Plastic Surgery Procedures  >  Revision of Breast

     Because of Dr. Leigh's extensive experience with augmentation mammoplasty, revisional augmentation is a significant portion of his practice.  With time, even the best augmentation mammoplasty may be affected by further tissue sag or formation of capsular contracture that requires further surgery.  Other reasons for revisions may be dissatisfaction with the original surgery resulting in appearance or feel problems, or may simply be a desire to be larger or smaller.

     To best correct these problems, a detailed history is needed with information about the placement of the implant above or below the muscle, the type of implant, time since surgery and any significant events that may have lead up to problems.  These problems could include trauma, infection, or pregnancy.  Most importantly, the patient's goals must be discussed to arrive at a realistic treatment plan based on physical exam findings.

     Revisional surgery is a specialized area of augmentation surgery and may require procedures

not typically done with an original augmentation such as use of drains, massage techniques, prolonged breast fold support, or even use of oral medications to try and reduce undesired scar formations.

     If this is an area of concern for you, Dr. Leigh will give you a frank discussion during your

consultation of what your realistic options may be, including the chances of achieving your goals.

Before and After Revision of Breast Photos

				27 yr. old 5'4" 125 pounds 36B to 36 full C Implants exchange from 325cc saline (done in 2000) to 640 HP with 700ccs fill.   After original surgery, patient had 2 children and wanted to fill out skin.   2 month post-op photos
Before Breast Revision		After Breast Revision
Before Breast Revision		After Breast Revision
				52 yr. old 5'4" 139 pounds 36B to 36 full C 20 years after breast augmentation by trans-axillary approach has always had "double bubble". Procedure: Bilateral capsulectomies by the infra-mammary approach with removal ruptured silicone implants.  Change pocket to a dual plane.  Re-augmentation with Mentor 500cc HP with 500ccs fill. 6 week post-op photos
Before Breast Revision		After Breast Revision
Before Breast Revision		After Breast Revision
				50 yr. old 5'4" 110 pounds Calcified grade IV capsules Procedure: Total capsulectomies Change to dual plane Implant exchange  Mentor 275cc moderate with 275cc fill
Before Breast Revision		After Breast Revision
Before Breast Revision		After Breast Revision
				Revision of total submuscular pocket to partial submuscular pocket
Before Breast Revision		After Breast Revision
				43 yr. old 5'2" 112 pounds 14 years after sub-glandular breast augmentation has a grade IV capsular contracture of the right breast along with size difference. Procedure: Bilateral toalal capsulectomies Change pocket to submuscular Re-augmentation mammoplasty McGhann 68MP 360cc with 400ccs fill, right  68 MP 360 cc with 360 ccs fill, left 3 month post-op photos, grade I pockets
Before Breast Revision		After Breast Revision
Before Breast Revision		After Breast Revision
Before Breast Revision		After Breast Revision