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Breast Surgery Mega-Site by Rebecca
The Original Breast Surgery Mega Site, with the Top Breast Surgeons,
breast implant info, breast lift surgery, breast reconstruction and more for
over
12 years with the Best Breast Surgery Forum anywhere!
Breast
Reconstruction Surgery
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Implant mal-position occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
Bottoming Out Repair & Revision
Bottoming out is inferior migration of the breast implants. This causes the nipple areola to appear too high on the breasts. Also, the distance from the areola to the breast crease is too great. This is corrected by “raising” the inframammary fold crease using internal sutures. This is done after careful measurements are made from the areola to the “new” inframammary crease.
 
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This
25 year old patient from Palm Desert, CA had her first breast
augmentation surgery performed in Mexico. A few months after getting
her breast implants, she noticed that she had developed symmastia (the
implants were touching down the mid-line) and her implants were bottoming
out. She had a uni-boob (as some call it). The patient was extremely
upset about the results and worried about having revisionary surgery. She
found Dr. Pousti through her sister who had surgery and was very pleased
with her results. She had bottoming out of both breast implants, encapsulation
of both sides (left > right), and the areola were displaced laterally
on both sides. This patient is ONLY 3 months out of surgery so there
is still some bruising and swelling but we can see what an amazing result
she achieved. This patient chose to have silicone gel implants (575cc
on the left and 533cc on the right). She is VERY HAPPY with her results. |
This
22 year old patient was not happy with the shape of her breasts after
her first breast augmentation. The implants had bottomed out. She traveled
from Boston, Massachusetts to have Dr. Pousti take care of her breast
augmentation revision. She is very happy with her results. She has a
390cc saline implant on the left and a 370cc saline implant on the right. |
 
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This
23-year-old patient from Corona CA had her first breast augmentation
in 2005. She noticed her breast implants "bottoming out" and
came to meet Dr. Pousti regarding corrective surgery of her breast implants
in 2007. Dr. Pousti performed revisionary surgery with removal and replacement
of both breast implants in May of 2007 with 390cc saline implants. Dr.
Pousti fixed the position of the pocket so that the breast implants have
a natural look to them. She is 1-month post op revisionary breast augmentation
surgery and she loves her results. |
How is Bottoming Out diagnosed?
Bottoming Out is usually diagnosed by the patient or by a plastic surgeon. An experienced plastic surgeon should be able to diagnose Bottoming Out from photos alone.
When diagnosing yourself, in addition to the heavy or uncomfortable feeling, you may also notice a worsening of your implant position in relation to your nipple position. This may cause the appearance to be unattractive and even uncomfortable when wearing no bra. Because the implants hang too low, you may not be comfortable going braless. You may need to wear a pushup bra to correctly position your implants or to keep them from falling far apart and even into your armpits when lying down.
Proper implant position means that the nipple is centered on the center of the breast implant. If more of the implant rests below the nipple than above the nipple, then you have Bottoming Out.
Dr. Revis has found that the Internal Bra procedure is required to correct Bottoming Out. Bottoming Out is a progressive disorder that generally gets worse over time as the effects of gravity cause the implant to sag within the tissue envelope of the breast. The heavy or uncomfortable feeling usually also worsens with progression of the Bottoming Out.
Dr. Revis has developed a special technique that has the effect of creating an Internal Bra using strong, permanent suture techniques. Using special lighted retractors, Dr. Revis expands the implant pockets (capsulotomy) superiorly and medially, creating room for the implants to be repositioned at a higher level- creating better cleavage, a more youthful shape, and improved fullness in the upper pole of the breast.
Dr. Revis then closes part of the pocket that rests laterally and inferiorly (the Internal Bra), thus preventing the implants from resting too low or falling too laterally to the sides. Dr. Revis uses permanent sutures for a long-lasting result. These sutures are carefully placed so that the suture material is never in direct contact with the implants inside the body.
