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Unhappy with your breast implants?

Consult with one of San Francisco’s Top Doctors, board-certified plastic surgeon Miguel Delgado Jr. M.D. Correcting aesthetic and medical complications due to problematic breast augmentation surgeries is one of his specialties. Read about the main surgical techniques he employs in breast implant replacements, watch videos of the doctor and patients to know what to expect, and view actual patients before and after photos to evaluate the results.

Category Archives: Breast lift

Breast Revision Recovery

breast revision with larger implants

Breast Revision With Larger Implants

Breast revision recovery is different for each patient. Some patients have a very high pain threshold, and others do not, so you cannot compare someone’s recovery to your own.

Sometimes the Original Pocket is Used

If the original pocket is being used, recovery may be easier unless the pocket is being made smaller or larger depending on the new implants. However, many women choose the change the size of their breast implants when breast revision is necessary for other reasons. Usually, a change in size is for larger implants, and many times the placement of the pocket maybe going from overs to unders. In this case, recovery will be somewhat longer as the surgical procedure is slightly more complex and invasive.

If the implants are smaller than the originals, the pocket size may be fine depending on the difference in size. If there is a significant change, the pocket may need to be reduced with internal stitches, or for some patients, a breast lift may be required.

Recovery for Each Patient is Different

Dr. Miguel Delgado, M.D. states that recovery for each patient is different. The amount of revision surgery will determine how much discomfort will be present. With that being said, some women sail right through their recovery with little to no discomfort, requiring only Tylenol for pain control.

No matter what degree of discomfort is experienced, women need to take care to sleep with their head and back elevated to reduce swelling. Showers are allowed 24 hours after the removal of the drains, prior to that just sponge baths are permitted. Return to normal activities is usually in 7 to 10 days, and formal exercise is allowed in 4 to 6 weeks, depending on how the recovery is going.

Make an Appointment With Dr. Delgado Today!

If you have concerns about your breast implants, Dr. Delgado has been performing breast revision surgery since 1988, and he would be happy to see you in consultation, call today (415) 898-4161.

Updating Breast Implants after Weight Loss

Breast Revision in San Francisco

                                    Before and After Breast Revision Surgery

Many women choose to lose weight after having a breast augmentation because they are pleased with their new look and are motivated to do more. It is difficult to lose weight, but a new slimmer body can be quite rewarding.

Significant Weight Loss May Affect Your Breasts

A common question that is asked of Dr. Miguel Delgado, M.D. is “how will I look if I lose weight after my breast augmentation?” Depending on the amount of weight loss there can be some downsides. For example, if you have breast implants, the size and shape that were selected for you before weight loss, may no longer look right.

It is difficult to say how a woman’s breasts will look after significant weight loss as women have different ratios of fat and breast tissue. Usually, women who seek breast augmentation do not have a lot of breast fat. For most, 10 to 20 pounds of weight loss won’t make a visible difference. In some cases, losing weight may make the breast implants more visible with less tissue for coverage. When there are physical changes, the implants may settle into a new position. It is possible that the nipples will be lower and the breasts will sag. However, women gain and lose weight in different areas of their body. If in the past (before breast augmentation surgery), if you noted how your breasts responded to weight fluctuations, it will be the same.

There Are Many Implant Choices

If it has been several years since you have had your breast augmentation, there are several new breast implants available offering more choices. Additionally, if you are unhappy with sagging breasts, you might want to consider a breast lift along with new breast implants.

Call Now!

Call today (415) 898-4161 for a consultation with Dr. Delgado and learn what options are available to you.

How Will I Look if I Have My Breast Implants Removed?

Breast Implant Removal, Breast Enhancement By Fat

                           Before and After Breast Enhancement By Fat Transfer

Breast implants are not for all women. There are several reasons women may decide to have their implants removed, such as; capsular contracture, discomfort, droopiness, avoiding future revisions, not happy with the appearance. Some just don’t want them anymore as they feel they no longer fit their lifestyle.

Why Some Women Want Their Breast Implants Removed

Every woman is different, but many women are happy with their breasts after implant removal. Initially, their breasts may look like a deflated balloon after removal. There will not be upper pole fullness that the breast implants provided. Other factors to consider are:

• Skin elasticity determines how much the skin will “bounce” back
• Large implants may cause more sagging skin
• The amount of natural breast tissue may have changed since before implants
• Changes in weight
• Pregnancies
• Sagging due to aging

A Breast Lift May Be Needed

Once the breasts have healed, most women are pleased with the appearance of their breasts. However, some women may benefit from a breast lift, and some opt to have to have a lift done at the same time as the explantation.

