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Category Archives: Breast lift

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.

Breast Revision Surgery, How it is Performed

San Francisco Plastic Surgeon, Miguel Delgado

Dr. Miguel Delgado, M.D.

Variations of Breast Revision Surgery

The reason for breast revision surgery will determine how the procedure will be done.

• Capsular Contracture: The surgeon most likely will use the same incision location as the original breast augmentation surgery. The hardened capsule will be removed during breast revision surgery, and the implants will be replaced.
• Mal-positioned Breast Implants: Sometimes the breast implant pockets may be placed too close together or too far apart, to correct this, the surgeon will reconstruct the pocket by manipulating the capsule’s scar tissue that surrounds the implant. Then the surgeon will use suturing techniques to get the implant into the appropriate position.
• Rippling Breast Implants: Rippling may be caused by saline implants and sometimes the edges of the implants can be felt. To correct the rippling, the implants may be repositioned to under the muscle or changing to silicone implants or both.
• Changing Breast Implant Size: If a larger implant is desired, the surgeon will need to make the pocket bigger. For smaller implants, the surgeon may reduce the size of the pockets with sutures. Sometimes, Dr. Miguel Delgado, M.D. will suggest that a breast lift may be needed when the pockets are reduced or permanently removed.

Are You a Candidate for Breast Revision Surgery?

Each patient is unique, and the method for breast revision needs to be tailored to that patient.

If you are having issues with your breast implants, call today (415 898-4161) for a consultation with Dr. Delgado to learn what options are available.

Will I Need More Than One Breast Revision Surgery?

San Francisco Plastic Surgeon, Miguel Delgado, M.D.

Miguel Delgado, M.D.

An experienced Board Certified Plastic Surgeon will inform his or her breast augmentation patients to expect that they will need to have breast revision surgery at least once in their life. Many women ask Miguel Delgado, M.D., “Will I need more than one breast revision surgery?”

Breast Augmentation is Just the Beginning

Every woman is different; there is no way to know how many breast revision surgeries may be needed. There is the rare woman, who may not ever need a revision, but most will need at least one, and many may need two or more. It is important for women to understand that having breast implants is a lifelong endeavor that will require maintenance.

As noted in this website, there are several reasons for breast revision; the most common is changing the size or type of implant, and or the development of a capsular contracture. There have been many advances to minimize the occurrence of the formation of scar tissue; however some women seem to be more susceptible than others. For unknown reasons some women continue to develop capsular contractures and, therefore, they may not be good candidates for breast implants.

Breast Revision Surgery Can be Tricky!

Breast revision is more complex than the initial breast augmentation surgery. Some of the procedures for a breast revision would include:

  • making new pockets for the implants
  • removal of scar tissue
  • a breast lift may be indicated

It is very important to select an experienced Board Certified Plastic Surgeon who specializes in breast surgery the first time around to minimize the potential for breast revision surgery.

Miguel Delgado, M.D., San Francisco’s Breast Revision Specialist

Call today (415) 898-4161 or email info@dr-delgado.com for a consultation with Dr. Delgado for your breast revision concerns.

Recovery for Breast Revision Surgery

Breast-Revision

 47-year-old mother of two and resident of San Francisco, California who presents to the Marin County office for breast revision surgery. She underwent a vertical breast lift with normal saline breasts implants approximately 10 years ago.  She underwent a second vertical breast lift with removal of the normal saline implants and placement of 360cc high-profile Mentor silicone breast implants. Her photographs are seen approximately six months after surgery. Her surgery was performed at Dr. Delgado’s private Marin Cosmetic Surgery Center in Novato, Marin County, California.

Breast Revision at Least Once

Miguel Delgado, M.D. emphasizes to all his breast augmentation patients that they will most likely need breast revision surgery at least once in their life. For many women, more than one breast revision surgery may be needed. There are many different reasons why breast revision may be warranted, and they are explained in detail on this website.

The recovery can vary depending on the type of revision surgery that is to be performed. If a woman is just having her implants removed, generally only minor discomfort is experienced. Over the counter analgesics are usually all that are needed. However, if a woman is having a breast lift done in conjunction with breast implant removal, recovery will be longer. There will be possible numbness and tingling resulting, but usually lasts only a few weeks.

