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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.

What Causes Breast Implants to Ripple?

 

Miguel Delgado, M.D. Cosmetic Plastic Surgeon

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

 

 

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

 

Causes of Rippling of Breast Implants

 

One of the risks of breast augmentation is the possibility of rippling or wrinkling, although this risk can be rare if the surgery is done properly, for those patients that have rippling, it can be very bothersome.
Rippling of breast implants that can be seen through the skin is usually at the sides or bottom of the breast but can also be in the middle, near the cleavage.

Dr. Delgado informs his patients that the risk of rippling may be caused by several different factors:
1.    Under filling of the breast implant
2.    Overfilling of the breast implant
3.    Poor tissue coverage
4.    Placement of the implant over the muscle

Silicone implants cannot be overfilled as they come “pre-filled.” Saline implants that are overfilled beyond the manufacturer’s

Overfilled saline implants causes scalloping

Overfilled saline implants causes scalloping

recommendation may cause the edge of the implant to pull which will result in ripples, even if they are not visible, they might be able to be felt.

Over and Under Filled Breast Implants

If the implant is under filled (again only an issue with saline implants) it will leave the shell emptier that it should be which may result in folds and wrinkles of the implant.

Patients that have poor tissue coverage may get wrinkling with saline or silicone implants, however, the form-stable breast implants (also known as the gummy bear implants) offer the least risk of rippling.

Women with little breast tissue that have their implants placed over the muscle are at the highest risk for rippling. Textured implants are designed to adhere to the tissues that can cause pulling on the breast tissues and result in what is referred to as “traction rippling.” The more breast tissue the patient has, the less likely of getting traction rippling.

Correction of Rippling Breast Implants

In order the correct rippling problems, it is possible to add or subtract the amount of saline in breast implants. However, the manufacturer warns against re-opening the port once it has been sealed, and if adjustments are made, the warranty will most likely be voided.

If the rippling is caused by implants being over the muscle, consideration may be given to having the implants placed under the muscle.

Whatever the cause for rippling may be, be sure to seek out a Board Certified Plastic Surgeon to evaluate your situation and inform you of your options.

Contact the Breast Revision Expert

Dr. Delgado has been doing breast revision surgery since 1988 and invites you to call (415 898-4161) or email (info@dr-delgado.com)for a consultation for any breast revision concerns.

Prevention of Capsular Contracture

 

Miguel Delgado, M.D. Cosmetic Plastic Surgeon

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

 

 

 

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

 

Breast Capsular Contracture|San Francisco,CA

 

San Francisco, CABreast Capsular contracture is defined by Wikipedia as a response by the body’s immune system to a foreign object such as a breast implant. The result is the formation of collagen fibers that tighten and squeeze the breast implant.

The cause of capsular contracture, for the most part, remains unknown. Dr. Delgado tells his patients it is not possible to guarantee that a woman will not get a capsular contracture. While it is not always known what may be the cause, there are new theories and  ongoing studies being presented. In general, it is believed a low grade infection or excessive inflammation may be to blame. In particular bio-films have been implicated as the possible primary cause of capsular contracture. Bio-films are bacterial colonies surrounded with a covering protecting them from antibiotics and the immune system. Bacteria present during surgery may create a bio-film around a breast implant. The result may be a low grade infection without puss or becoming red, swollen or hot in the manner of infections that we are familiar with. Bio-film inflammation may cause a thick, tight capsule around the implant.

Before and After Breast Revision Surgery

Before and After Breast Revision Surgery

 

Breast Implant Contracture prevention option

 

There are preventative measures that can be taken to reduce the risk, and women who have a propensity to form capsular contracture should discuss all possibilities with their surgeon.

1.    It appears that the placement of the implants can make a difference. Partial or complete placement of the implants under the muscle versus on top of the muscle has been proven to have less incidence of capsular contracture. It is believed that when implants are placed over the muscle they come into contact with bacteria that can be harbored in the ducts of the breasts.

2. The peri-areolar incision seems to have a higher incidence of capsular contracture than the inframmary approach.

3.    Textured breast implants were designed to reduce the incidence of the development of scar tissue. However, there does not seem to be any advantage for implants under the muscle and a slight advantage for implants placed over the muscle.