More Bottoming-Out Photos
Repair of Bottoming Out - by Plastic Surgeon, Dr. Ciaravino, Houston & Sugarland, TX Bottoming-Out Photos - by Plastic Surgeon, Dr. Corbin, Beverly Hills, CA Bottoming-Out Photos - by Plastic Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA Bottoming-Out Photos - by Plastic Surgeon, Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL Bottoming-Out Photos - by Plastic Surgeon, Dr. Teitelbaum, Santa Monica, CA |
Bottoming-Out Info
Bottoming-Out FAQ - by Plastic Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA Bottoming-Out FAQ - by Plastic Surgeon, Dr. Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL |
Bottoming-Out Repair Specialists California - Florida - Louisiana - Texas - Virginia |
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Tuberous Breasts Repair Revision & Photos Tuberous breasts (characterized by a narrow base of the breast, a widening of the breast near the nipple-areolar complex, and a short or deficient inframammary crease). Patients with Tuberous breasts desire to increase the fullness of the inferior pole of the breasts. The distance from the areola to the “new inframammary fold” (or breast crease) is increased using gentle dissection. Use of a breast implant can help increase the fullness of the lower poles of the breasts. This is done routinely for patients with constricted or tuberous breasts. Tuberous Breasts have a very narrow base and usually a long skin envelope. Sometimes people refer to "Tuberous Breast" shape as the shape similar to "snoopy's nose". In the most severe cases of Tuberous Breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. The patient should be aware that the final result will take months to see and that they will need to be patient. This is a 18 year old patient from Murrietta CA, interested in breast enlargement and found Temecula Plastic Surgeon Dr. Pousti over the internet. She was looking for a very large result. She also had some constriction of her breasts and wanted the shape to be more natural. This patient is now 2 months post op breast augmentation with 800cc smooth round moderate profile saline implants made by the Inamed Corporation. She is very happy with her results. This 24 year old patient from San Diego, CA came in to meet with Dr. Pousti regarding her constricted breasts. She has tuberous (tubular) breasts deformity and wanted breast implants to correct it. She is now about 2 months post-op correction of her tuberous breasts with 450 cc silicone gel implants made by Mentor.
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Lateral Displacement Reconstruction Some
breast implant patients present with lateral
(outwardly) displacement of the breast implants. This can
be corrected using an internal suture technique decreasing the size
of the pockets and moving the breast implants toward the midline. This
30 year old patient traveled from Arizona to have Dr. Pousti correct
her “bottoming out” and the “lateral displacement” of her implants
(left >right). Dr. Pousti performed “markings” on the patient
the night prior to surgery to assist during the operation the next day. In the operating room, you
can see how the right side has been corrected and the left has not yet
been corrected. The patient
is only a couple of weeks post-operative revisionary breast surgery
but very happy with her results.
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Breast Reconstruction Surgery: Weighing the Options
"One - the most frequent questions among women facing breast surgery is 'how will I look afterwards'?" said Dr. Frank J. Ferraro, an attending plastic surgeon at Pascack Valley Hospital in Westwood. "They worry about whether their clothes will fit and if they will still feel attractive." In the past, the majority - women who had mastectomy surgery wore a prosthesis - a breast form made from materials that have the weight and feel - a natural breast - in their bras and bathing suits after surgery. Many women found such a prosthesis inconvenient or uncomfortable and wanted to feel "whole" again; plastic/reconstructive surgeons began to develop techniques to restore the shape and contour - the original breast. According to NIH, today about 75 percent - women who have mastectomies choose postsurgical reconstruction. CHOICES IN BREAST RECONSTRUCTION"Advances
in breast reconstructive surgery mean that almost all women are candidates
for the procedure," Dr. Ferraro observed. Cosmetic results also have
improved. Although a reconstructed breast isn't a perfect copy -
the original, many women - especially those with stage one tumors,
the smallest - find that their breast may look almost unchanged.
If you are planning to have breast reconstruction surgery, you must find a plastic surgeon skilled in the procedure before the mastectomy surgery so that the plastic surgeon can work with the general surgeon to develop a plan that lends itself to reconstruction. Since this is a demanding technique, it is important to choose a plastic surgeon who is bored certified in this specialty and experienced in breast reconstruction. Women can choose to have the procedure at the same time as the mastectomy operation or return to the hospital for reconstruction several weeks or months later. The women and her surgeons will discuss what type - procedure is best for her: an artificial implant or a muscle-flap procedure in which the breast is reconstructed with skin, muscle and fat taken from another part - her body. Factors to be considered include the woman's medical history, height, weight and amount - body fat as well as other medical conditions. CHOOSING A MUSCLE FLAPAlthough
implants require less extensive surgery and shorter hospital stays,
many women now choose muscle flap procedure. Dr. Ferraro, who learned
the techniques at Duke University Medical Center in Durham, North
Carolina, is a leader in the procedures. "Muscle-flap procedures use
tissue from the back or abdomen to either form a breast or create
a pocket for an implant. As a result, the breast looks more natural."
The flap is made in several ways. In the latissimus dorsi technique,
tissue is transferred from the area on the back below the shoulder
blade way - tunnel made under the skin in the underarm area. The
blood supply to the muscle is left intact. The muscle and skin create
a pocket that an implant fills out to provide a breast shape.
