Call Us: 415.898.4161

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.

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!

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.

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.

Preparing for Breast Revision Surgery

The patient that prepares for breast revision surgery is going to have an easier and faster recovery. There are several things that patients can do to be proactive in the outcome of their breast implant revision surgery.

  •   Being in good health for surgery is of utmost importance or surgery will likely be postponed.
  •   Eating a healthy diet and getting exercise is always recommended.
  •   Beyond that, Miguel Delgado, M.D. recommends that his patients start taking high quality multi- vitamins. He has    found Vitamedica vitamins are superior and, therefore, provides them to his patients, they take them 2 weeks before and 2 weeks after surgery.
  • For patients that smoke, they must stop at a minimum of 2 weeks before surgery and if they start again (hopefully not) must wait until 2 weeks after surgery. This is extremely important as smoking will compromise the healing ability of the body.

Supplements and Breast Revision Surgery

At the pre-operative visit, the patient will be given a booklet that has detailed pre and post-operative instructions. Within the booklet is an extensive listing of blood thinners that need to be discontinued 2 weeks prior and 2 weeks after surgery. Blood thinners can cause complications with surgery and blood clotting abilities. In addition to aspirin, there are many medications, herbs and vitamins that the patient must be aware of. It is recommended that the patient bring in a list of all medications; prescription and over the counter, vitamins and herbal supplements, to be reviewed at the pre-operative appointment.

You will have an easier time after breast revision surgery if you prepare meals in advance and freeze them. Get your wardrobe ready with clothing that opens in the front, not something you need to pull over your head. Slip-on shoes are much easier than something that needs to be laced up.

Family Member or Friend

As you probably remember from your original breast augmentation surgery, you will not be able to drive yourself home from surgery. If you live alone arrange to have a family member or a friend stay with you for the first 24 hours; you may be groggy from the anesthesia and need assistance.

You will be given prescriptions at your pre-operative visit, get them filled before surgery and have them available for when you get home.

Be sure to read your surgery booklet completely before breast revision surgery and if you have any concerns or questions, please call the office at (415) 898-4161.

Having a Smooth Recovery

Miguel Delgado, M.D. maintains that patients who follow all the instructions should have a smooth recovery and enjoy exceptional results.

If you are considering breast revision surgery, you are encouraged to schedule an appointment with Miguel Delgado, M.D. by calling (415 898-4161) or emailing at (info@dr-Delgado.com).

Ten Important Questions to Ask Your Breast Revision Surgeon

Breast Revision Specialist Miguel Delgado, M.D.

Before and After Breast Revision Surgery

 

The Consultation

Last month’s blog gave several suggestions in helping you to choose your breast revision surgeon. After all your research and you have picked a surgeon, it is time to meet for your first consultation. The following are ten important questions you should ask, don’t hesitate to write your questions down and take them with you; it is easy to forget when you are finally face to face.

 

Important Questions

1.    Are you Board Certified by the American Board of Plastic Surgery?

2.    Will the surgery be done in a surgery center or hospital? Is it fully accredited?

3.    Is the anesthesiologist Board Certified?

4.    What type of anesthesia will be used?

5.    How many breast revision surgeries do you perform per year?

6.    May I see before and after pictures of your patients?

7.    Do you recommend saline or silicone implants for me?

8.    What size and shape implant would be good for me?

9.    Should my implants be placed over or under the muscle? Why?

10.    Where will the incisions be?

 

Write Down Your Questions                       make a question list

This is not a complete list, but a good starting point. Be sure to add more questions as you think of them, but again write them down, it is easy to forget.

 

Two or Three Consultations are Fine!

If after your consultation you are not totally satisfied with the answers you received, or you are not comfortable with the surgeon, go for a second consultation or even a third. It is important for you to have confidence in your surgeon.

Miguel Delgado, M.D. has been doing breast revision surgery since 1989 and is an expert in breast surgery. If you are having issues with your breasts, or you have had your breast implants for more than 10 years and need an evaluation, contact the office today (415 898-4161) for an appointment with Miguel Delgado, M.D.

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!

 

phone

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.

