BREAST REVISION AUGMENTATION - Cadogan Clinic · 3. The implant capsule – scarring that occurs...
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BREAST REVISION AUGMENTATION Please note that revision breast augmentation surgery is oſten not easy as there are a number of factors to consider including: 1. The previous anatomical factors as mentioned above for primary augmentation. 2. Placement of implant i.e. above or below the muscle 3. The implant capsule – scarring that occurs around the implant 4. Type of implant 5. Changes of the breast tissue since previous augmentation i.e. thinning of the breast tissue and or drop of the breast tissue off the implant. 6. Trying to compromise by using bigger volumes and not having an Upliſt, may result in a visible implant (to touch and feel), increased risks of rippling and further surgery such as an upliſt. Please note that aiming for perfection in a breast augmentation is not realistic as the biggest determinant of your outcome is what your breast looked like prior to surgery. A surgeon can use the same implant in different patients with very different results. These are all of my former patients who have kindly consented for me to use their images for patient education and teaching purposes, so please treat them appropriately. All images are taken at 4-6months to show early post op results and so that patients get a true representation of what the shape and particularly the scars will look like. As you go through these series of images you will note such variation in pre op anatomy and post op results. This is normal and what makes us all so very individual! Kind regards Mr Garrick Georgeu MB ChB, MSc, FRCS (PLAS) Removal & Replacement of Implants.......................................................................................................................... 1 - 12 Removal & Replacement of Implants and Upliſt..................................................................................................... 13 - 16 Removal of Breast Implants & Upliſt Only ................................................................................................................ 17 - 18 Removal of Breast Implants Only....................................................................................................................................... 19
Transcript of BREAST REVISION AUGMENTATION - Cadogan Clinic · 3. The implant capsule – scarring that occurs...
BREAST REVISION AUGMENTATION
Please note that revision breast augmentation surgery is often not easy as there are a number of factors toconsider including:
1. The previous anatomical factors as mentioned above for primary augmentation.2. Placement of implant i.e. above or below the muscle3. The implant capsule – scarring that occurs around the implant4. Type of implant5. Changes of the breast tissue since previous augmentation i.e. thinning of the breast tissue and or drop of the
breast tissue off the implant.6. Trying to compromise by using bigger volumes and not having an Uplift, may result in a visible implant (to
touch and feel), increased risks of rippling and further surgery such as an uplift.
Please note that aiming for perfection in a breast augmentation is not realistic as the biggest determinant of your outcome is what your breast looked like prior to surgery. A surgeon can use the same implant in different patients with very different results.
These are all of my former patients who have kindly consented for me to use their images for patient education and teaching purposes, so please treat them appropriately.
All images are taken at 4-6months to show early post op results and so that patients get a true representation of what the shape and particularly the scars will look like.
As you go through these series of images you will note such variation in pre op anatomy and post op results. This is normal and what makes us all so very individual!
Kind regards
Mr Garrick GeorgeuMB ChB, MSc, FRCS (PLAS)
Removal & Replacement of Implants .......................................................................................................................... 1 - 12Removal & Replacement of Implants and Uplift ..................................................................................................... 13 - 16Removal of Breast Implants & Uplift Only ................................................................................................................ 17 - 18Removal of Breast Implants Only ....................................................................................................................................... 19
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54yr old women with previous breast augmentation 14ys ago. Patient noted a slow change over time, particularly the left breast and thinning of tissues /skin quality of the cleavage area.
Revision surgery performed include removal of old implants (270cc) full capsulectomy, replacement of implants with Anatomical shaped (275cc medium profile), minor liposuction of inner and outer thighs and fat transfer to the cleavage area 85ml.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 270CC IMPLANT AND REPLACED WITH 275CC MEDIUM PROFILE ANATOMICAL SHAPED IMPLANT AND ADDITIONAL FAT TRANSFER
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61yr old who underwent removal and replacement of 10yr old 375cc round breast implants to smaller anatomical shaped 280cc medium profile polyurethane coated implants only.