About 2 or 3 weeks after the implants have been removed, they will “fluff” back out. It is important to note that the breasts appearance right after surgery is not the final look.

Dr. Miguel Delgado, M.D. tells women who no longer want breast implants but still desire fuller breasts might consider fat transfer to the breasts as an alternative. By removing fat by liposuction from another part of the body, after a purification technique, it can be transferred to the breasts. This is a two part procedure with the benefit of reducing the abdomen and/or the love handles to harvest fat for the breasts. The procedure takes about 3 hours, and recovery is about 7 to 10 days.

Call Now!

If you have been considering breast implant explantation, call today (415) 898-4161 for a consultation with Dr. Delgado to find what options are available to you.

What Women Need to Know About Breast Revision Surgery

breast revision in San Francisco

A mother of 5 presents with recurrent capsular contracture of the right breast. She had a complete breast capsule scar removal from the right side and replacement

Dr. Miguel Delgado, M.D. has been performing breast revision surgery since 1989. He has made a point of informing women who choose to have breast augmentation surgery that it will be a long-term marriage between her and maintenance of her implants. In most cases, breast implants do not last a lifetime but will require some type of revision surgery at least once or more during their lifetime.

6 Part Video Shows Breast Revision Surgery

In order to fully explain and show examples of some breast revision cases, Dr. Delgado has put together a 6 part video showing the journey of 2 patients over a period of 6 to 7 months, from consultation through 5 weeks post-operative visits.

The first case is Michelle, who had silicone implants at the age of 18 in 1990. After a car accident, she had her implants replaced in 1996 when they became encapsulated. At this time she chose normal saline implants, for both surgeries her implants were placed over the muscle. She presents for breast revision surgery 10 years later due to her breasts feeling hard, uneven, painful, and sagging.

The second patient is Bea, to date, she has had 3 surgeries. In 1999, she had saline implants placed under the muscle desiring more volume after having 3 children. However, Bea developed mastitis, an infection of the breast tissue usually caused by breastfeeding. She had one implant removed for 8 months and then had smaller implants inserted. Within a year her left implant dropped, and the right implant developed a painful contracture creeping up high on her chest wall.

Consultation Through Post-Operative Visits

Dr. Delgado’s informative 6 part video follows the journey of these 2 women from their initial consultation, through their pre-operative visit with Dr. Delgado and Dr. Gaynor, the anesthesiologist, along with actual footage of their surgery in part 3. Part 4 is the first post-operative exam showing the removal of the drains. At the second post-operative visit, the sutures are removed. Part 5 shows the follow-up exams and the beautiful results for both women.

In the Patient’s Own Words!

The last part, part 6 is the patient’s impressions after 6 months. Michelle and Bea share with you how their breast revision surgery met their expectations. If you are having issues with your breast implants, call today (415) 898-4161 to schedule a consultation with Dr. Delgado.

What Happens if Your Silicone Breast Implants Rupture?

San Francisco Breast Revision

This is a 55-year-old female  who presented for revisional breast surgery. She underwent bilateral silicone breast implants in 1975. She developed bilateral ruptures of both implants and severe capsular contractures. She underwent removal of silicone material with subpectoral placement of 300 cc, Mentor silicone- gel breast implants. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California.

“Silent Rupture” of a Silicone Breast Implant

When breast implants are placed in the body, a fibrous capsule will form around the implant. If a rupture should occur, the silicone will most likely be contained in the capsule; and it is possible that it may not be painful or be noticeable. This is referred to as a “silent rupture.” If a silent rupture is suspected, your plastic surgeon will most likely recommend an MRI to confirm.

However, sometimes a ruptured implant may cause pain; swelling and the breast may change shape, and size. You may experience lumps and the affected breast may feel hard. It is not believed that silicone implants can cause breast cancer or reproductive problems. It is also not proven that implants will cause a connective tissue disease as once thought.

See Your Plastic Surgeon

Women who suspect that their implant(s) has ruptured or if their implants have formed a capsular contracture are advised to seek a consultation with a Board Certified Plastic Surgeon who will be able to explain what options are available to them.

With a “silent rupture,” some women may choose not to have them removed unless they have a complication. However, some women will want their implants removed. If the implants are to be removed, new ones can be replaced at the same time, or some women may not want implants anymore and opt for a breast lift, or perhaps fat transfers instead of implants.

Is an MRI Necessary?

The FDA recommends that women have an MRI 3 years after their original breast augmentation surgery, and then every two years thereafter. However, this is a recommendation, not a requirement. Your surgeon will be able to advise you best .

Call Today!

Dr. Miguel Delgado, M.D. has been performing breast revision surgery since 1989 and has helped hundreds of women make educated choices. Call now (415) 898-4161 for your breast revision concerns.