Consider “Gummy Bear” Implants for Breast Revision Surgery

Miguel Delgado, M.D. Cosmetic Plastic Surgeon

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

 

 

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

 

New Implants for Breast Revision

 

When considering breast revision surgery, one of the decisions to be made will be what type of breast implants to choose. Depending on what issues have determined the need for breast revision, implants can make a difference.

Sientra is the importer and distributor of Silimed implants from Brazil, being the only company outside the United States that has FDA approved breast implants. Brazil is now considered a first world economy, and uses the same FDA inspectors as Mentor and Allergan, the major implant manufacturers in the United States.

Gummy Bear Implants Get FDA Approval

Sientra was the first company to get FDA approval for their highly cohesive, form stable implants. Sientra’s form stable implants are referred to as the “gummy bear” implants, due to their consistency of the popular candy. All manufacturers now offer highly cohesive implants, but each with their own proprietary variation.

One of the biggest advantages of Sientra’s “gummy bear” implants is that they cannot leak; they do not have any “inner gel.” Due to the texture of the implant, it is believed there is less possibility of a capsular contracture forming. Additionally the teardrop shape gives upper pole fullness that may help correct minor sagging or drooping and possibly avoiding a breast lift.

Natural Teardrop shape

 

When a woman is standing, the teardrop shape is very natural, with a youthful perky appearance. However when a woman is lying down the Sientra gummy bear implants do not flatten out as much as the round implant will, like a real breast. The Sientra implant appears to be softer than the 410 (Allergan), and CPG (Mentor) form stable implants and maintains its shape better than all standard round silicone gel implants, including their own.

The gummy bear implants can only be inserted through an inframammary incision (under the breast). Therefore, there will be a scar hidden only by the fold of the breast. Normally, Miguel Delgado, M.D. will use the peri-areolar approach for breast  surgery so that the incision heals to almost invisible around the areola.

There has been a lot of press about the “new” implants, and due to requests from his patients; Miguel Delgado, M.D. has made them available, even though they are more expensive.

Contact Miguel Delgado, M.D.

 

If you think the gummy bear implants may be a good option for you, you are encouraged to contact the office for a consultation with Miguel Delgado, M.D. He will review your specific situation with you and help you determine the best implant for your breast revision surgery.

Breast Revision Surgery Statistics for 2014

Miguel Delgado, M.D. Cosmetic Plastic Surgeon

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

 

 

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

 

Most Women Will Need Breast Revision at Least Once

 

As previously noted in other areas of this website and blogs, there are several reasons that a woman may have breast revision surgery. It may be to change the size or type of breast implant or to correct any complications from the original breast augmentation surgery. The complications include; capsular contracture, deflation or rupture of an implant, bottoming out, rippling, double bubble and implant malposition.

Miguel Delgado, M.D. always emphasizes to his breast augmentation patients that they must be aware that they will most likely need to have breast revision surgery at least once in their life and possibly more. Even though implants are made to last a lifetime, situations can occur that will necessitate revision surgery.

ASAPS Publishes Statistics for Breast Revision

The American Society for Aesthetic Plastic Surgery (ASAPS) recently published their statistics for the calendar year of 2014. The number oASAPS Logof breast augmentation surgeries was 286,694. The number of breast revision surgeries was 71,916.

Miguel Delgado, M.D. wants to remind all breast augmentation patients to save all information from their original surgery for possible future revisions. Your original surgeon may have retired, and no longer has your medical records when you may be in need of a revision. Be sure to obtain your registration card that gives the information on what size, type, serial numbers and the manufacturer of your implants. You might also ask for a copy of your operative report and file all of this important information away in a safe place.

Warranty May Cover Some of Breast Revision Costs

Remember, the manufacturers of breast implants have a lifetime warranty where they will replace your implants at no charge should they rupture or deflate. Additionally, most companies include a ten year warranty that will aid in financial reimbursement toward your surgical expenses.

Breast Revision Specialist

 

email and phone iconMiguel Delgado, M.D. has been a breast revision surgery specialist since 1988. If you are having any issues with your breast implants, call today (415 898-4161) or email (info@dr-delgado.com) for a personal consultation.