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Category Archives: Breast revision recovery

Breast Revision and the Use of Drains

Many women have voiced concern over the use of drains after their breast revision surgery. They have heard stories how they are bulky, somewhat awkward to manage and painful when the tubes are pulled out.

Understanding the Need for Drains

They are a little cumbersome, but only take a few minutes to empty. There is a slight burning sensation that only lasts seconds when they are removed. Understanding the need for drains and what they can accomplish makes the 2 to 3 days of having drains tolerable.

Breast revision and drains

The Jackson Pratt is the most common type of drain; its purpose is to remove fluid by mild suction from the surgery site. There is a clear tube that goes from the surgical site to a small bulb. The bulb needs to be emptied periodically and then gently squeezing it when reattaching it to the tube makes a suction to aid in the removal of fluids. Fluids that collect inside of the body can increase the chance of infection or other complications. The use of drains promotes healing and recovery.

Measure Color and Amount of Fluid

By monitoring the amount of fluid, and the color gives the surgeon valuable information on how you are healing. Serosanguinous is the most common type of drainage. It is usually thin, watery, and pink to darker red in color, which is caused by red blood cells in the fluid. On the other hand, purulent exudate, is thick, opaque and sometimes tan, yellow, green or brown, and associated with infection or high levels of bacteria.

It is normal for a small amount of drainage during the inflammatory stage of healing. Dr. Miguel Delgado, M.D. has his patients keep a log to document the output of fluids and the color. Patients are instructed to notify Dr. Delgado if any of the following should occur:
• Fever
• An increase of discharge that is green or yellow or brown
• A noticeable change in the odor of the discharge
• Increase in pain

Dr. Delgado Has More Than 25 Years of Experience

Some surgeons use drains, and some do not. Dr. Delgado has more than 25 years of experience, and he believes in using drains for certain procedures to help with healing and fewer chances of infection.

Call Now!!

If you are having any concerns about your breast implants, call today (415) 898-4161 for an appointment with Dr. Delgado.

“What You Should Know About Boob Jobs”

Breast Augmentation #1 Cosmetic Surgery Procedure

Even with the increased popularity of the butt lift, breast augmentation continues to be the number one cosmetic plastic surgery procedure according to the American Society of Plastic Surgeons.

Women's Health Magazine

 

Women's Health Magazine

Women’s Health Magazine recently published an article on the “6 Things You Should Know About Boob Jobs-From Women Who’ve Had Them.”

Regrets Over Cheap Surgery

The first patient states she had her breast augmentation surgery at age 24. She chose the cheapest option she could find which was all she could afford. Now she is sorry she didn’t do more research and wait until she could afford a Board Certified Plastic Surgeon. Her stitches popped open, and her doctor told her not to worry and that it would just heal. Unfortunately, she ended up with very unsightly scars. It took her six years to save enough money to have breast revision surgery.

Another patient wants women to know that for her she was very uncomfortable for three days but was able to return to her spin class after nine days. However, she did wait six weeks before resuming her upper body workouts.

Large Implants Cause the Most Discomfort in Healing

The next patient says she went from an AA cup to a DD cup and had intense pain. Her surgeon told her that her pain level was due to the large implants stretching her pec muscles.

And another patient commented on how hard it was to try to choose the right size implants. For her, after surgery, she felt she went too large and that her breasts looked fake. Even after healing it took her almost a year to accept her new body image and feel really comfortable.

The last patient states she cried a lot after surgery, she thought it might have been her pain medication that made her weepy but worried if she made the right implant choice. However, today she is very happy with her implants and only wishes that she did it sooner.

To read the entire article, click here.

Choose the Right Surgeon

It is very important to choose a Board Certified Plastic Surgeon who you feel comfortable with and who will address all of your concerns. Dr. Miguel Delgado, M.D. emphasizes to his breast augmentation patients that most women will need to have at least one breast revision surgery at some point in their life and maybe more.

Call Today!

Dr. Delgado has been doing breast revision surgery since 1989. Call now (415) 898-4161 if you are having any issues with your breast implants.

 

Breast Revision Scars

Scars Can Be Genetically Determined

Many women have been dissatisfied with the scars from their original breast augmentation surgery. When women need or want to have breast revision surgery, it is possible that the original scars can be improved and made less noticeable.

Scar quality can be genetically determined. However, some lifestyle choices like smoking can be the cause of poor healing with the result of thick, unsightly scars. Stress may also interfere with the healing process.

Breast Revision Expert, Dr. Miguel Delgado, M.D.

Dr. Miguel Delgado, M.D. has been performing breast revision surgery since 1989; his expertise is reflected in the rate of high patient satisfaction. Expert surgical technique includes the proper placing of the breast implants and having even pressure distributed on the incisions.