4.    Massaging after breast augmentation surgery is believed to help keep the pocket open and reduce the likelihood of capsular contracture. However, it is not recommended for textured implants as they are supposed to adhere to tissue and massaging could interfere with this.

5.    Vitamin E is known to thin the blood and must be avoided 2 weeks before and two weeks after surgery. The use of vitamin E after 2 weeks postoperatively may be of benefit. It is believed that vitamin E softens the collagen fibers, and the capsule is made up of collagen fibers. There are not any studies that neither support nor disprove the use of vitamin E.

Check With Your Plastic surgeon about Breast Contractures| San Francisco, CA

 

Whatever methods are tried, be sure you have the approval of your surgeon. Every patient is unique, and your surgeon will be able to advise you as to what is best for you.

 

Call the Expert

 

Dr. Delgado has been doing breast revision surgery since 1988 and is an expert in his field. Call (415 898-4161) or email (info@dr-delgado.com)today for a personal consultation for any breast revision issues.

Breast Revision Surgery, Choosing a New Implant

 

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

 

 

Reasons for Changing  Breast Implants

 

Dr. Delgado emphasizes to his San Francisco breast revision patients that they will most likely need breast revision surgery at least once in their lifetime and maybe more.

There can be several different reasons for the need of breast revision surgery, the main one being that women want to change the size or type of implants. Other reasons include; capsular contracture, deflation of saline implants, rupture of silicone implants, shifting of position of the implants and changes in the breasts due to aging or weight fluctuations.

Breast implants are always evolving and being improved. If breast revision surgery is to be scheduled, many women opt to change the type of implant to be used. Depending on the issue a woman is having, will help determine the choice for new implants. For example, if a woman with saline implants has wrinkling, she may want to change to silicone.

With so many choices available, a woman needs to have an evaluation with a Board Certified Plastic Surgeon, who specializes in breast surgery, to help guide her to make the right selection for her individual situation.

Silicone or Saline Breast Implants?

Saline implants have an advantage in that the size can be adjusted during surgery as they do not come pre filled as silicone implants do. Saline implants are less expensive and can be inserted through a smaller incision. The advantage of silicone implants is a more natural feel and appearance. Today, 80% of women choose silicone over saline.

Moderate, Moderate Plus or High Profile Breast Implants?

 

The difference between these implants is their diameter and projection. A woman’s chest size will determine which profile is best suited for her.

Smooth or Textured?

 

The majority of implants used today are smooth. The textured implants were designed to reduce the incidence of capsular contracture and appear to do so but only when the implant is placed above the muscle. The disadvantage of a textured implant is a thicker shell which may be more visible through the skin and more easily felt.

Round or Anatomical?

 

Most implants are round, but there is a teardrop shaped or anatomical. The anatomical are textured and therefore have the disadvantages of the textured implants.

With all the variables of breast implants, it is important to choose your surgeon carefully, be sure to ask to view before and after pictures of actual patients.

 

Saline to silicone

Saline to silicone

Dr. Delgado has been performing breast revision surgery since 1988, if you are in need of breast revision surgery, call today (415 898-4161) or email (info@dr-delgado.com) for  a consultation.

If an MRI Shows a Leak, What Happens Next?

 

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

San Francisco, California-In 1992, the FDA placed a ban on silicone breast implants except for; research studies, reconstruction and breast revision surgeries where silicone was previously used. The FDA feared there may have been a connection to a variety of diseases including lupus and cancer. Studies for the next 14 years failed to show any evidence that silicone breast implants were the cause of any diseases.

Therefore, in 2006 the FDA determined silicone breast implants were safe and once again they became available for breast augmentation surgery. The FDA did stipulate, however, that a woman must be 22 years of age in order to have silicone implants. In addition, after 3 years they recommend that women have Magnetic resonance imaging (MRI) and then every two years after that to make sure that there is not a silent leak. Note that this is a recommendation, not a requirement.

Even with the added stipulation, 72% of women are choosing silicone implants over saline implants, according to a report by the American Society of Plastic Surgeons. The main reason for choosing silicone over saline is the more natural feel of the implant.

