While the majority of cosmetic breast augmentations and surgeries achieve both the surgeon’s and patient’s goals and expectations, an unexpected outcome can sometimes result. A variety of problematic outcomes can occur ranging from poor positioning of implants to poor surgical planning and judgment among a variety of other factors. Patients can become disheartened in plastics procedures, but we’ve got you covered there. We understand that this can happen to some patients and we offer a way to remedy any previous procedure you may have had elsewhere.
We can help fix them.
Revisional breast surgery can be more complicated than the original procedure and at times, the outcome can be less predictable. We encourage you to come in for a complimentary consultation to discuss your breast augmentation or breast lift revisions.
Dr. Batra is highly regarded for his revisional breast work, and manage a number of complicated breast revisions annually. Finally, implants which had been placed many years earlier may require exchange or removal due to pain, hardness or deformity of the breast. These problems can be managed fairly early to relieve those symptoms.
This 27-year-old female came in two years after breast augmentation, because her nipples were too high and the breasts had bottomed out. The patient had undergone three separate operations by another surgeon in the community, but she was still unhappy with the result. The post-operative pictures were taken approximately six months after surgery. She required full reattachment of her inframammary folds back down to her rib cage to give her a nicer breast shape, as well as placement of her nipples in an appropriate location on the breast. Overall, she is very happy with her outcome. She was changed from her textured implants to 425cc high-profile gel implants.
This is a 37-year-old Asian patient who had surgery by an outside physician. As you can see, the left side is too low and has bottomed out. It took approximately 90 minutes to revise her breast in the operating room and this is her post-operative follow up at four months. You can see the breasts have much symmetry, utilizing implants she had in place. Now, her inframammary folds match up much better and her nipple is not sitting high on the left breast.
This 27-year-old woman had four surgeries to try to fix her breast on the left, which continues to bottom out. She was brought in and had revisional breast surgery to fix the folds on both sides and improve her cleavage. The patient wanted to go to a smaller implant. A 300 cc high-profile gel implant was used. As you can see, post-operatively, both of her folds appear to match up and the breasts are not bottoming out through the inflammatory fold.
This 28-year-old has what is called a tuberous breast deformity. In this type of problem, the breast gland is constricted and needs to be released from the underside to round itself out. She had 400cc high-profile gel implants placed under her breast rather than under the muscle to give her a better breast shape. In addition, the constriction was released at the time of surgery and, as you can see, her breasts are nice, round, and have excellent shape.
This patient had some significant asymmetry and underwent augmentation with a 400cc high-profile breast implant on the right side and a 425cc implant on the left side to create better symmetry.
This is a complex breast. Normally, this patient would require a lollypop-shape lift. She did not want this type of scarring, so we opted to minimize her scars by doing a donut-type lift. This is a photo of her approximately six months after her procedure. Her breasts, overall, have a much nicer shape and she has nice cleavage. Her asymmetry is much better as well.
This patient underwent two previous breast surgeries at Loma Linda University and continued to have poor outcome. She was brought in, the old implants were removed and a full lollypop lift was done to try to give her better shape. The patient is approximately two months after surgery in this picture. I expect that over the next several months, she will have more rounding out of the bottom pole of the breast on both sides.
This is a girl who was born with two very different breasts. On the right side, an augmentation was done and on the left side, a breast lift with augmentation was done. The right side implant was 400cc and the left side was 225cc to get the best match. Overall, she has done very well and is happy with her outcome.
This is a girl who was born with two very different breasts. On this patient, an augmentation was done on the right side with a lift. A smaller implant was placed on the left side to give good symmetry. This photo was taken approximately three months after surgery.
This is a girl who had very tuberous-constricted breasts. In this case, we opted to do implants under the breast tissue rather than under the muscle to give better shape. I opted to use 300cc saline implants and a donut-type lift was performed. The patient has done well from her surgery and even though her nipples are still slightly pointy, overall she has a much better outcome.
