing Implants) | See: Symmastia Correction | |
| Capsule Contracture | Unnatural firmness of the breast implant augmentation result due to formation of a tense scar around the implant. There is also usually an unnatural appearance of the breasts in the instance of Capsule Contracture formation. | See:
See: |
Post-op
Implant Massage
Capsular Contracture and Implant firmness
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| Implant Deflation | Loss of integrity of the implant shell, causing implant deflation. | See: | Correction of Implant Deflation |
| Visible Implant Wrinkling | Visible implant wrinkling is a problem more often seen in women with thin skin and thin soft tissue implant coverage, and especially with textured implants, or implants placed over the muscle. The problem occurs in two types: Shell Wrinkling seen at the outer and lower edges of the breasts, may be seen in any implant, but more often with implants over the muscle; and Traction Wrinkling, seen when the textured implant shell actually grabs the scar tissue surrounding the implant, and pulls the overlying skin and tissues inward. This can even pull the soft tissues away from the midline, causing less apparent cleavage, especially with heavily textured shaped implants. | See: | Correction
of Implant Rippling
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| Breast sag or Ptosis after augmentation | Increased appearance or accentuation of sag is sometimes an unexpected outcome of augmentation if pre-op shape and breast base dimensions are not taken into consideration when choosing the procedure, implant size or positioning | See: | Augmentation
Mastopexy
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| Maps to Office | Thomas M. DeWire, Sr., MD, FACS | E-Mail Dr DeWire |
| Advanced Art of Cosmetic Surgery | ||
| 3974 Springfield Road | ||
| Glen Allen (Richmond), VA 23060 | ||
| 804-290-0200 |
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