Dr. Delgado explains to his breast revision patients that an MRI is different than a mammogram in that there is not any use of radiation; instead it uses a powerful magnetic field, radio frequency pulses and computer imaging of the breast. It is not a painful procedure and it usually takes about 30 minutes. An MRI should not take the place of a mammogram but should be done in addition  if it is recommended.

Breast Revision Before and After

This is a 61-year-old, female resident of Santa Rosa, California who presented to the Novato office in Marin County for evaluation for revisional breast surgery. She has had her silicone implants for over twenty-four years. The silicone implants have ruptured on her left side with bilateral capsular contractures, or hardening. She underwent complete capsulectomies on both sides with removal of silicone material and replacement with 250 cc, silicone breast implants in the sub-muscular position. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the more natural appearance of the breasts postoperatively.

With all the recent changes with medical insurance, it is hard to know if an MRI will be a covered test under any particular policy; it is advised that you check with your insurance company. If medical insurance doesn’t cover the MRI, it can be quite expensive, from about $1,500 to $2,000 or even more. Therefore, most surgeons tell their patients if they have any unusual symptoms or concerns they should be seen, and their surgeon will help them determine if an MRI may be appropriate.

If you discover you have a silent leak, Dr. Delgado will discuss your options of having your implants removed and/or replaced. If your original surgery was less than 10 years ago, the manufacturer will contribute to your breast revision surgery. Implants have a lifetime guarantee and will be provided at no charge if they are ruptured.

If you are having any issues with your breast implants, Dr. Delgado invites you to call (415 898-4161) or email (info@dr-delgado.com) for a consultation.

Breast Revision Costs and Payment Options

Hopefully, when you first got your breast implants for breast augmentation surgery, your surgeon explained that this is most likely, not a “one time” procedure. Dr. Delgado is very careful to explain to his San Francisco Bay Area patients that usually within ten years’ time some type of revision most likely will need to be done so that it will not come as a surprise. Some women may need more than one revision in their lifetime.

Breast Revision Before and After

Sonoma, California – A 45-year-old female of Monterey, California who presents to the San Francisco office at Union Square for breast revision surgery. She has had five previous breast revision surgeries. In 1996, she underwent breast augmentation using 270cc anatomic normal saline implants. Because of implant wrinkling, in year 2000 she had 35cc of saline placed within the same implant. In 2001, she had ex-plantation of the normal saline implants because of the persistent wrinkling and had placed 360cc silicone breast implants. In 2005 she wanted increase in size and underwent replacement of her 360 cc implants to 500 cc high profile silicone implants. In 2006 she developed a capsular contracture on her right side and underwent capsular contracture removal and replacement with 500cc Mentor silicone breast implants.

As stated under the “breast revision procedures” section of this website, there are several different reasons for breast revision surgery. The cost of breast revision surgery can vary quite a bit depending on what the issue is, such as;

  • Do the implants need to be replaced?
  • Are the implants ruptured or deflated?
  • Will there need to be a new pocket for the implants?

There are many other variations and combinations so it is hard to give an idea of the cost since it is a case by case situation. It will most likely be as much as the original surgery and perhaps more.

The good news is you may not be responsible for all of the fees. For example, depending on the reason for breast revision surgery, the manufacturer may supply replacement implants at no cost to you. If your revision surgery takes place less than 10 years of the original surgery, the manufacturer sometimes offers limited financial assistance.

Mentor (which is the manufacturer of the implants Dr. Delgado uses) includes a limited warranty with the purchase of their implants to assist with surgical fees during the first 10 years should a revision be necessary. Mentor also offers an extended warranty to patients for a nominal fee which may double the amount of assistance.

However, if your original surgery was more than 10 years ago, there may still be help for you. Your implants come with a lifetime guarantee, so depending on the reason of failure of the implant(s) the manufacturer will most likely replace them at no cost to you. Additionally, depending on the reason for revision, your medical insurance may cover some costs. Dr. Delgado’s patient coordinator will be able to help you apply for coverage to your insurance.

email and phone icon

 

Dr. Delgado has been doing breast revision surgery since 1989, call today (415) 898-4161 or email (info@dr-delgado.com) for an evaluation for all breast revision complications.