Breast Revision, Dr. Delgado San FranciscoThis is a 39-year-old woman who had three previous breast revision surgeries. Now she presents with bilateral capsular contracture of the breasts and malposition. She had a complete capsulectomy (breast capsule scar removal) from the right side and replacement.

In addition to the external scars, internal scarring can be a big issue. Scar formation around an implant may distort the breasts and make a capsular contracture which is not only disfiguring but can be painful.

Scar Therapy After Surgery

Only experienced Board Certified Plastic Surgeons have the skills to minimize the incidence of scar formation which is followed by scar therapy. Scar therapy begins once the incisions have healed and includes silicone treatment and massaging. Dr. Delgado stresses the importance of avoiding direct sun exposure for about 1 year. For problematic scars, steroid injections may be an option; however, scars cannot be completely erased.

Call today (415) 898-4161 for a consultation with Dr. Delgado for any breast revision issues you may be having.

What is Capsular Contracture of the Breast?

When a foreign object such as breast implants, a pacemaker, or an artificial joint is inserted into the body, it will form a protective scar capsule around the object. It is a natural healing response and is expected.

Baker Scale Grades Firmness of the Breast

For some breast augmentation patients, during the first year of healing, the capsule that forms around the breast implant may shrink (contract). The web of fibrous material making up the capsule tightens and squeezes the implant, making it feel hard. There are varying degrees of encapsulation. Dr. James Baker created the “Baker Scale of Capsular Contracture,” which is used worldwide to grade the degree of firmness of an augmented breast.

• Baker Grade l     The breast feels soft and appears normal
• Baker Grade ll    The breast feels slightly firm but appears normal
• Baker Grade lll    The breast feels firm and appears abnormal
• Baker Grade lV   The breast feels hard, appears abnormal and is painful

Capsular contracture in San Francisco

A 39-year-old mother of 5 with recurrent breast capsular contracture on her right side. Her surgical treatment was a complete capsulectomy (breast capsule scar removal) from the right side and breast implant replacement.

Capsular Contracture Affects Only a Few

Dr. Miguel Delgado, M.D. states that capsular contracture can develop at any time, but is more prevalent in the first few months after breast augmentation surgery. Fortunately, only a small percentage of women develop a problematic contracture.

According to a publication in the US National Library of Medicine at the National Institute of Health, capsular contracture usually is a result of subclinical colonization of bacteria within the implant pocket.

New Techniques to Combat Capsular Contracture

With all the latest techniques to minimize the chances of capsular contracture, the contracture can still occur. However, the rate has been greatly reduced in recent years thanks to techniques such as placement of the implant under the muscle, the Keller funnel (a device that allows the surgeon to insert the implant without touching it), and antibiotics.

Make an Appointment Today!

If you have been suffering from capsular contracture, call now (415) 898-4161 to schedule an appointment with Dr. Delgado to find out what options are available to you.

Before and After Surgery Instructions for Breast Revision Patients

Patient Participation is a Must

Breast revision patients frequently ask Miguel Delgado, M.D. “How do I prepare for my breast revision surgery?” Patient participation is necessary to achieve the best results, so Dr. Delgado is always glad to hear patients ask questions.

There are a lot of instructions for patients, both before surgery and after, therefore Dr. Delgado designed a comprehensive booklet for patients to have on hand that they and their caregiver can refer to.

Reading Surgical Booklet for Breast Revision Surgery

Comprehensive Surgery Instructions Booklet

The booklet, which is almost 40 pages in length, is divided into several sections including a table of contents for easy reference. In the first chapter, which is titled “Starting Now,” the patient is advised to stop smoking. Start taking a multi-vitamin, and get lab tests done. When it is two weeks before surgery, Miguel Delgado, M.D. warns his patients to stop taking any products that contain blood thinners such as aspirin. However, aspirin is not the only culprit that thins the blood. In the booklet, there are three pages of medications, vitamins and supplements that must be stopped as they all contribute to thinning of the blood, which can cause complications during and after all surgeries, including gynecomastia, face lifts and mommy makeovers.

Critical to Avoid Blood Thinners

Many people are not aware of many items that thin the blood, such as; Alka Seltzer, Motrin, Vitamin E, Fish Oil, St. John’s Wart, Ginkgo Biloba, just to name a few. To be safe, Dr. Delgado wants his patients to be sure and let him know of any and all supplements and medications taken on a regular basis.

In the second section which is titled “The Day Before Surgery,” patients are reminded to get all prescriptions filled, guidelines for eating, drinking and bathing are reviewed and the surgery time is confirmed.

Nothing to Eat or Drink After Midnight!

“The Morning of Surgery” patients are reminded not to eat anything after midnight the night before surgery; they may brush their teeth but do not swallow any water. They will be advised as what to wear to surgery and their check in time.

