En español Haga Clic Aqui Call Us: 415.898.4161
"Finding the right plastic surgeon can be a very challenging experience. You want to find one that not only has expert skills but also understands exactly what your own personal goals are."
Patient J.G.
HIDE / SHOW TESTIMONIAL

Tag Archives: saline implants

A Ten Year “Reunion” With Your Breast Surgeon is Recommended

Breast revision in San Francisco

Monterey, California – A 43-year-old mother of two 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

Hopefully, when you had your initial consultation with your breast augmentation surgeon you were advised that at some time in the future, usually after ten years, you may need to have breast revision surgery, possibly replacing your breast implants.

As Women’s Bodies Change, Their Breasts Will Change!

Dr. Delgado states that there can be a lot of changes with women’s bodies after ten years, some women may have had a baby, perhaps gained or lost weight or noticeable aging to the body that may have caused sagging or asymmetry. Do not despair; see your plastic surgeon to discover the latest techniques to improve your breasts. You may want to change the shape or size of your breasts, or perhaps change from saline to silicone or vice versa, or the placement of the implants adjusted.

In the last ten years, there has been a significant advancement in breast implants. There are more choices than ever, for example, the 5th generation of silicone implants includes the cohesive gel implants nicknamed the “gummy bear” due to its consistency that is similar to the popular candy. The gummy bear implants offer some great benefits including a natural teardrop shape with lower complication rates; they cannot leak, they are less likely to ripple or develop capsular contracture.

Depending on your long term goals and your natural anatomy, you and your surgeon have many choices to select the ideal breast implant for your body.

Breast Implants Don’t Always Need to be Replaced

There is no rule stating that you must have your implants exchanged at the ten year mark, if you are not having any complications and are happy with your breasts, no changes are needed.

Even if all is well and you are not having any issues, Dr. Miguel Delgado, M.D. recommends that you have a ten year checkup a few months early just in case there may be a complication that you are not aware of. Besides a lifetime warranty on breast implants, most manufacturers include a warranty on their implants that gives some financial assistance for replacement surgery for up to ten years after the initial augmentation.

Schedule a Breast Implant Checkup!

If it has been almost ten years or more since you have had breast augmentation surgery, call now (415) 898-4161or email at info@dr-delgado.com, for a consultation with Dr. Delgado for a breast checkup. If you had your original surgery with another surgeon who may now be retired or you have moved to the San Francisco Bay Area, don’t hesitate to call Dr. Delgado. If you have your original records of your surgery including what type and size of implants you have, bring them along.

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.

Breast Revision Surgery, How it is Performed

San Francisco Plastic Surgeon, Miguel Delgado

Dr. Miguel Delgado, M.D.

Variations of Breast Revision Surgery

The reason for breast revision surgery will determine how the procedure will be done.

• Capsular Contracture: The surgeon most likely will use the same incision location as the original breast augmentation surgery. The hardened capsule will be removed during breast revision surgery, and the implants will be replaced.
• Mal-positioned Breast Implants: Sometimes the breast implant pockets may be placed too close together or too far apart, to correct this, the surgeon will reconstruct the pocket by manipulating the capsule’s scar tissue that surrounds the implant. Then the surgeon will use suturing techniques to get the implant into the appropriate position.
• Rippling Breast Implants: Rippling may be caused by saline implants and sometimes the edges of the implants can be felt. To correct the rippling, the implants may be repositioned to under the muscle or changing to silicone implants or both.
• Changing Breast Implant Size: If a larger implant is desired, the surgeon will need to make the pocket bigger. For smaller implants, the surgeon may reduce the size of the pockets with sutures. Sometimes, Dr. Miguel Delgado, M.D. will suggest that a breast lift may be needed when the pockets are reduced or permanently removed.

Are You a Candidate for Breast Revision Surgery?

Each patient is unique, and the method for breast revision needs to be tailored to that patient.

If you are having issues with your breast implants, call today (415 898-4161) for a consultation with Dr. Delgado to learn what options are available.

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!

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.

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.

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.

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.