The TRAM flap is another variation. The flap comes from the transverse rectus abdominus just below the waistline. The reconstructive surgeon detaches a small piece - skin, muscle and fat and pulls it through a tunnel under the skin between the abdomen and chest. Some women have enough extra fat in the abdomen to create a breast shape without an implant. One advantage - the TRAM techniques is that some women find that their abdomens look flatter - as though they have had a tummy tuck. Women who have chronic lower back problems often choose other techniques since they may develop weakened abdominal muscle after the procedure and can increase back strain. A third technique, the free flap, eliminates the tunneling step. A portion - skin, fat and blood vessels is removed from the buttock, thigh or abdomen and move to the breast area. The blood vessels in the flap are sewed to the vessels under the arm at the mastectomy site. Because extensive microsurgery is required to reattach the blood vessels, the free flap is the most technically demanding - the muscle flap procedures. This technique, however, gives superb results. "Women who smoke or have diabetes may be poor candidates for muscle flap procedures because their blood vessels may have narrowed enough to prevent healing - the flap," Dr. Ferraro noted. "That's why we advise patients to quit smoking and keep their blood sugar as close to normal as possible so that they can benefit from these procedures and have a natural looking breast." |
Inverted Nippple Repair Photos
Nipple/Areola Surgery - by Plastic Surgeon, Dr. Repta, Phoenix, AZ
Nipple/Areolar Repair Photos - Scottsdale Center for Plastic Surgery, Scottsdale ~ Paradise Valley, Arizona
Inverted Nipple Repair Photos -Dr. Wolfe & Dr. Vath, Denver, CO
Inverted Nipple Repair Photos - Dr. Rucker, WI & MN
Breast
Reconstruction Surgery Photos
Arizona - California - Colorado - Florida - Illinois - Indiana - Kentucky -Maryland - Minnesota - Nevada - New Jersey - New York - Ohio - Pennsylvania - South Carolina - Texas - Virginia - Washington - Wisconsin
Breast Reconstruction - by Plastic Surgeon, Dr. Repta, Phoenix, AZ
Breast Implant Reconstrution - Scottsdale Center for Plastic Surgery,
Scottsdale ~ Paradise Valley, Arizona
CA Breast Reconstruction Photos
Breast Reconstruction - South Bay Plastic Surgeons, CA (Near Los Angeles & Long Beach)
Breast Reconstruction Photos - Plastic Surgeon, Dr. Pousti* San Diego, CA
Breast Reconstruction Photos - Plastic Surgeon, Dr. Corbin* Beverly Hills, CA
Colorado Breast
Reconstruction Photos
Breast Reduction - Plastic Surgeons, Dr. Wolfe & Dr. Vath, Center for Cosmetic Surgery, Denver, CO
Florida Plastic Surgeons Breast Reconstruction Photo Gallery
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Hasen, Naples, Florida
Kentucky Plastic Surgeons Breast Reconstruction Photo Gallery
Breast Reconstruction - Calobrace Plastic Surgery Center, Louisville, KY
Maryland Plastic Surgeons Breast Reconstruction Photo Gallery
Breast Reconstruction Photos - Dr. Eric Chang, Columbia Aesthetic Plastic Surgery,
Baltimore, MD
Breast Reconstruction Photos - Dr. Brown, The Loudoun Center for Plastic Surgery, Herndon, VA
Breast Reconstruction Photos - Cosmetic Surgery Center of Maryland, Baltimore, MD
NV & WA Plastic Surgeons Breast Reconstruction Photo Gallery
NJ Plastic Surgeons Breast Reconstruction Photo Gallery
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Fiorillo, Pearl River, NY & Westwood, NJ
NY Plastic Surgeons Breast Reconstruction Photo Gallery
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Fiorillo, Pearl River, NY & Westwood, NJ
Breast Reconstruction Photos - The Plastic Surgery Group* Albany, NY
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Berger, New York, NY
PA Plastic Surgeons' Breast Reconstruction Photo Gallery
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Silberman, Doylestown, PA
SC Plastic Surgeons' Breast Reconstruction Photo Gallery
Breast Reconstruction - Plastic Surgery of the Carolinas, Columbia, SC
Breast Reconstruction - Plastic Surgeon, Dr. Lettieri, Carolina Plastic Surgery, Spartanburg, SC
Texas Plastic Surgeons' Breast Reconstruction Photo Gallery
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Kunkel, Fort Worth, Texas
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Pilcher, Accent Plastic Surgery PA, San Antonio, Texas
Virginia Plastic Surgeons' Breast Reconstruction Photo Gallery
Breast Reconstruction Photos - Plastic Surgeon, Dr. Brown, The Loudoun Center for Plastic Surgery, Herndon, Virginia
Midwest Plastic Surgeons Breast
Reconstruction
Before & After Photos
Breast Reconsruction Before After Photos - Plastic Surgeons Dr. David Janssen & Dr. William Doubek, Fox Valley Plastic Surgery, Oshkosh, WI
Breast Reconstruction Photos - Plastic Surgeon, Dr. Rucker, Wisconsin & Minnesota
Before and After Breast Asymmetry - Plastic Surgeon, Dr. Rucker, Wisconsin & Minnesota
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio
Breast Reconstruction Photos - Plastic Surgeon, Dr.