How Do Sub-muscular and Sub-glandular Breast Implant Placement Differ? Can I Change?

Also known as “over” and “under,” Dr. Delgado says many patients ask, “Which is best?” Dr. Delgado prefers under the muscle for a more natural look. However, this is something to be discussed at length during the initial consultation as each patient is unique.

Sub-glandular placement, referred to as “overs,” means the implant is placed above the pectoralis muscle but under the Breast implant placementmammary gland.

Sub-pectoral placement, referred to as “unders.” Because of the nature of the pectoral muscle, the implant is only partially under the muscle, leaving the lower half of the implant uncovered.

Sub-muscular placement, also referred to as “unders,” is fully under muscle. In addition to the pectoralis muscle that covers the upper portion of the implant; other muscles cover the bottom half.

According to clinical studies, it is believed that capsular contracture is reduced when implants are placed sub-pectoral or fully sub-muscular.

For women who do not have much breast tissue, the under muscle approach reduces the chances of visible rippling.

Technology has improved greatly over the years for mammograms taken with and without implants. However, it is believed that implants under the muscle are less likely to interfere with the mammogram imaging.

Dr. Delgado states that changing position from over to under should not be a problem.

He invites you to call (415) 898-4161 or email (info@dr-delgado.com)for a consultation if you are considering any type of breast revision surgery. Dr. Delgado has been specializing in breast surgery for women and male breast reduction surgery for men since 1988.

How Long will Breast Implants Last?

Implant deflation

San Francisco, CA – A 22 year old resident of Sacramento, CA presented to the Union Square San Francisco office for breast revision surgery. Her normal saline implant on the left side was a complete deflation. She had replacement of her normal saline implants with 420cc silicone implants under the muscle.  The lower pole of the breasts are stretched showing signs of bottoming out. She did not want correction of this deformity.

When contemplating breast augmentation surgery, many Marin County women ask Dr. Miguel Delgado how long breast implants will last. There is no way to know how long as it is different for everyone. There isn’t an expiration date on them. Implants are not biodegradable, they are designed to last forever, and technically they could. However, other factors such as the age of the woman and the condition of her skin and muscles and the ensuing sagging of the breast will determine when the implants may need to be exchanged. Some women may need a breast lift when they have breast revision surgery.

If you are not having a problem with your implants, they do not need to be replaced; however, you should be prepared to have breast revision surgery at least once in your life, and maybe more.

Basically, all breast implants have the same design. They are made up of a silicone envelope and filled with either saline or silicone gel. Breast implants can develop a tear or hole. Ruptures or deflations can happen if there is a severe blow to the chest. If implants are old, it is possible that they can rupture during a mammogram. Saline implants have a valve. If the valve is defective, or breaks, it will deflate, as pictured above.

Recent advancements for breast implants have made them safer and longer lasting than ever. Breast implant manufacturers stand behind their products and give them a lifetime replacement guarantee. They also extend a ten year warranty for reimbursement of some of the surgical costs, if breast revision surgery becomes necessary.

If you are having issues with your breast implants, you are encouraged to call (415 898-4161) or email (info@dr-delgado.com)for a consultation with Dr. Delgado.

Considerations for Changing Breast Implant Size

 

dr-miguel-delgado-300x200

Miguel A. Delgado, Jr., M.D.
Cosmetic Plastic Surgeon

 

 

 

 

 

 

 

 

 

There are several different reasons for breast implant exchange; one of the most common is to change the size of the implants. Many women will wait until they might need a breast revision for something else which will usually occur within ten years of the original breast augmentation, but some who are unhappy with their size may not want to wait.

Dr. Miguel Delgado spends a great deal of time with his patients prior to surgery in determining the correct size, so fortunately dissatisfaction with breast implant size is rarely an issue. For the few women who wished they had a different size, 90% to 95% wished they had gone larger. Usually when trying to decide between two sizes, it is advised to go with the larger of the two.

