BREAST AUGMENTATION AFTER BREAST REDUCTION SURGERY
Patients who present to me for revision breast reduction surgery have often already undergone breast reductions, through the years have had weight fluctuation, often weight loss and/or involutional atrophy of the breasts associated with pregnancy or breast feeding. They now present for breast augmentation to regain fullness and reduce the involutional upper pole atrophy of their breasts.
Today, May 20, 2009, I will be performing two of these operations, enhancing women’s breasts who have already undergone breast reductions who have minimal breast tissue. One will undergo saline augmentation using high profile implants behind the muscle and the second will undergo silicone gel implants in a similar pocket due to the minimal amount of breast tissue which could lead to increased visibility and rippling, especially along the lateral breast areas. These patients will also undergo revision breast lifting by tightening the lateral inframammary fold in order to reduce the boxiness shape of the breast and regain a round and more narrowed breast appearance.
Breast implants should be placed behind the muscle whenever possible in patients who have undergone reduction mammoplasty procedures in order to reduce visibility, palpability and increased risk of capsular contracture.
It is important, in my opinion, to not go too large with your implants to reduce upper pole fullness as this could lead to round, fake and an unnatural appearance.