Scottsdale, AZ 85258
In this patient we had done a tummy tuck and breast augmentation 15 years prior, but a recent MRI showed a rupture of the right breast implant. These had been placed through an inframammary incision, so we exchanged them for similar size (405cc) and while she was there, 800cc of liposuction to her hips!
This is a great illustration of what can be done through the transaxillary re-approach. This patient presented with bilateral silicone gel implants from 2007, which had ruptured. We were able to go in through the under arm and using the endoscope, remove the ruptured implant, clean out any silicone remnant and replace her 450cc implants with 485cc’s. She is seen here three months post-operative.
A few challenges with this patient. She had original silicone implants placed 17 years prior and a recent MRI showed bilateral rupture. She also presented with bilateral capsular contracture and misshapen appearance to her breasts, right greater than left. It was all the more evident because of her lean stature, another challenge in breast implant surgery! We took her to the operating room and performed bilateral total capsulectomies, removal of ruptured implants and bilateral exchange, going slightly larger, to 405cc bilaterally and now with a nice, round smooth shape.
This is a great example in this 53-year-old of obtaining a more balanced breast. This patient had 375cc saline implants placed in 1999. She states they never really dropped down and she’s always been higher on the right side and her implant more displaced towards her under arm. She was now interested in obtaining a better shape, going to silicone implants and going larger but at the same time doing all we could to avoid a lift, accepting that her nipples may still be a hint low. At surgery I sutured the under arm area of her capsule to encourage the new implant to move down, performed aggressive capsulotomies in the lower pole and placed Allergan style SCM gummy bear implants, 560cc on the right and 600cc on the left all through peri-areolar incisions, with a much better balanced result.
This 36-year-old female is a great example of going to a slightly larger implant the second time around. She had saline implants placed 10 years prior 350 mL on the left and 325 mL on the right. Now 10 years later she decided to go to highly cohesive Allergan gummy bear silicone implants 520 mL bilaterally through the underarm. It really gave her nice fullness and avoided having to do a lift!
This procedure is becoming more and more common now that we are seeing the saline implants that were used in the late 90s starting to wear out. This patient originally underwent breast augmentation at 18 years old in 2005, a year before silicone reentered the market. In surgery, the deflation was removed, and new Allergan implants placed 420cc filled to 465cc, also saline. She is a great example that saline can give a very natural look in many patients still!
This 32-year-old woman presented with bilateral saline implant ruptures! These had been deflated for approximately three months and her desire was now to go towards silicone and a double D cup. Her previous implants were placed through an inframammary incision, so we used that approach to place 485cc Allergan high profile gummy bear implants. Postoperatively she shows a very natural, balanced breast.
This 30 year old woman had 425cc silicone gel implants placed in 2008, using a periareola incision. She had children after and noticed her left breast began getting tighter- mishapen, and her right breast didn't have the fullness up top she wanted. We went to surgery and did two different capsule operations. We did a left partial capsulectomy to move the implant down and a right capsulorrhaphy to move the implant up and in, than changed her implants to a 600cc Allergan cohesive on the left and 560cc on the right. She is much happier with the cleavage and upper pole fullness now!
This 52-year-old female presented with above the muscle 330cc textured saline deflation which had been placed in 1999. She wanted to switch to gummy bear implants and wondered if we could somehow improve her cleavage. Because with the deflation the capsule begins to close up, I did not anticipate needing to move the capsule inward, but I did so on the left. We placed 345cc Allergan SCM on the left and 360cc SCM on the right. She now has better cleavage and better upper pole fullness.
There is so much talk about “Tear drop” shaped implants to get the most natural outcome that I think this is a great example of how the shape of the implant isn’t the most important factor, in many patients. This patient had saline implants placed at age 19, then removed at age 32. She then came to me for a re-augmentation and wanted tear drop cohesive gel implants 395cc, which we did. 18 months later she reported not liking the feel of the new implants, and we then changed them out for Saline round implants 425cc on the right and 400cc on the left. The patient likes the slightly larger size and feel, with not much noticeable difference in the two!
Scottsdale Plastic Surgeon, Dr. John J. Corey, MD offers plastic surgery procedures including breast surgery, body surgery and facial plastic surgery. Our board certified plastic surgeon, Dr. Corey has provided this website for information purposes only and is not meant to be taken as professional medical advice. Contact our office for more information about our cosmetic surgery procedures. We are proud to serve patients in Scottsdale, Phoenix, Gilbert, Chandler and Mesa, Arizona.This website is not intended for viewing or usage by European Union citizens.
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