Breast Correction of Surgery Done Elsewhere Cases

This patient underwent revision of her previous breast cancer reconstruction done by others. My approach included removal and replacement of the implant on right with placement of tissue ADM (alloderm) as an internal bra shaping, along with capsulectomy and relifting. Then to match, I did a non-implant auto augmentation on the opposite left side. A great cosmetic outcome in a difficult post cancer reconstruction.

This case represents one of the most common presentations after initial breast augmentation. Although not seen well in the photos, when this patient lies down the implants drifted asymmetrically to the side and in the case of the right breast – all the way around to the back.

Correction of this condition (top 3 photos) requires internally reconfiguring the scar space to allow a new implant to fill medially while the lateral space was closed off. A new implant was selected which better compliments her body – allowing for better upper pole fullness, medial fullness and overall superior breast aesthetics (bottom 3 photos). An exceptional outcome from a tricky pre-op condition.

 

Correction of breast deformities created by previous surgery performed by other surgeons is particularly challenging, but also emotionally rewarding.

This case shows what happens when implant spaces are created too far lateral and low. This patient had four previous surgeries including attempts to correct deformities prior to seeing me.

In one surgery, I corrected both the implant space, relocated the scar to the crease and improved her breast shape and size to a very pleasing C cup.

This patient presented after numerous attempts at breast reconstruction. She had a hard scarred implant with ugly outer visible irregular scars.

I did a 2 staged reconstruction with capsulectomy, allograft, tissue expanders, and scar revisions, later replaced with silicone implants and final shaping. An amazing result.

The challenges faced when a patient presents with previous breast implant surgery which appears poor can be significant. Here previous breast implants (done by another surgeon) fail to correct her breast sag. Her breasts are uneven size, uneven shape with uneven sagging, and uneven implant position.

I had to reconfigure an entirely new implant space, reconfigure breast tissue by removing some from the larger breast, and refit better matching implants. The result is nothing short of spectacular. A fine D cup outcome! (shown only 3 months later)

This young woman presented with EE cup breasts after undergoing a form of breast lift with implant done elsewhere by another surgeon.
I created a plan that would remove the implant, re-lift using a different type of lift and use other excesses to build into a new young looking breast. The results are outstanding. Full C / Small D cup.

This woman presented to me with a challenging combination of asymmetries (Uneven nipple-areola position, uneven sagging, uneven scarring, and uneven volume). Correction required a change from subglandular to submuscular location, saline to silicone gel, removal of scar tissue, creation of a lower internal tissue sling and breast lift. An outstanding D cup result and a miraculous change!

Correction-of-Surgery

This young woman presented to me after an attempt at breast cancer reconstruction (after mastectomy) from another institution. She was unhappy with the poor shape and incomplete camouflage.

I reconstructed her by reconfiguring the implant space – creating a more natural curve, changed the implant, made a nipple and areola (also pigmented), fat grafted the perimeter and over the implant and did an augmentation to create balance. A very fine outcome, and a grateful patient.

Correction of large sagging breasts with previous implants placed in the subglandular space is a common request. previous attempts by other surgeons to “fill” loose saggy breasts just with subglandular implants rarely ever yield satisfactory results. It usually leads to breasts that appear matronly. I simultaneously lifted her, created a new submuscular space, and replaced implants with ADM to secure the implant under the muscle. An amazing transformation!

Correction-of-Surgery
Correction-of-Surgery

A frequent complication I am asked to treat is from previous implant surgery that is uneven, bottomed out, and with high and lateral nipples.

Correction is complicated and requires tedious, creative, internal manipulation of implant space, capsulectomy (implant scar removal), exacting recreation by suturing of new implant space, placing a better implant choice and often use of tissue graft (ADM).

Here is a beautiful outcome and dramatic fix!