Women need to have good communication with their cosmetic plastic surgeon and trust his/her opinion when it comes to picking the right size. There are considerations for the surgeon that the patient may not understand. The surgeon wants to maintain the proportion of the breast size to the anatomical dimension of a woman’s body, taking into consideration the relation of the shoulders and hips.

There are three main body types:

1.           Ectomorph –slim, more like a fashion model

2.           Endomorph – pear or hourglass shape where body fat has a tendency to settle in the lower region of the body

3.           Mesomorph –hips are generally the same width as the shoulder, the body is more muscular in shape and body fat is stored fairly evenly over the body

Most women are a combination of body types, so it is essential that she is evaluated by an expertly trained cosmetic plastic surgeon to determine the correct size for her breast implants. However, the wishes of the patient are definitely taken into consideration. The patient needs to understand that if she wants very large implants, she may be limited by the width of her chest.  Other factors help determine the profile of the implants, such as the patient’s age and the condition of her the skin.

Breast revision 3

Santa Rosa, California – A 36-year-old mother of two who presents to the San Francisco office at Union Square for breast revision surgery. She has previously had a breast augmentation using 250cc normal saline implants. Her desire is to have an increase in size and change to silicone breast implants. She underwent removal and replacement using 360cc silicone high-profile implants as well as a tummy tuck and liposuction for a “mommy makeover”. Her surgery was performed at Dr. Delgado’s private surgical facility, Marin Cosmetic Surgery Center in Novato, Marin County, California

Different body types will accommodate different size implants; it is not a one size fits all. Bringing in pictures to the initial consultation will help the surgeon understand the patient’s goals. It is strongly advised that the patient ask to see before and after pictures of the surgeon’s actual patients.

Dr. Delgado’s main goal is patient satisfaction; fortunately he rarely has a patient dissatisfied with the choice of implants as much time is spent in helping the patient come to a decision, including doing the “rice test” which helps her visualize what the outcome will be before surgery.

 

Some breast augmentation patients are anxious to have a breast revision right away if they are not happy with the results. They need to understand that implants normally ride high for the first four months or more, the skin and muscle need to stretch allowing the implants to drop into the correct position. While some patients may think they are not happy with their immediate results, once the implants drop into position, they may change their mind; time must also be given for the patient to adjust to her new body image.

If the decision is to change implants for a larger size, it may be necessary to modify the implant pocket to accommodate larger implants. On the other hand, if a woman wants smaller implants, it is possible a breast lift may be required if there is some degree of skin laxity. Each situation is individual, and depending on what changes are to be made, will affect the cost of breast revision surgery. Breast revision usually is complicated and selection of a Board Certified Plastic Surgeon who specializes in breast surgery is essential.

 

If you have concerns about your breast implants, email and phone iconcall today (415 898-4161)or email (info@dr-delgado.com) for a consultation with Dr. Delgado, who will be able to evaluate your situation and make available to you all your options.

Does Breast Revision Surgery Cost More or Less than the Original Surgery?

Saline to Silicone

A. 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

This question comes up frequently on RealSelf.com, but there isn’t one definitive answer. There are many different reasons for breast revision surgery as you will notice under the procedure section of this website.

One of the main reasons a patient has a breast revision is because she is dissatisfied with the size of her breasts, Dr. Delgado does not have this happen very often as he reviews size with the patient very carefully and has her do the rice test.  If breast implant exchange is done in the first year, Miguel Delgado, M.D. does not charge a professional fee, but there will be fees for new implants, anesthesia and the surgery center.

Breast revision surgery can be quite complicated, if the breast implants are silicone and have ruptured, it is a very tedious and time consuming procedure to remove the silicone. This is less of a problem with the newer cohesive gel implants as the gel mostly will retract back into the implant envelope. If a deflation or rupture has occurred, it is possible that the manufacturer will replace the implants at no cost and may contribute to surgical costs if it has happened within 10 years of the original surgery.

Some women will want to have the location of the implants changed from over the muscle to under the muscle; they may want to change to silicone from saline or vice versa. For “bottoming out” problems, the internal pocket may need adjustment.  It is possible that a woman will need a breast lift at some point in the future.

