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Monthly Archives: December 2013

How to Choose a Surgeon for Breast Revision Surgery

breast revision 2

A 28-year-old resident of Tiburon, California who presents to the San Francisco office at Union Square for evaluation for breast revision surgery. She initially underwent bilateral breast augmentation with 275cc normal saline implants. She developed mal-position and high riding implants bilaterally, and presented for replacement of her implants with a larger size and to improve the breast implant position. She underwent implant removal and replacement with 350cc normal saline high-profile Mentor breast implants. The breast pocket was also lowered. The photographs are seen approximately 8 months after surgery. Her procedure was performed at Dr. Delgado’s private surgical facility, Marin Cosmetic Surgery Center in Novato, Marin County, California

San Francisco, California-Most women who have breast implants from a breast augmentation, breast lift or breast reduction surgery, will most likely need to have breast revision surgery at least once in her lifetime. There are several different reasons for a revision, including; capsular contracture, bottoming out, double bubble, rupture, deflation, or the desire to change type of implant or size. In many cases, women need to find a new surgeon, due to the fact that their original surgeon may have; retired, or the patient was dissatisfied with her care, or perhaps she has moved out of the area.

It is imperative that the woman selects her surgeon carefully so that she can reduce the likelihood of additional revisional surgeries. The internet is a good starting point with a lot of information on plastic surgeons in their area. In looking at a surgeon’s website, look at the information on the surgeon to see what type of training he/she has had.

The American Society for Aesthetic Plastic Surgery (ASAPS) is one of the most prestigious plastic surgery societies in the United States. According to ASAPS, state laws allows licensed physicians to call themselves “cosmetic surgeons” or “plastic surgeons” even though they have not had any specialized training in plastic surgery. They may have had their formal training in another specialty, but many times it may have been in a non-surgical specialty.  That is why it is important to make sure that your surgeon is Board Certified in Plastic Surgery.
A surgeon that is Board Certified in Plastic Surgery means they have had at least 5 years of surgical training including a residency in plastic surgery after obtaining their medical degree. They are required to pass comprehensive written, and oral exams in plastic surgery to be certified by the American Board of Plastic Surgery (ABPS).

Next look to see if the surgeon has any complaints filed against him or her with their states medical board. This information is available online.

It is suggested that a woman has 2 or 3 consultations with surgeons that have met the above criteria to find one that understands her goals and makes her feel comfortable At the time of the consultation, ask many questions about how the breast revision procedure is to be done and how many breast revision surgeries are performed each year. Look at before and after pictures of patients with similar complications and ask if you can speak to 1 or 2 patients that have had the surgery.
If your breast revision is simple or complicated, you want an experienced top plastic cosmetic surgeon. Dr. Delgado has done hundreds of complicated breast revision surgeries with beautiful results. Call now if you have questions or wish to schedule a consultation at (415) 898-4161 or email.

What Risks are Associated With Breast Revision Surgeries?

Breast Revision Before and After

San Francisco, California – A 39-year-old mother of 5 who resides in Sonoma, California who visits the Marin County office in Novato for breast revision surgery. She has had three previous breast revision surgeries. She now presents with bilateral breast capsular contracture with breast malposition. Her surgical treatment was a complete capsulectomy (breast capsule scar removal) from the right side and replacement

 

San Francisco, California-When choosing a Board Certified Plastic Surgeon for breast revision surgery, the risks and complication rates for surgery are very low. However, a patient needs to be aware that there is always a possibility of complications. All surgeries have the same risks in common, which are:

1.    Bleeding, in rare cases if it is enough to require a transfusion, surgery may be terminated. A blood test is usually one prior to surgery to determine what a patient’s propensity is to bleeding. Patients are warned preoperatively to stop all blood thinners for a minimum of 2 weeks before and 2 weeks after surgery.

2.    Anesthesia complications are uncommon when administered by a Board Certified Anesthesiologist. The anesthesiologist will be reviewing your medical history prior to surgery and monitoring all vitals during surgery.

3.    Blood Clots can be a serious risk, due to inactivity after surgery. Most patients are encouraged to be ambulatory shortly after surgery. Some patients are given heparin after surgery to thin the blood to prevent clots.

4.    Infection can present a severe risk, and therefore, patients are given antibiotics before and after surgery. Having a sterile surgical environment for surgery is critical.

Breast revision surgery has the same risks as the original breast augmentation surgery which includes; capsular contracture, rippling, rupture or deflation, and implant displacement.  There are a few risks, in addition to those mentioned, that may be specific to the type of breast revision surgery being done. For example, the breast augmentation patient that has developed a capsular contracture may have the capsule form again even after corrective surgery. It is still unknown exactly why some women get a capsular contracture and others do not. There  is a variety of techniques that plastic surgeons now perform to reduce the likelihood of recurrence.  There is mounting evidence that low, sub-clinical, infection may play a significant roll.

Other possible complications with breast revision surgery can be with the nipple/areola complex having sensitivity and blood supply issues. If the patient does not have good skin elasticity, it is possible the skin may stretch out again which seems to happen more often for women with larger breast implants.

Scarring is to be expected if the revision breast surgery includes a breast lift or mastopexy. However with diligent scar care, the scars usually will fade with time.

Cost for breast revision surgery is of concern to many San Francisco Bay Area women. Since breast augmentation is elective surgery, most insurance companies will not cover any of the costs, however, under some circumstances some coverage may be available and is worth looking into, ask your surgeon to help you with this.. If breast revision is being done due to a rupture or deflation the manufacturers usually supply replacement implants at no cost to the patient. If the replacement is being done in less than 10 years of the original surgery, the manufacturer may compensate the patient for part of the surgical fees. For the woman who is unhappy with her choice of shape or size of her implants, she should talk to her surgeon; some surgeons waive their surgical fee, charging only for the cost of the new implants, anesthesia and the surgical facility, if it is done within a year of the original surgery.

Breast implants are not considered lifetime devices and almost all women who have had breast enhancement surgery will need a breast revision surgery at least once in her life and possibly even more. For women who have issues with their breast implants such as; pain, distortion, deflation or just dissatisfaction with size, it is highly recommended that they seek out the best top plastic cosmetic surgeon that specializes in breast revision surgery who will review all surgical risks. Call Today For a Consultation at (415) 898-4161 or email.