To note outwardly projecting breast and PRE OPERATIVE hollowness in the inner cleavage area (shaded in the pre op image)-offered to fill this in with liposuction and fat transfer at a later date.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 375CC ROUND IMPLANT & REPLACEMENT WITH 280CC MEDIUM PROFILE ANATOMICAL SHAPED IMPLANT
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35yr old presented with a ruptured 330cc right saline implant from 1999. Underwent revision surgery including complete capsulectomy, change of the tissue plane from sub-muscular to sub-fascial, balancing of the inferior mammary fold height. Insertion of 295cc low profile conical shaped implant. Pictures taken at 6months.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 300CC SALINE IMPLANT (RIGHT RUPTURED) AND REPLACEMENT WITH 295CC LOW PROFILE CONICAL SHAPED IMPLANT
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60yr old with painful hard capsules following previous augmentation, resulting in differences in shape, position and projection of the breast and nipples. Removal of 260cc and replace with Pure® 295cc conical shaped low profile implant.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 260CC IMPLANT AND REPLACEMENT WITH 295CC LOW PROFILE CONICAL SHAPED IMPLANT
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41yr old mother of three, who underwent revision breast augmentation. Note high position of sub-muscular implant and rash on right chest. Removal of ruptured Right/bleeding left 300cc round implants, re-attaching pectoral muscles to original position and placing an anatomical (natural-tear drop) shaped Pure® implant 315cc.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 300CC ROUND AND REPLACEMENT WITH 315CC MEDIUM PROFILE ANATOMICAL SHAPED IMPLANT
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Previous sub-muscular implants 335/365cc. Revision surgery including removing anterior portion of capsule, re-attaching Pectoralis muscle to original position, creating fresh tissue plane and then inserting 390cc medium profile round implant.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 335CC/365CC IMPLANTS AND REPLACEMENT WITH 390CC MEDIUM PROFILE ROUND SHAPED IMPLANTS
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39yr old mother of two who underwent revision breast augmentation going from a round 350cc high profile sub-muscular implant to a sub-fascial 435cc medium profile conical shaped implant.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 350CC ROUND IMPLANTS AND REPLACEMENT WITH 435CC MEDIUM PROFILE CONICAL SHAPE IMPLANTS
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Previous sub-muscular augmentation with 320XH implants. Revision surgery including removing anterior portion of capsule, re-attaching pectoralis muscle to original position, creating fresh tissue plane and then inserting 435cc medium profile conical implant.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 320XH XTRA HIGH PROFILE ROUND IMPLANTS & REPLACEMENT WITH 435CC MEDIUM PROFILE CONICAL SHAPE IMPLANTS
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032yr old for revision breast augmentation surgery, included removal of 10year old, 200cc round leaking old implants, including capsulectomy, and replacement with 435cc medium profile conical Pure implants.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 200CC ROUND IMPLANTS AND REPLACEMENT WITH 435CC MEDIUM PROFILE CONICAL SHAPE IMPLANTS
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Previous PIP implants 315cc. Revision surgery including removing anterior portion of capsule, re-attaching Pectoralis muscle to original position, creating fresh tissue plane and then inserting 435 high profile round implant.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 315CC IMPLANTS AND REPLACEMENT WITH 435CC HIGH PROFILE ROUND SHAPED IMPLANTS
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40yr old with severe capsular contracture left breast in 15 year old implants. Removal of implants, total capsulectomy and replaced 390cc round high profile implants for 445cc high profile anatomical shaped polyurethane implants.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 390CC ROUND IMPLANTS AND REPLACEMENT WITH 445CCHIGH PROFILE ANATOMICAL SHAPED IMPLANTS
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Previous surgery PIP implants 310cc. Wants false look. For revision surgery, Removed old implants and capsule and replace with 520cc conical high profile implants.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF 310CC IMPLANTS AND REPLACEMENT WITH 520CC HIGH PROFILE CONICAL SHAPED IMPLANTS
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26yr old who underwent a sub-muscular differential breast augmentation in Dubai 5 years previously. Patient was never happy with the size (too big), shape and look of the breasts. Presented wanting a reduction in size and an uplifted breast.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF LARGE SUB MUSCULAR IMPLANTS AND REPLACE WITH 260CC CONICAL SHAPED IMPLANTS AND UPLIFT
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40yr old who has had two previous breast augmentation surgeries. Dislike large heavy droopy breasts. Implants removed, re-attach pectoral muscle into original anatomical position and uplift performed. Post op images taken early at 4.5months, expect scars to fade nicely.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF IMPLANTS, THE BREAST CAPSULES, AND UPLIFT PERFORMED OF REMAINING BREAST TISSUE
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40yr old who underwent revision breast augmentation including removal of ruptured 465cc PIP implant, capsulectomy and Mastopexy (Uplift). Note unusual dematological reaction across breasts seen in bottom two pictures on the left have cleared after implants removed.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF IMPLANTS, THE BREAST CAPSULES, AND UPLIFT PERFORMED OF REMAINING BREAST TISSUE
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42yr old women, who underwent revision breast augmentation and uplift surgery, wanting a fuller uplifted look of similar size and removal of redundant skin. Surgery included removal of PIP implants, bilateral capsulectomy, replacement with Pure® implants and then an uplift. Post op pictures taken at 18months.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF PIP IMPLANTS AND CAPSULES AND REPLACEMENT WITH CONICAL SHAPED IMPLANTS AND UPLIFT.
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29yr old with rotated (left), rotated and flipped (right) sub-muscular implant 6months post augmentation. Revision surgery included removal of implants, re-attach pectoral muscle and scar revision.
REVISION BREAST AUGMENTATION SURGERY
REMOVAL OF IMPLANTS ONLY AND SCAR REVISION OF MASTOPEXY
Mr Garrick GeorgeuAesthetic Plastic Surgeon
Patient Advisor | +44 (0) [email protected]
Patient Advisor | +44 (0) [email protected]
General Enquiries | +44 (0) 0207 901 [email protected]
Mr Garrick GeorgeuAesthetic Plastic Surgeon
Patient Advisor | +44 (0) [email protected]
Patient Advisor | +44 (0) [email protected]
General Enquiries | +44 (0) 0207 901 [email protected]