Gerson, Lake Geneva, Wisconsin
Breast Reconstruction Photos - Plastic Surgeon, Dr. Rios, Plastic Surgery & Dermatologic Institute, Chicago, IL
Breast Reconstruction Surgery Info Breast Reconstruction Info - Plastic Surgeon, Dr. Garcia, Garcia Plastic Surgery, Glen Falls, NY Breast Reconstruction Info - Plastic Surgeon, Dr. David Kim, Beverly Hills Plastic Surgery, Beverly Hills, CA Breast Reconstruction Info - Plastic Surgeon, Dr. Korman, Mountain View, CA Free-Flap Breast Reconstruction Info - Plastic Surgeon, Dr. Korman, Mountain View, CA TRAM Flap Breast Reconstruction Info - Plastic Surgeon, Dr. Korman, Mountain View, CA Breast Reconstruction - Plastic Surgeon, Dr. Kunkel, Fort Worth, Texas Breast Reconstruction - Plastic Surgeon, Dr. Lettieri, Carolina Plastic Surgery, Spartanburg, SC Breast Reconstruction - Plastic Surgeon, Dr. Pilcher, Accent Plastic Surgery, San Antonio, TX Postmastectomy Breast Reconstruction - Plastic Surgeon, Dr. Placik, Arlington Heights, IL Breast Reconstruction - Plastic Surgeon, Dr. Pousti* San Diego, CA Breast Reconstruction - Plastic Surgeon, Dr. Powers, Long Beach, CA Breast Reconstruction Info - Plastic Surgeon, Dr. Rothfield, Weston Plastic Surgery, Weston, FL Breast
Reconstruction - Plastic Surgeon, Dr. Short, The Gillian Institute for Plastic Breast Reconstruction Info - Plastic Surgeon, Dr. Silberman, Doylestown, PA Breast Reconstruction - Plastic Surgeon, The Plastic Surgery Group* Albany, NY Breast Reconstruction Info - Plastic Surgeon, Dr. Walden, New York, NY Breast Reconstruction Info - Plastic Surgeon, Dr. Wallach, New York, NY Breast Reconstruction Info - Plastic Surgeon, Dr. Weider, Dallas, TX Breast
Reconstruction Info - Plastic Surgeon, Dr. Zevon, Central Park Plastic Surgery, New York, NY Breast Reconstruction Info - Plastic Surgeon, Dr. Abramson, New York, NY & Englewood, NJ Breast Reconstruction - Plastic Surgeon, Dr. Berger, New York, NY Breast Reconstruction - Plastic Surgeon, Dr. Brown, The Loudoun Center for Plastic Surgery, Herndon, VA Breast Reconstruction - Plastic Surgeon, Dr. Corbin, Beverly Hills, CA Breast Reconstruction Using Tissue Expander Implant - Plastic Surgeon, Dr. Fedele, Willough Hills, OH Breast Reconstruction - Latissimus Dorsi Flap - Plastic Surgeon, Dr. Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio Breast Reconstruction - TRAM Flap - Plastic Surgeon, Dr. Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio Breast Reconstruction Info - Dr. Fiorillo, Pearl River, NY & Westwood, NJ Breast Reconstruction - Plastic Surgeon, Dr. Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio Breast Reconstruction - Plastic Surgeon, Dr. Ferraro, Ridgewood, NJ Breast Reconstruction - Plastic Surgeon, Dr. Gerson, Lake Geneva, Wisconsin Breast Reconstruction - Plastic Surgeon, Dr. Glasberg, New York, NY Areola Reduction Info Aerola Reduction Information - by Bay Area Plastic Surgery, San Francisco, CA |
Specialists marked with an asterisk * have received extensive positive feedback from our site visitors. Other plastic surgeons may be able to repair your breast implant deformatiy, please check our surgeon directory here.
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