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Dr. Linder's Blog


Monthly Archives: June 2016

Breast Revision Status Post Previous Fat Grafting And Fat Necrosis Of Bilateral Breast

Pre Op Photo

Pre Op Photo

This is the case study of a patient that presents two years post-autologous fat grafting from a different surgeon.  Instead of undergoing augmentation mammoplasty using saline or silicone implants, a different doctor decided to do fat grafting of her breasts.  Over the last two years she has developed very large cystic fat masses in both breasts, smaller on the right and up to 3 x 6 cm on the left.  The patient underwent a mammogram and ultrasound showing enlarging fat cystic masses, especially in the left breast.  Five extend from the medial aspect of the breast to the lateral, to the superior 12 o’clock position and to the 3 o’clock position.  They are palpable with the largest one almost the size of a golf ball along the lateral left breast.

The patient underwent surgical reconstruction and surgical excisional biopsies of these multiple masses as well as reconstruction using silicone gel implants in order to regain symmetry and correct the deformity of the left breast after removal of these large cystic masses.

In the operating room the patient was placed under general anesthesia.  The right breast was first operated upon.  A 450 cc SRF silicone gel implant

was placed through the periareolar and subpectoral dual plane techniques.  The left breast was then incised under the left areola at which time cystic masses were removed along the left medial two large masses and upon identifying fat necrotic liquified tissue was identified.  (See photograph to the right)  After removing the cystic capsule, the area was coagulated with electrocautery.  All cystic masses were then opened along the superior 12 o’clock position, 3 o’clock and then the largest along the left lateral breast.  All of them had liquified fat within them, yellow and thick viscous fat in liquified form and the capsules were all exenterated, removed and then bovied.  A 385 cc SRF gel was placed on the left to regain symmetry and the patient will be maintained on oral antibiotics for 14 days.  A Dr. Linder Bra and upper pole compression band with sutures to remain in place for 14 to 17 days.

This is an interesting case study, showing that fat grafting does not always work to the breast.  Not only is there the possibility for misdiagnosis of tumors, but the fat may not survive, leaving the patient with enlarging cystic fat tumors or fat masses which should be surgically removed.

Six Weeks Post Op

Six Weeks Post Op

The photo to the left shows the patient after six weeks post op, and she is very please with her breast revision.

Schedule your consultation with Dr. Linder to learn more about breast revision surgery. Call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.

Cleavage Enhancement After Previous Breast Augmentation

The female patient presented is 28 years of age who underwent a primary augmentation by a different surgeon a few years ago. During her consultation with me, she expressed that her breasts were positioned too high, and she had a poor-looking cleavage. After her examination and after discussing the expectations, we decide to perform a breast revision. During the breast revision surgery, we replaced her old implants with 700 cc saline high-profile implants. Using the high-profile implants provides a slightly wider base and an increase in upper pole fullness.

As you can see from the six-week post-op photo, the revision achieved a nice symmetrical balance and well-defined cleavage.

To schedule your consultation with Dr. Linder and learn more about breast revision surgery, call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.




Saline Implants for Primary Augmentation

Before and After Primary Breast Augmentation

Before and After Primary Breast Augmentation

During this time of the year as summer approaches, a big part of my practice is performing primary breast augmentation procedures.
The patients presented to the left were both wanting to have a natural-appearing breast augmentation. Each patient was similar in age and size, and I find that the saline moderate-plus implants are a perfect fit. The moderate-plus implant is a mid-range implant that has a moderate width and a moderate amount of anteroposterior projection (in other words, a slight upper pull fullness).
Above are the before and after photos for both patients showing four weeks post op. As you can see, they have a nice fullness and a quite natural look.

Schedule your consultation with Dr. Linder to learn more about breast augmentation procedure could enhance your look. Call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.


Mild Tubular Breast Deformity

The patient to the left presented with a mild tubular breast deformity. Her preoperative photo shows a conical appearance to the breast and a poorly defined inframammary fold along the bottom of the breast. During her consultation, she expressed that she wanted to achieve more rounded breasts with fullness. After setting her expectations, we agreed to schedule an augmentation mammoplasty procedure using 500cc high-profile saline breast implants.
The 27-year-old patient is now six weeks post op. As you can see by the photo, she has nice fullness and a rounded appearance.
If you would like more information regarding tubular breast deformity or want to set up a consultation today, call us at 310-275-4517 or fill out our online contact form.