The need for breast revision surgery emanate from a number of different causes ranging from problems with the surgical placement or position of the original implant, problems with the actual implant, problems with the patient’s breast tissue characteristics, and sometimes a combination.  Improper surgical placement or position of an implant can create problems such as bottoming out and double-bubble deformity or high riding implants.  Bottoming out  occurs when the implant appears low on the chest and the nipples appear to be in an overly high position.  Bottoming out often requires reconstruction of the internal capsule and often a breast lift with removal of skin along the bottom of the breast is required.  Double-bubble deformity occurs when implants are improperly placed and are positioned too high.  In order to fix this complication, patients generally have to undergo a capsulotomy (release of the scar tissue) as well as replacement of the implant.

Due to the fact that implants are a man-made product, there is always a chance for the implant to rupture or leak in both silicone and saline.  It is generally obvious when a saline implant ruptures or leaks because the breast will look deflated, however, silicone can appear differently therefore it is important to continually follow up with your surgeon to prevent complications.  If one is to arise, it should be replaced as soon as possible.  Implants that are teardrop shape or anatomical, have a possibility to rotate over time creating a distorted and abnormal appearance of the breast.  Patients with this complication will have to undergo a removal and replacement of the implant and change to a round implant.  Some patients who undergo a breast augmentation desire a size change, whether larger or smaller, and may also require a breast lift to accompany the second surgery.

In some cases, patients experience problem’s with their breast tissue characteristics and may require a revision or reconstructive surgery.  In a small number of women who undergo breast augmentation, capsular contracture is possible to occur.  This happens when scar tissue forms around the implants, making it hard to touch and visibly deformed.  In order to fix this problem patients must undergo a capsulotomy and/or capsulectomy depending on the professional judgement made by the surgeon.  It is very common for women to suffer from breast asymmetry, however in some cases, the difference can be severe.  Women who suffer from severe breast asymmetry require breast implants that are different sizes to best create an even, symmetrical appearance.

Breast reconstructive surgery is extremely complex and patient undergoing this type of procedure need to be treated very compassionately due to circumstances that have highly affected their quality of life.  Not only does Dr. Golshani do many breast revision surgeries, he is also an expert in breast reconstructive surgery.  He has extensive experience in post bariatric reconstruction including extremely difficult breast lifts, reductions, and asymmetry correction.  For patients undergoing such a drastic change in their body, surgery is often required to correct the effect of severe obesity and fast weight loss.  In addition, we regularly see patients wanting to undergo breast reconstructive after mastectomy.  Recreating breast for women who have undergone a mastectomy is very difficult and requires exceptional skills and perfection in the art.  There are different techniques for recreating breasts as well as the nipple and areola.  When patients are seeking to undergo reconstruction after mastectomy, it is extremely important to consult a plastic and reconstructive surgeon with extensive training and knowledge in breast reconstructive surgery.  Dr. Golshani attended the prestigious Plastic and Reconstructive Surgery Residency Program at the University of California San Francisco, where he underwent intensive and exceptional training by world renowned experts.  He is highly qualified and trained in both plastic and reconstructive surgery.

At Avosant Surgical Associates we pride ourselves in providing the highest quality and care to all of our patients.  We thrive on helping all of our patients to regain a part of their self that was lost and to deliver the quality and results that each patient had envisioned.  With our caring and sensitive staff and Dr. Golshani’s personable nature, thorough and exceptional skills, a great experience and outstanding results are always obtained.

INCREASE IN QUALITY OF LIFE AFTER BREAST REDUCTION

Recent medical study shows Breast Reduction Surgery to decrease pain and significantly improve the quality of life.

Large, heavy breasts can cause much physical and psychological pain to women of all backgrounds and ages. Excessive breast size can literally weigh a woman down and throw off her center of gravity and the alignment of her spine. The result is a large array of health problems including chronic back, neck and shoulder pain, strained and overworked muscles, headaches, skin rashes, sagging breasts and stretch marks as well as low self-esteem and dissatisfaction with overall body image. Studies have also shown that women living with this type of physical pain compare their symptoms to other medical conditions with chronic pain such as arthritis, joint pain and low back pain.

Many women who suffer from these physical and emotional problems seek a breast reduction, also known as reduction mammaplasty. This common surgical procedure can not only create a natural breast shape that is firmer and more proportionate to the body, but also improve the overall quality of a woman’s life. A recent medical study conducted by the Department of Plastic Surgery at Helsinki University Central Hospital found that reduction mammaplasty resulted “in significant improvement in the quality of life and a decrease in pain and breast-associated symptoms.”

In the study, 82 female patients suffering from symptomatic breast hypertrophy, were examined and surveyed to access the effectiveness of surgery to reduce breast size. By alleviating the physical symptoms caused by full, heavy breasts, this procedure not only provided great relief of pain but also significantly relieved or eliminated a large variety of debilitating physical symptoms such as shortness of breath, skin irritation and poor posture. The study also cites that “the effect of intervention of reduction mammaplasty was comparable to that of hip and more than knee total joint replacement.”

As evidenced by this scientific medical study as well as numerous other ones, the benefits of breast reductions are extremely positive. To better understand the benefits associated to this surgery and how it can change your life, please visit http://www.labreastreduction.com or call our Beverly Hills office to schedule a consultation with board-certified plastic surgeon Doctor Daniel Golshani.

Source: Saariniemi, K., Keranen, U., Salminen-Peltola, P., Kuokkanen, H. (2007) Reduction mammaplasty is effective treatment according to two quality of life instruments. Journal of Plastic, Reconstrutive and Aesthetic Surgery, 61(12), 1472-1478.