Most women are happy with their breast augmentation results, Dr. Mirmanesh treats women from all over the country who had breast augmentation elsewhere and are now experiencing complications or who are unhappy with their results. This might mean changing implants from saline to silicone, selecting a different size, replacing a very old breast implant with a new one, treating a deflated implant, changing size after a pregnancy, treating malposition, or treating capsular contracture. For whatever reason it is, breast augmentation revision can help you feel great about your appearance again.
Each breast implant revision surgery is customized specifically for you and your needs. Dr. Mirmanesh’s goal is to always provide the ideal option for delivering the best possible aesthetic result. The key to ensuring a successful breast implant revision is figuring out what went wrong the first time and correcting the underlying issue.
Usually using your previous incision, Dr. Mirmanesh removes the implant and often parts of, or the entire capsule depending on your evaluation and the goals of the procedure. The implant pocket is then carefully reconstructed to fit the replacement implant in either the same plane as the previous implant or a new plane is created. The new breast implants are then placed using the “no touch” technique.
Often a small breast lift is required which may necessitate a larger incision pattern. Please see below for further discussion on types of incisions. If needed, a bioabsorbable mesh will be placed, which has been shown to maintain breast shape for longer periods of time than without it. Incisions will then be closed with sutures.
There are three basic types of incision patterns when it comes to a breast lift:
- The Vertical (Lollipop) incision is created around the areola and vertically down to the breast crease, and is ideal for those with a mild to moderate amount of breast sagginess.
- The Inverted-T (Anchor) Incision is created around the areola, vertically down to the breast crease, and then horizontally along the breast crease. Dr. Mirmanesh is sure to limit the incision to what is only necessary often by evaluating the patient in her most exposing bikini top.. This incision is best for those with a significant amount of breast sag. This incision pattern allows for the most control of ultimate breast shape and is typically the longest lasting.
- The Peri-Areolar (Donut) Incision is created just around the areola, and is ideal for those with a mild amount of breast sag. While the lift associated with this procedure is minimal, so is the associated scarring. However, this technique tends to flatten the projection of the breast and can stretch the nipple.