Important Factors, Technique and Skill

For breast implant replacement, recovery may be about the same as the original breast augmentation surgery. The degree of discomfort will be dependent on the size and placement of the implants, and of course, the skill of the surgeon.

Miguel Delgado, M.D. advises that patients need to follow their surgeon’s post-operative instructions to avoid complications during their recovery. Most likely a compression bra is to be worn for 2 weeks or more. The bra will help prevent the accumulation of fluid, help control swelling, and keep the implants in place. Sleeping elevated is also recommended to help with swelling.

Patients of Miguel Delgado, M.D. are given a comprehensive booklet that details all pre-operative and post-operative instructions at their pre-operative visit.

Follow Surgeon’s Instructions

Among the post-operative instructions, patients will be advised to stop all blood thinning products, vitamins, herbs, and medications. An extensive list is in the booklet of what should be avoided. It is a good idea to bring in a list of any and all medications and supplements that you take at your pre-operative visit.
Patients will need to arrange to have a friend or family member take them home after surgery and look after them for the first 24 hours. If drains have been placed to remove extra fluid buildup, the patient must wait until they are removed before bathing, to avoid possible infection. However, sponge baths are allowed.

Before resuming strenuous exercise or any heavy lifting, you need to get clearance from your surgeon, usually within a few weeks.

Call the Expert

Since 1989, Miguel Delgado, M.D. has been performing breast revision surgery with great success. If you have issues with your breast implants or are unhappy with your results, call now (415) 898-4161 or email (info@dr-Delgado.com)for an appointment.

When Choosing a Breast Revision Surgeon, Read the Reviews!

Miguel Delgado, M.D. Cosmetic Plastic Surgeon

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon
★★★★★ Ratings: 4.74 -118 Reviews

 

 

 

 

 

 

 

 

 

 

Breast Revision Surgeon

 

The informed woman knows that she will need breast revision surgery, following her original breast augmentation, at least once in her life and maybe more. When the time comes, many women wonder if they should see their same surgeon or seek out a new one.

If you were happy with your original surgeon and the outcome of your surgery, there is no reason to change surgeons unless you have moved, or your surgeon has retired. If you need to find a new surgeon, there are several factors to consider.

Probably the most important qualification you want to look for is that your surgeon is a Board Certified Plastic Surgeon and one that specializes in breast surgery. Doing a web search can provide you with an abundance of information, in fact so much it may be daunting trying to weed through it all!

Board Certified in Plastic Surgery

Miguel Delgado, M.D. suggests that you choose several surgeons in your area that are Board Certified. Before you even view their website; you might want to bring up reviews that have been posted by previous patients. There are several sites that patients can go to that give ratings from actual patients, some reviews are good, some not so much.

Some of the more popular ratings sites that you can check out are:
1.    Healthgrades.com
2.    Vitals.com
3.    RealSelf.com
4.    LocateADoc.com
5.    Yelp.com

 

Read the Reviews!

 

Some of the sites have different categories to give you an indication on how the doctor and the staff rated. An example of the ratings would be; friendliness of the staff, ease of scheduling an appointment, how long did you have to wait to see the doctor? Did the doctor make you feel rushed? Were all your questions answered? Were you happy with your surgical results? These are all important questions and are valuable information to have before making a decision in choosing a new surgeon.

Don’t be too critical, no one is perfect, one or two bad reviews are not unusual. Some people are impossible to please, look for the majority of the reviews to be good.Once you have found two or three surgeons that have good ratings, go to their website and view before and after pictures to get an idea of the results you can expect.

 

Breast Revision Before and After

Sonoma, California – This is a 38-year-old, female resident of Sonoma who presented to the Novato office in Marin County for evaluation for revisional breast surgery. She underwent a short-scar breast lift in 1995 and then a breast augmentation in 1996 using 120 cc, silicone breast implants. This was done at another facility. Her complaints on presentation to me were high-riding breast implants with breast contractures. She underwent complete capsulectomies on both sides with replacement with 300cc normal-saline breast implants inflated up to 325 cc bilaterally. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the improved contour and projection of her breasts and how well the incisions have healed, especially the vertical breast lift incisional scars.

Call Today!

 

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Miguel Delgado, M.D. has been doing breast revision surgery since 1989 and is considered an expert in his field, call (415 898-4161)for your breast revision needs.