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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.

Tag Archives: breast revision

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.

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.

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.