There is a section on risks and possible complications and instructions specific to their procedure.

The booklet is a handy reference for patients and their caregivers, but they are always encouraged to call (415) 898-4161 or email info@dr-delgado.com with any questions.

Can Breast Revision Surgery be Combined With Other Cosmetic Procedures?

As this website describes, there are several different causes for breast revision surgery. When the reason for breast revision surgery is due to ruptured implants the implants and scar tissue should be removed as soon as possible so that the breast implant pocket is not damaged. Otherwise, as long as the patient is not experiencing any discomfort or redness, breast revision can be scheduled at the convenience of the patient.

Breast Revision Combines Cosmetic Procedures

At the time of breast revision surgery, many women choose also to change the size of their breast implants, or go from saline to silicon or vice versa, and some want to change the position to either over or under the muscle. It is a good time to make such changes if a revision is going to take place.

We all have busy lifestyles and taking time out for surgery and recovery usually requires careful planning. Therefore, it is very common for women to want to add more cosmetic plastic surgery procedures so that they can have just one recovery period.

Breast Revision and the Mommy Makeover

Miguel Delgado, M.D. says that some of the more popular combinations would be the Mommy Makeover, which includes a tummy tuck, some liposuction along with whatever breast revision surgery is being scheduled. Other procedures may be combined with breast revision surgery such as a rhinoplasty, or perhaps a brow lift, or eyelid surgery. Depending on the patient’s health and the skill of the surgeon, most procedures could be considered as an “add- on.”

Mommy Makeover in San Francisco

Before and After Mommy Makeover

During your consultation, feel free to discuss with Miguel Delgado, M.D. all of your cosmetic plastic surgery desires. With safety in mind, he will work with you to make a plan for you to achieve your goals.

Schedule a Breast Revision Consultation Today!

Call  (415) 898-4161 or email info@dr-delgado.com to get started on a New You for the New Year!

The Dangers of Smoking for the Plastic Surgery Breast Revision Patient

Almost 1 in 5 Americans smoke. It is not surprising that Miguel Delgado, M.D. is frequently asked by his breast revision patients, “How important is it to quit smoking before surgery?” His reply is always, “Extremely important, I can’t emphasize enough the dangers that smoking can cause for a cosmetic plastic surgery patient.”

No smoking for the cosmetic plastic surgery patient

San Francisco Patients Beware! Complications Smoking Can Cause

Plastic surgery changes the shape of different areas of the body; this is achieved by moving skin and tissue around and thereby altering the blood supply. Cigarette smoke contains over 250 known toxins, besides nicotine; there is carbon monoxide, nitric oxide, and hydrogen cyanide, all of which compromise wound healing. The blood vessels bring oxygen to the tissues, in addition to healing aspects; the oxygenated blood fights infection and delivers important medication such as antibiotics.

Nicotine affects blood flow because the blood vessels constrict, and then the blood may clot more easily clogging small blood vessels and capillaries. This clogging could result in a reduction of blood to the tissues causing necrosis, which is the death of cells in living tissue. When this happens, the surrounding tissues become inflamed requiring surgical removal called debridement. When this type of surgery becomes necessary, the outcome of the cosmetic surgical procedure may be compromised.

Medical Studies Report the Risks of Smoking

The American Society of Anesthesiologists reported a study that shows surgery results between smokers and non-smokers:

• Smokers 50% more likely to develop pneumonia
• Smokers 57% more likely to have cardiac arrest
• Smokers 73% more likely to have a stroke
• Smokers 80% more likely to have a heart attack

In another recent study by The European Society of Anesthesiology, smokers need 33% more anesthesia throughout surgery and 23% more pain medication. Surprisingly, those exposed to second-hand smoke needed 20% more anesthesia and 18% more pain medication.

Smoking Addiction is Serious

Addiction to cigarettes should not to be taken lightly. Most people who smoke wish they could quit, but addiction to nicotine can be an uncontrollable dependence causing severe mental, emotional and even physical reactions for someone trying to kick the habit.

For a plastic surgery patient who smokes and is anticipating elective surgery, it is important to understand the complications that smoking can cause. Some patients may be tempted not to disclose their smoking status to their surgeon. Preoperative testing can show if nicotine is present in the blood and thereby affecting the safety of surgery. All qualified Board Certified Plastic Surgeons make safety for their patients their number one goal.

Miguel Delgado, M.D. does not wish to scare patients with this information but to make them aware of the seriousness smoking poses. Dr. Delgado has helped many patients overcome their smoking habit by prescribing medications such as Chantix so that they can move forward safely to their cosmetic surgery goals.

Call Miguel Delgado, M.D. Today!

San Francisco Email and PhoneCall (415) 898-4161 or email info@dr-delgado.com for an appointment with Dr. Delgado.

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.