It is important for women to be aware that breast augmentation surgery is rarely a one-time procedure. The breast revision cost will vary greatly depending on what corrective procedure is done. The bigger concern than the cost should be in the selection of the right surgeon. In addition to being a Board Certified Plastic Surgeon, the patient should be seeking out a surgeon that has much experience with breast surgeries. It is possible to get a lot of information on the internet about different surgeons, look at their website for before and after pictures, read reviews posted by other patients. Prepare ahead of time for your consultation with a list of questions. Do not hesitate to ask the doctor what procedure he/she recommends for you and how it would be performed.

email and phone iconDr. Miguel A. Delgado is an expert breast revision specialist having done hundreds of complicated cases. Call (415 898-4161) or email (info@dr-delgado.com) today to schedule a consultation for your breast revision concerns.

Breast Implant Exchange With Patient’s Own Fat

San Francisco, California-There are several reasons that a woman may elect to have her breast implants removed and/or replaced. The reasons vary greatly, from capsular contracture, to a rupture or deflation, double bubble, breast implant malposition  caused by pregnancy, aging, or capsular contracture, dissatisfaction with size or shape, and many other reasons.

Breast revision Malposition

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

Most women understand that breast implant devices are not “lifetime devices” and most will need to have breast revision surgery possibly every ten years. When a woman decides to have her implants replaced, she then needs to make a decision as to what she will do to replace the volume, if anything. There are many options; she can replace with the same type of implants she previously had, or switch to a different type. Many women with saline implants want to change to silicone as they have a more natural feel. If a woman has been unhappy with the size, she may choose to go larger or smaller. Many want the new “gummy bear” implants that recently got FDA approval. Some will choose not to replace their implants with anything.

Today there is another option, and that is fat transfer to the breasts from another location on the patient’s body by liposuction, usually the tummy, flanks, or thighs. Fat transfers and fat injection procedures are increasing every year. Augmenting the face, due to loss of fullness from aging, is done many times in conjunction with a facelift. The Brazilian Butt lift, which is enhancing the butt with fat transfer, has become all the rage for the obtaining the now popular “hourglass figure.”  The back of the hands, which are a giveaway for aging, no matter how young the face looks, are rejuvenated with fat injections.

Fat Removal by Liposuction

Fat Removal by Liposuction

Breast augmentation with the patient’s own fat has been around for a while, however, the technique has been improved. For most women, 80% of the transferred fat will become permanent. For women who are “done” with breast implants, the idea of re-augmenting with their own fat is very appealing.

 

When breast augmentation by fat transfer was a new procedure, there was a higher possibility that a lot of the fat would not survive and would go through a process called fat necrosis, which leaves lumps of calcified scar tissue that could interfere with readings of mammograms. Newer techniques of harvesting the fat give the fat a much higher chance of surviving and the incidence of fat necrosis is much less. Radiologists have gotten much better at determining calcifications associated with cancer than those of benign conditions.

When the implant is removed, the capsule that formed around the breast is not removed. The capsule is normal scar tissue, unless it becomes too thick and squeezes the implant making it distorted and feel hard, then it is referred to as capsular contracture. The fat that is removed by liposuction from the tummy or the hips is not placed into the pocket but placed in tiny micro tunnels in the layers of tissue outside the capsule. The capsule prevents the fat from migrating into the space left by the pocket. Drains are usually placed to help close the pocket.

The amount of fat that can be transferred depends on a few different factors, such as; how thick the tissue is that the fat is going into, if the implants were sub muscular there is an extra layer of muscle into which the fat can be placed. Some patients can receive enough fat to be almost the same size as they were with implants.

Disadvantages are: large enhancements cannot be done, and for a  slender woman, she might not have enough donor fat available.

Dr. Delgado is a Board Certified Plastic Surgeon, who has specialized in breast surgery since 1988, serving the greater San Francisco Bay Area, San Jose and Sacramento.

 

If breast enhancement with fat or breast implant exchange with fat transfers sounds like a procedure you might be interested in, call or email today  (415) 898-4161) for a consultation with Dr. Delgado to find out if you might be a candidate, he will explain the procedure to you in detail and answer all your questions.