Breast Revision for “Snoopy Deformity”

Snoopy Deformity in San Francisco

The Sagging Augmented Breasts

“Snoopy Deformity” got its name because it describes an augmented breast that is sagging and the nipple is too low, much like the cartoon dog “Snoopy’s” nose. Even though the implant is in the correct position, the breast tissue hangs over the inferior edge of the breast implant.

Breast Revision San Francisco

The “Snoopy Deformity” can occur over time after surgery, maybe after many years as the patient ages and the breast tissue starts to sag.

Solutions for “Snoopy Deformity”

Some patients who want to avoid a breast lift because of scarring, additional cost or other reasons, may opt for larger implants to fill the excess skin and lift the breast. However, this will be a short-term resolution. Large implants are not the solution and will lead to additional surgery.

Correction for “Snoopy Deformity” in most cases would be a breast lift, lifting the breast tissue and nipple areola complex to a higher position on the chest wall. In many cases, the lift can be performed with the lollipop incision or for some a peri-areola lift.

Call Today for a Consultation

Dr. Miguel Delgado, M.D. has been performing breast revision surgery since 1989 and is an expert in his field. If you are having any issues with your breast implants, call now (415) 898-4161 for a consultation with Dr. Delgado.

Updating Breast Implants After Weight Loss

Weight Loss and Your Breasts

Weight Loss and Your Breasts

Losing a significant amount of weight can be very rewarding. However, if you previously had breast augmentation surgery, you may be disappointed with the results the weight loss has had on your breasts.

Breasts normally store body fat; weight loss and losing fat in the breasts may cause the breasts to sag. If the breasts have less coverage with the loss of fat, the implants may be more visible and might settle into a different position, and the nipples may drop.

Drooping Breasts Can be Fixed!

With a new body shape, the size and type of implants previously selected may no longer be appropriate. How disappointing; after all the hard work to slim down to have, your breasts now be a problem. Do not despair, see a board certified plastic surgeon who will be able to offer breast revision options.

Mommy Makeover in San Francisco
This patient of Dr. Miguel Delgado, M.D. had a large weight loss through diet and exercise. She had a Mommy Makeover consisting of a full tummy tuck, breast reduction, and liposuction of her flanks. Her surgery was performed at Marin Cosmetic Surgery Center in Marin County, California.

You may need a breast lift with or without implants. A breast lift will reposition the nipples and can add upper pole fullness to the breasts. If implants are to be replaced, the size and profile can be changed to better match your new body.

Most surgeons will recommend that breast augmentation surgery be performed after the patient’s weight has stabilized. The amount of breast volume that will be lost with weight reduction is hard to determine as it is dependent on how much fat versus breast tissue a woman has, and every woman is different. A small amount of weight loss will probably have little to no effect on a woman’s breasts. However, a large amount of weight loss for a woman with a high ratio of fat in her breasts may see a big difference.

Breast Implants Over or Under the Muscle?

If implants are under the muscle the pressure of the muscle will keep the implants shape and won’t change with weight loss, but the breast tissue may sag. If the implants are over the muscle, the weight of the breast tissue might affect the shape of the breasts.

Most women who have breast augmentation surgery usually have only a small amount of fat in their breasts, and that is why they are getting an augmentation. For these women, weight loss will most likely not make a significant difference.

Contact us Today!

call or email Contact Dr. Delgado for a consultation if you are unhappy with your breasts. Call (415) 898-4161 or email info@dr-delgado.com.

How Long Will Breast Revision Results Last?

Before and After Breast Revision Surgery
A 47 year old mother from San Francisco, California presents for breast revision surgery. She had a vertical breast lift with saline implants about 10 years ago. You can see how the skin droops from the weight of the implants. This is common for women who have had children. The skin is stretched, but the implant maintains its normal position. She had a second breast lift and exchanged her saline implants for silicone. Her surgery was performed at the Marin Cosmetic Surgery Center in Novato, Marin County, California.

Breast Revision Surgery Results Are Usually Long Lasting

Breast revision surgery results should be long lasting. However, there are some factors that can compromise the results, such as pregnancy. Studies show that nursing may not cause sagging, but pregnancy itself causes changes in the breasts. During pregnancy hormones enlarge the breasts. After childbirth the hormone levels drop dramatically, leaving the breasts deflated and sagging.

Gravity May Cause Breasts to Sag

Weight gain and weight loss can alter the shape and appearance of a woman’s breasts. Also, gravity and aging will eventually cause the breasts to sag.

Dr. Miguel Delgado, M.D. recommends that you see your board certified plastic surgeon for scheduled follow-ups to ensure your implants are not causing health risks and to avoid complications.

