As one of the top breast surgeons in Los Angeles & Beverly Hills, Dr. Brenner performs a high number of breast revision surgeries or corrective breast procedures. Oftentimes, these cases result from previous surgical procedures that were either incorrectly planned, incorrectly executed or that healed poorly. Breast revision surgery is done to handle any number of complications that can occur due to a misapplication of breast augmentation techniques, an unforeseen complication or it may be done simply to increase or decrease the size of the implant. Dr. Brenner’s knowledge in breast revision surgery and expertise will leave patients with a properly done, beautiful and natural appearance. He has perfected techniques to correct the following breast surgery defects:
- Capsular contracture, which is one of the most common complications following breast augmentation surgery. It occurs when the tissue around the breast implant shrinks, compressing the implant and causing it to feel and look hard and unnatural.
- Saline or silicone implant rupture, which occurs when the outer silicone shell has “sprung a leak.” While this is not dangerous to a patient’s health, it does give a deflated look to the breasts. Ruptured devices need to be removed.
- Symmastia, colloquially called “uniboob,” is a condition in which the skin covering the sternum pulls away as a result of over-aggressive dissection that allows the left and right breast implant to almost touch each other. This creates a web-like appearance between the breasts. This condition generally occurs following breast surgery, but in some rare cases can be congenital.
- A double bubble occurs when the breast implant falls below the original inframammary fold, which causes a bubble below the main projection of the breast.
- Implant Malposition: Oftentimes, patients will experience implants that have moved into an unfavorable location. This includes implants that are too high (superior malposition), too low (inferior malposition), too far toward the armpit (lateral malposition), or too far medial (symmastia).
- Rippling: Some patients will develop palpable or visible rippling of their implants following placement. This more commonly occurs with saline devices. It also occurs more commonly in implants that have been placed above the muscle.
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Breast implant removal and replacement
While many women choose to keep their implants for the entire life of the implant, there are several reasons that breast implant removal may be necessary. In the case of certain breast revision surgeries, such as capsular contracture or saline rupture, removal of the implant is mandatory. Additionally, removal of implants may be due to solely elective reason, such as a patient’s altered preference in volume or projection of the implants.
The procedure for breast implant removal is very short, generally lasting 30 minutes. If a patient is undergoing a removal without a replacement implant, Dr. Brenner will likely use the same incision that was used for the original breast augmentation surgery. If the implant is filled with a saline solution, he may deflate the implant before removal. The saline solution will be naturally absorbed by the body over time and is not dangerous. In the case of implant removal due to capsular contracture, Beverly Hills Breast Revision Surgeon, Dr. Brenner will remove the scar tissue that has formed in the implant pocket.
Acellular dermal matrices in breast revision surgery
Capsular contracture historically has been a very difficult problem for plastic surgeons to treat and manage both for cosmetic and reconstructive patients. Lately, there has been a resurgence in popularity of implant-based breast reconstruction as well as breast augmentation. With these procedures, there is a distinct, inherent risk of developing capsular contracture (i.e. hardening of the layer around the breast implant). When severe, capsular contracture can result in a hard, painful and sometimes distorted breast appearance requiring breast revision surgery.
With an increase in capsular contracture, there has been an equally impressive resurgence in the use of acellular dermal matrices (ADMs), such as Alloderm or Strattice, in the treatment of capsular contracture. More commonly, breast revision surgeons are using Alloderm in cosmetic procedures for correcting a number of potential deformities, such as rippling or malposition of breast implants.
In about 40-60% of patients who develop acute post-operative capsular contracture, use of asthma medications (i.e. Accolate) in an off-label fashion, has shown benefit in terms of improvement of severity of the contracture. Unfortunately, medications do not work for everyone and many patients require surgery.
Recent tests have shown that use of ADMs may help to decrease the risk of developing capsular contracture as well as the rate of recurrence, when used in breast revision surgery.
As a top breast revision surgeon, Dr. Kevin Brenner has performed countless breast revision surgeries and has helped women achieve the natural, beautiful look they were originally intending. His years of experience and superior results have earned him a reputation among his patients for providing the best breast revision beverly Hills & Los Angeles have to offer.
Schedule Your Consultation Today
If you have received breast surgery that is unsatisfactory and would like to remove or replace your implants, Dr. Brenner can effectively handle any breast-related condition to leave you with a beautiful and natural appearance. Please call today to find out how we can provide you with among the finest breast revision Beverly Hills & Los Angeles have to offer.Call us at 424-230-7779 today or click here to schedule online