Advanced Art of Cosmetic Surgery:  Thomas M. DeWire, MD, FACS, Surgery Center and Spa,  3974 Springfield Road, Glen Allen, VA, 23260, Richmond, Virginia, USA

 

Advanced Art of Cosmetic Surgery

Thomas M. DeWire, Sr., MD, FACS

Specializing in Cosmetic Plastic Surgery

Body Contouring

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  

 

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

 

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 

 

Related  Breast Augmentation Links: To Other photo Illustrated Procedures:

Important  Information  About  Implant  Breast  Enlargement

Important Information about Silicone Breast Implant Use

Trans-Axillary Breast Augmentation
Trans-Axillary Breast Incisions Scars
Breast Augmentation Shape Evolution
Breast Augmentation Shape Determination
Cleavage Determinants
Post-Op Implant Massage Technique
Implants Over versus Under the Muscle
Special Considerations in Augmentation
Breast Surgery in African American Women
Breast Augmentation FAQs
Breast Augmentation with Mastopexy    Breast Lift
Revision Surgery for Augmentation Problems
Nipple Reduction/Shaping
Mastopexy or Breast Lift
Information for Out-of-Town Guests

Body Contouring

Facial Cosmetic Surgery

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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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©Copyright 1997-2007  Advanced Art of Cosmetic Surgery:  Thomas M. DeWire, Sr, MD, FACS    Revised:  October 29, 2007 04:06 PM