Revision Breast Augmentation for Capsular Contracture

Capsular contracture can occur after breast augmentation. Capsular contracture surgery involves either removing or opening the scar tissue or capsule that develops in the breast pocket. Once the scar tissue is released, symptoms of scar or tightening tend to improve shortly after. Capsular contracture surgery can involve change in plant of the implant placement and/or release of the scar tissue surrounding the breast implant.

Breast Augmentation-Orange County California

Breast augmentation procedures are best sized by determining the base diameter of the breast. The base diameter of the breast is the distance between two points on the chest wall, one point where the breast begins medially and the other point where the breast ends laterally on the chest.

Once the patient has determined the size implant they would like, then we choose an implant profile. The profile of the implant determines how the implant proportions are designed. Patients often believe that the profile of the implant is where on the chest wall the implant will end up. This is not true. The profile of the implant determines how the implant is proportioned. High profile implants have the narrowest base diameter with the most projection while the others have smaller degrees of projection and a wider base diameter.

www.drbriandickinson.com

Breast Augmentation in Orange County

Breast augmentation procedures are common procedures in southern California. I typically tell patients that silicone breast implants can be placed through one of three incisions. They can be placed through the axilla, through the breast crease, or through the areola. The breast crease is a nice option for an incision as it keeps a visible scar of the breast and transfers it to the crease. It is important for patients to wear a sports bra for 4 to 6 weeks after surgery to allow appropriate healing.

www.drbriandickinson.com

Breast Augmentation in Orange County

Breast Augmentation procedures are common in the spring and summer months. Patients often ask me what they can expect during a breast augmentation procedure. The breast augmentation procedure is performed under a general anesthetic. I tell patients that this means that they will not see anything, they will not hear anything, and they will not feel any pain during the procedure.

When they wake up from surgery, they will have an ACE bandage around their chest. The ACE bandage or wrap around their chest in addition to the implant creates a tight pressure around the chest. The wrap is removed the following day after surgery and the patient is placed in a sports bra. The sports bra needs to be worn for 4-6 weeks post-operatively to heal appropriately from surgery.

www.drbriandickinson.com

Breast Augmentation

Breast augmentation procedures are common in Orange County and Los Angeles, California. Patients can choose between either saline breast implants or silicone breast implants. Either type of implant can produce a great result. I tell patients that the breast implant can be placed via a peri-aroelar incision, an inframammary crease incision, or through the armpit. The recovery for each one tends to be about the same. It is required that patients wear a sports bra for 4-6 weeks following surgery to allow for appropriate healing.

Breast Augmentation and the Periareolar approach. The dimensions of the areola.

Breast augmentation procedures are common. Patients often choose to undergo breast augmentation via the periareolar approach. Patients often ask, "if I have implants placed, will this cause my areola to become wide?" Depending on the size of the implant placed, there are different forces exerted on the skin that cause the skin to stretch. The diameter of the areola may increase but it is usually not significant or it is in proportion with the increase in the breast size.

www.drbriandickinson.com

Tuberous Breast Deformity-Breast Augmentation

Tuberous breast deformity is best corrected with a breast augmentation procedure via a peri-areolar approach. The tuberous breast has a typical constellation of features. The breast base is usually restricted. The areola is wide and there is often a herniation of breast tissue through the areola.  The breast is often hypoplastic to various degrees.

The periareolar approach tends to be best for correcting this deformity as the areolar incision allows greatest range to score and release the constricting fibers and also allows appropriate correction of the fold levels. In patients who are thin, I prefer silicone gel prosthesis as there is often less rippling. Saline reconstruction is perfectly fine as well.

www.drbriandickinson.com