| Plastic Surgeons: California: Newport Beach & Beverly Hills & Huntington Beach: John M. Shamoun, MD |
Before and After Breast Augmentation Revision Photos
Photos courtesy of Dr. John Shamoun
PRE-OP
Note Severe Bottoming Out. Note the position of the right breast relative to the mole below it.3 MONTH POST
Note the loose skin is less as it contracts implants still too high.1 YEAR POST
Note the nicely positioned implants and tighter folds with little to no redundant skin and absent ripples despite a 5 -7 lb wt. reduction.Analysis of this patients breast problems:
Severe Bottoming Out with Implant Malposition and Traction Rippling due to oversized textured implants.
Personal history of Periareolar Augmentation Mammaplasty with textured Mcghan style168 700cc implants filled to 780cc's, submuscular placement in 1993.
Complicated by inferior displacement, Drop Out of the inframammary creases. Severe bottoming Out and Traction Ripples due to poor soft tissue cover- age and texturing of an oversized implant.
Cause of deformity- Much Too large Implant. Textured Shell Thin female (little body fat).
Treatment:
In March 2000 ---7 years after her initial surgery she underwent a restorative procedure which necessitated:
1. Bilateral periareolar removal of saline implants
2. Inferior capsulorraphy with multiple permanent sutures to correct severe bottoming out.
3. Overcorrection 30%
4. Replacement with style 45 high profile- McGhan 550cc smooth walled silicone-gel Implants placed in partial retropectoral position
5. Elasto-foam taping of creases - 2-weeks
Important point:
The dilemma-- There is no need to remove the skin that has stretched (and create unnecessary scarring) - it will shrink nicely with time as long as the pressure of a heavy implant is reduced. This patient was instructed to remove the redundant skin by many physicians prior to consulting with me see attached 9 sets of restorative pics for this lady at the top of this page.
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