Call a Breast Revision Specialist

Keep your surgeon updated of any changes you notice with your breasts. If your surgeon has retired or you have moved to the San Francisco, Bay Area, call the breast revision specialist, Dr. Miguel Delgado, M.D. for your follow-up care (415) 898-4161.

Decisions to be Made Before Breast Revision Surgery

Breast Revision in San Francisco

CASE DESCRIPTION: 43-year-old mother of two resident of Santa Rosa, California who presents to the Marin County office for breast revision surgery. She underwent breast augmentation in 2001 using 300cc normal saline breast implants inflated up to 360cc. She developed a slow leak on her right side. She underwent removal of the saline implants and replacement with 500cc moderate-plus Mentor gel implants. Note the overall fullness and nice symmetry of her breasts. Her surgery was performed at Dr. Delgado’s private surgical facility, Marin Cosmetic Surgery Center in Novato, Marin County, California

At the time of your consultation for breast revision surgery, it is important to clearly state your goals to Dr. Miguel Delgado, M.D., so that he can suggest your best options.

Things You Will Need to Consider Before Breast Revision Surgery

1. What type of breast implant do you want? Will you want to change from saline to silicon or vice versa? Read about the difference between the two types of breast implants from our blog of December 2014. Since then, another implant choice has become available, the cohesive gel implant, also known as “the gummy bear.” You can read details about this newer implant here.

2. Where do you want your breast implants placed, above or below the muscle? There are pros and cons for each placement. Dr. Delgado prefers under the muscle as he feels it gives a more natural look. The muscle is less likely to interfere with mammograms. Additionally, there is less rippling for women who do not have much breast tissue. However, Dr. Delgado will want to discuss which placement is best for each patient.

3. There needs to be a discussion for the size of breast implants. The size of breast implants is very important and causes a lot of concern for many women. Many women can choose larger or smaller implants. However, there are limitations that are unique to each woman. Dr. Delgado will be able to advise you your choices based on your goals.

4. Is a breast lift going to be necessary to get optimal results? As the breasts change due to aging, or weight fluctuations, a breast lift may be needed to remove excess skin and reposition the nipple higher on the breast mound.

See a Breast Revision Specialist

Dr. Miguel Delgado, M.D. has been a breast revision specialist since 1989. His expertise allows him to best advise his patients with all possible options for their breast revision surgery. Call (415) 898-4161 now for a consultation to learn what may be available to you.

A Ten Year “Reunion” With Your Breast Surgeon is Recommended

Calendar appointments for San Francisco

Breast Revision at Ten Years?

Hopefully, when you had your initial consultation with your breast augmentation surgeon you were advised that at some time in the future, usually after ten years, you may need to have breast revision surgery, possibly replacing your breast implants.

Dr. Delgado states that there can be a lot of changes with women’s bodies after ten years, some women may have had a baby, perhaps gained or lost weight or noticeable aging to the body that may have caused sagging or asymmetry. Do not despair; see your plastic surgeon to discover the latest techniques to improve your breasts. You may want to change the shape or size of your breasts, or perhaps change from saline to silicone or vice versa, or the placement of the implants may need to be adjusted.

Are Gummy Bear Implants For You?

In the last ten years, there has been a significant advancement in breast implants. There are more choices than ever, for example, the 5th generation of silicone implants includes the cohesive gel implants nicknamed the “gummy bear” due to its consistency that is similar to the popular candy. The gummy bear implants offer some great benefits including a natural teardrop shape with lower complication rates; they cannot leak, they are less likely to ripple or develop capsular contracture.

Depending on your long term goals and your natural anatomy, you and your surgeon have many choices to select the ideal breast implant for your body.

No Complications? No Surgery!

There is no rule stating that you must have your implants exchanged at the ten year mark, if you are not having any complications and are happy with your breasts, no changes are needed.

Even if all is well and you are not having any issues, Dr. Miguel Delgado, M.D. recommends that you have a ten year checkup a few months early just in case there may be a complication that you are not aware of. Besides a lifetime warranty on breast implants, most manufacturers include a warranty on their implants that gives some financial assistance for replacement surgery for up to ten years after the initial augmentation.

Schedule a Breast Checkup!

If it has been almost ten years or more since you have had breast augmentation surgery, call now (415) 898-4161or email at info@dr-delgado.com, for a consultation with Dr. Delgado for a breast checkup. If you had your original surgery with another surgeon who may now be retired or you have moved to the San Francisco Bay Area, don’t hesitate to call Dr. Delgado. If you have your original records of your surgery including what type and size of implants you have, bring them along.