Corrective Breast Surgery
October 6th, 2010I was speaking to a former patient who’s friend is now unhappy with how her breast implants look. She wondered if that is very common. I can tell you that it is quite common. Sometimes the issue stems from a ruptured or leaking implant. Breast implants don’t last forever. Many women don’t realized that sometimes they need to be replaced.
I also see a lot of women who have become dissatisfied with the appearance of their breast implants. Sometimes it’s a breast augmentation patient with subglandular saline implants (placed behind the breast tissue, but over the muscle) . Subglandular implants seem to work well initially and the majority of patients have good long-term results. However, those who experience pregnancy or weight loss can do poorly due to stretching of the skin or capsular contraction, a condition characterized by scar tightening around the implants that cause an uneven shape or makes them hard to the touch.
I have progressively opted to do more and more of my patient’s augmentations subpectoral (behind the muscle). The retro-muscular augmentation is much more demanding in terms of exact placement of the implants. The symmetry is also more difficult . That is why it is critical to have a skilled plastic surgeon.
Common problems that can occur include:
- Implants that are put too high;
- Developing the “double bubble” effect (this occurs when the muscle still attached to the underside of the breast produces a visible crease across the bottom half of the breast);
- And the implants might migrate laterally over time into the armpit, thereby losing the projection in front and desired cleavage.
Other problems worth mentioning here are:
- Poorly selected implants in terms of shape and form
- Over-inflated implants
- Implants that slip under the breast
- Ugly scars
- Breast asymmetry – one breast larger than the other.
I call these less-than-satisfactory results “secondary breast deformities.” As mentioned earlier, weight loss or pregnancy might cause the problem. Unfortunately, however, I am also seeing far too many cases that are the result of surgery poorly done by an inexperienced surgeon or that occur when an experienced surgeon refuses to update his skills and techniques, relying on outdated methods that do not produce the best results for patients.
The fact is that even the best surgeon might occasionally have a result that is less than perfect. The difference is that a qualified, competent and caring plastic surgeon will work with the patient and develop a plan for the appropriate corrective action.
I now think about myself an expert in corrective breast surgery due to the immense volume of patients whom I have been priveleged to help with breast implant problems. It is astonishing to see the boost in self image and self confidence this brings to these patients.
If you would like to learn more about breast augmentation surgery in Oklahoma or corrective breast surgery, please visit my website at www.plasticsurgeon-oklahoma.com. (Oklahoma City Plastic Surgeon)
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