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Tag Archives: breast implants

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.

Can Breast Implants be Reused During Revision Surgery?

Breast revision surgery in San Francisco

Many women ask if it is possible to reuse their breast implants during breast revision surgery. In some cases it may be possible, it depends on the reason for revision surgery and the condition of the breast implants. The primary concern is proper sterilization of the implants.

Breast Implants May Have Bacteria

If the reason for the revision is with the implants themselves, replacement is necessary. Implants that have ruptured or deflated must be replaced. If a revision is due to capsular contracture, implants should be replaced because it is possible a layer of bacteria has developed on the surface that may not be entirely removed, increasing the risk of capsular contracture forming again.

Age of the Breast Implants Makes a Difference

If the implants are less than 5 years old and there is no issue of contamination or rupture, there are some situations the implants can be used again such as; malposition, bottoming out and symmastia. If implants are over 5 years old, there is less usable life left, and they should be replaced.

In the hands of an expert breast revision surgeon such as Dr. Miguel Delgado, M.D. the pockets may be adjusted, sterility maintained, and the implants reinserted.

Implants do not need to be retreated for sterility as long as sterility is maintained during revision surgery.

Ask About Breast Implant Warranty

The manufacturers of breast implants give a lifetime warranty on their implants and will replace them at no charge if there is a deflation or a rupture. If a more expensive implant is chosen for replacement, the patient is only required to pay the difference. Manufacturers state that their implants are for a one time use only and reusing them will void the warranty.

 Breast Implant Deflation

Before and After Saline Breast Deflation

Dr. Delgado uses Mentor implants for his patients. When scheduling surgery ask about Mentor’s Enhanced Protection Plan that offers 10 years of financial assistance for surgical and operating room costs should revision surgery be necessary.

There are exclusions to Mentor’s replacement warranty, Dr. Delgado’s staff will be happy to give you details. Call today (415) 898-4161 for a breast revision consultation with Dr. Delgado.

Breast Revision Surgery Has Unique Challenges

Breast revision surgery in San Francisco

Patient 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.

Breast revision surgery can pose unique challenges for the breast revision surgeon. Many women in need of breast revision surgery might not have access to their original surgery records. If many years have passed since their surgery, their surgeon might not have their records. Medical retention laws and regulations differ from state to state. For California, it is suggested records be kept for a minimum of 10 years from the date the patient was last seen. However, if the surgeon has retired, the patient probably has no way of getting in contact. In a perfect world, patients should ask for a copy of their records after surgery. However, that doesn’t happen very often.

Breast Revision Complications

When a patient sees a breast revision surgeon after many years, many do not remember what size their implants are or even if they are saline or silicone. The complexity of revision surgery is even higher if the patient has already had one or more previous surgeries and has resulting scar tissue that has formed.

As the patient ages the quality of the breast tissue changes, the skin becomes thinner, and the formation of scar tissue can affect the final result.

Breast Revision Surgery will Cost More

With the complexity of breast revision surgery, the fees may be substantially higher than the original surgery. Patients should not assume that a surgeon who performs a lot of breast augmentation surgeries is equally qualified to do breast revision surgery. There are even Board Certified Plastic Surgeons that may not have the expertise for the possible complications that breast revision surgery may require.

When looking for a breast revision surgeon, do not hesitate to ask the doctor how many revisions he/she performs in a year and be sure to ask to see before and after pictures of patients. Do your homework and select a Board Certified Plastic Surgeon who has extensive experience with breast revision surgery.

Before and After Pictures Speak For Themselves

Dr. Miguel Delgado, M.D. has been performing breast revision surgery since 1989. He has an extensive portfolio of before and after pictures of his patients who have been thrilled with their results.

If you are unhappy with your breasts, call now (415) 898-4161 and meet with Dr. Delgado who will explain what options you have to regain beautiful breasts..

“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 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.

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.

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.