This patient wanted better symmetry of her breasts. She was initially told that she may require a lift, but she did not want to undergo a lift. We, therefore, opted to just do implants under the muscle. The patient had a 450cc implant on the right side and a 375cc implant on the left side for better symmetry. As you can see, she has a very nice outcome. Even though her breasts sag a little bit, her cleavage and upper pole fold turned out very nice.
This patient had significant asymmetry to her breasts. She had sub-muscular implants placed, 450cc on each side and overall, has nice cleavage and outcome.
This patient would have normally required a lollypop lift, but just wanted augmentation. She underwent augmentation with a 425cc high-profile gel implant under the muscle, and, overall, has a reasonable outcome, even though her nipples are a little low on her breasts. She did not have to have the scar from the lift procedure. The patient has nice cleavage and nice upper pole fullness. She is very happy with her outcome.
This patient has very asymmetric breasts. She came in to get a better size match to her breast. The right side was augmented with 300cc implant and the left side was augmented with 425cc implant to give nice symmetry.
This patient has a chest wall on the left side, which has concavity. She was augmented with moderate profile implants to give her more width to her breasts and cover up the are of the chest that appears to be indented. This is her out come six months after surgery.
This patient was presented with a deflated implant and rippling on the right side. We opted to change her implants to 650cc high-profile gel implants using silicone gel to minimize the rippling and giver her better symmetry.
This patient would have benefited from a lift, because her breasts seem to sag quite a bit, but the nipples are in good locations. Rather than have lift scars, the patient opted to get larger implants to create more upper pole fullness and cleavage. She was switched out from 300cc implants to 450cc implants to give her this outcome.
This patient had very asymmetric breasts and was augmented bilaterally with high-profile gel implants, 450cc, to give her a reasonable outcome.
This patient had been operated on by another surgeon in town and had extreme bottoming out of the left inframammary fold. The fold was repaired in the operating room and her cleavage was brought closer together by dissecting some of the muscle further on both of her breasts.
This patient had very asymmetric breasts and was augmented with 475cc implants to create less problems with symmetry and excellent cleavage.
This patient had ruptured implants, which required removal. She was augmented under the muscle with 300cc implants to give her a better profile and softness to her breasts.
This patient underwent a lift by another surgeon with a poor outcome. She was brought in and her lift was redone to put the nipples at the appropriate height and give her more rounding out at the bottom of her breasts.
This is a patient who had a transaxillary augmentation. The implants were sitting too high, which gave her more of a body-builder-type look. Her implants were removed and the pocket was dissected lower. New implants were placed to give her a better outcome.
This patient had deflation of the right implant and was augmented on the right side to match the left side.
This patient had implants placed and a lift performed at the same time. The implants were much too large for her body's frame. Smaller implants were placed, with revision of the lift, to give her this outcome. She is approximately two months after surgery in this picture and her scars are still pink.
This patient fell and ruptured her right implant. Both implants were removed because of hardness and calcification. New implants were placed to give her this outcome.
This patient had a lift and augmentation performed by another surgeon. As you can see on the side view, the breast still sags quite a bit. The lift was not done in an appropriate fashion and revision of the lift was performed, along with placement of the implants in the right location to get an improved outcome.
This patient had implants placed and wanted more cleavage and upper pole fullness. The old implants were removed and the muscles were dissected further to give her this outcome, with nicer cleavage.
This patient's implants sit too high after augmentation through her armpits. She was brought in, the old implants were removed through an incision around the nipple and replaced into a better location. This is her outcome.
This is the same patient as Case Study 29, with a side profile.
This patient had poor projection of her breasts and wanted more projection and fullness. Her saline implants were removed and high-profile gel implants were placed to giver her better cleavage and a better outcome.
This patient is the same as Case Study 31, with a side profile.
This patient had very asymmetric breasts. A lift was performed around the nipple on the right side and augmentation on the left to give her a more symmetric outcome. High-profile gel implants were re-used in this case.
This patient had a poor outcome after a lift and augmentation were performed. She had a revision lift and augmentation to give her this outcome, three months post-operative.
This is a patient with an inverted nipple that was repaired.