Dr. Linder's Blog
The patient presented is 28 years old and was looking to revise a previous breast augmentation. During her examination, I could see that her right breast had a downward elevation of the nipple-areola and a lower inframammary fold due to bottoming out. The left breast had scar tissue, also known as capsular contracture, which had formed around the implant. After listening to her expectations and agreeing on her goals to regain her breast appearance, we scheduled a surgery date.
As you can see by the patient photo to the right, she is now four weeks post-surgery, and she has balanced symmetry and nice volume in both breasts.
A few months back, my dear friend and colleague Dr. Robert Kotler came by my office and asked if I would discuss these new breast implants he has been hearing about by Allergan. During the video, I discuss the Natrelle INSPIRA® breast implants that I have been using for just about a year now.
The first implant I discuss is the SRX extra-full profile silicone implant, which has a smooth shell surface and provides patients with the fullest, roundest look. This silicone gel is excellent for women who do not have a lot of tissue because it reduces visible implant rippling and wrinkles.
The second implant I discuss is the SRF full-profile silicone implant designed to have increased durability with a smooth shell and full projection. This implant provides a significant amount of fullness in the upper pole of the breasts but has a slightly wider base than the SRX.
I truly enjoyed discussing this topic with Dr. Kotler, and I thought I would share his video from his YouTube channel.
To schedule a consultation with Dr. Linder and learn more about breast implant options, breast revision, or breast augmentation, call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.
The female patient presented is 32-years-old looking to remove her over 10-year implants and improve her breast appearance. During her examination, she expressed she was looking to have a lift as well as have an increase in volume. After discussing her expectation, we agreed to replace the old implants and perform a mastopexy (breast lift).
During her surgery, I removed the implants, replaced them with high profile saline 550cc, and overfilled to 640cc. I provided a supportive sling for the implant by maintaining the inframammary (under the breast) fold to preserve a natural breast shape. For the right breast, I performed a Benelli lift or donut mastopexy to raise the nipple slightly.
As you can see, the patient is only a few days post-op, but she has achieved nice volume and symmetrical balance.
The patient to the left came into my Beverly Hills office looking to correct a previous augmentation. During her examination, it was apparent that she had capsular contracture (hardening of the breast) due to scar tissue around the implants. After listening to her goals, we scheduled a breast revision surgery.
Treatment of capsular contracture involves multiple steps to decrease the chance of recurrence. First, I remove the current implants and then perform a complete capsulectomy (removal of all the scar tissue). I then put a dermal mesh sling around the right implant to help prevent the risk of scarring again. I replaced the old implants with 560 cc SRX extra-full profile silicone implants, which have a smooth shell surface and will provide the patient with a fuller, rounder look.
The post-op photo to the right is now four weeks out. As you can see, her breasts are balanced (symmetrical), and she has a nice fullness.
The female patient presented to the left was requesting to have a breast revision surgery due to her breast being asymmetry . During the examination, the breast had asymmetry due to the right breast having scar tissue (capsular contracture) and the left breast experiencing a rippling effect. Capsular contracture is scar tissue that forms around the breast implant which causes the breast to harden and the rippling was due to the amount of soft tissue covering the implant. After listening to her goals, and agreeing on the expectation, we scheduled a surgery date.
During the surgery we used 445 cc SRX extra full profile silicone (gel) implants. This implant has a smooth shell surface and provides the patient with the fullest, roundest look. Using the silicone gel will also help reduce most of the visible rippling.
The post-op photo to the right is at 7-weeks and as you can see her breast are symmetric and she is very pleased with her shape and fullness.
Going through breast cancer and losing a portion or all of your breasts can be traumatic. A decision to undergo plastic surgery can be hard not only physically but also emotionally. As a board-certified plastic and reconstructive surgeon, I am thankful for my training, so I can help women who have battled breast cancer regain their self-esteem.
Education is very important during this journey. The better informed a woman is, the more comfortable and confident she will be with her decision. Most of my patients who are in this situation need time to process the information before making a decision. During my consultation and examination, I take time with my patients to help guide them through the available options and discuss the risks and benefits.
For more information on the actual approach for breast reconstruction, please visit breast revision after breast cancer and reconstruction. See also the video below of Dr. Linder explaining his pre-op marking for a breast reconstruction cancer revision surgery.
As the holiday season approaches, my Beverly Hills practice always seems to be very busy when it comes to breast surgeries. This year is no exception, as my operating room staff and I performed seven breast surgeries yesterday. Those procedures included two breast implant revision surgeries due to ruptured saline implants, two breast implant revision surgeries due to capsular contracture, two implant removal and exchange procedures, and one primary breast augmentation.
Most patients elect to have this surgery during this time to take advantage of their holiday vacations for their recovery after the procedure. Recovery time varies due to the type of breast procedure ranging from two to three weeks. After surgery, patients are sent home with a Bias wrap and gauze in place. Patients should avoid heavy lifting and raising their arms above their shoulders for three weeks. Postoperative visits are scheduled over the next six weeks as needed.
I evaluated this 31-year-old female who requested to have a breast revision. During her examination, she mentioned that this was going to be her third breast surgery. She had had two prior breast surgeries from other surgeons in Southern California and was hopeful this would be her last.
The frontal pre-op photos to the left show capsular contracture (scar tissue) and malposition of the right implant. Due to minimal breast tissue, the left breast shows rippling from the implant as well as malposition of the implant and low nipple position.
The patient’s reconstruction or breast revision included removing the implants, nipple-areolar repositioning, and placing 445 cc SRX gel breast implants. Her post-op photo below is only 2 weeks out, but notice that she has no rippling, symmetrical balance, and nice fullness. She is very excited with the outcome of her procedure, and I will be seeing her a few more times over the next month to ensure an excellent result.
Stuart. A. Linder, M.D., F.A.C.S. is a Beverly Hills plastic and reconstructive surgeon specializing in breast augmentation, liposuction, tummy tuck, and more.
Dr. Linder is certified by the American Society of Plastic and Reconstructive Surgeons and is a diplomate of the American Board of Plastic Surgery (ABPS).