Breast Revision

This patient underwent a bilateral capsulectomy to remove her existing implants and exchange them for new ones, as well as a breast lift to achieve these rejuvenated results.

This patient had previously undergone a breast reduction, and desired a change in her breast size while maintaining a natural look. To achieve her goals, Dr. Jalil performed a breast augmentation using 685cc moderate profile implants and a revised breast lift using the anchor pattern.

This patient was experiencing painful contracted breasts subsequent to implant placement 10 years prior. She was looking to have her implants removed, replaced, and the pain treated. Dr. Jalil used an IMF incision to exchange her implants for larger and fuller ones after the complete capsule was removed.

This patient did not desire the addition of a breast lift at this time. A lift can be performed at a later date should the patient wish, but she is happy with her initial results.

This patient came to us with textured anatomic (tear drop) implants that she wished to exchange for larger, smooth round implants. She underwent a bilateral capsulectomy and implant exchange to full profile 450cc silicone implants with Dr. Somogyi. Results are shown at four months post-op.

This patient came to us with improperly selected and placed implants from a previous surgery. She desired her nipples to be evenly positioned, improved symmetry, and for the upper pole of her breasts to have more fullness.

Her revision surgery with Dr. Jalil required a conversion from her under-muscle pocket to an over-muscle pocket, as well as several internal pocket repairs. As you can see, she has achieved her goals and a fantastic result.

This patient unfortunately had a spontaneous deflation of one implant. We gave her a period of respite (3 weeks) before her revision surgery by deflating the other implant. This gives patients a prolonged period to get accustomed to what their breasts would look like without implants and to decide if surgery is the right answer for them. Additionally, it gives us the added benefit of observing any subtle size differences or asymmetries between the breasts, making our implant selection even more accurate.

Ultimately, this patient decided to upsize her old implants (saline, 450cc) to 650cc on the smaller breast and 605cc on the larger breast (silicone moderate profile plus, smooth round).

This patient had a previous breast augmentation with mastopexy (breast lift) several years ago with another surgeon, but has since had some serious post-op complications, including capsular contracture (scarring around the implant) and pigment bleeding from her nipple onto her scar. Breastfeeding had also caused tissue descent.

Dr. Jalil performed a total revision of her previous breast surgery and exchanged her implants for ones that are more appropriately shaped for her (300 cc, smooth round, moderate profile). The irregular coloured portion of the nipple-areolar complex was also removed. These after photos are shown at six weeks and her scars will continue to heal over time.

This patient presented with an extremely difficult combination of implant mal-position and capsular contracture on the right side. She underwent a bilateral implant exchange through an IMF incision. During this procedure, several internal pocket adjustments and repairs had to be done on the right side. Additionally, old scar tissue needed to be removed (capsulectomy). The results you see here are shown at 3 months post-op.

Can a request for a breast reduction and implants be accomplished at the same time? The answer is yes! Some people come to see us with a desire to have a decrease in their overall breast volume, while still maintaining the volume in the upper area of their breast (something only accomplished with implants).

In this scenario, the patient had previous implants that were simply too large for her. She also had a significant amount of skin/tissue present after pregnancies and natural aging.

Dr. Jali’s treatment plan included exchanging her current implants for smaller ones combined with a reduction/lift of her current breast tissue. She went from nearly a G bra cup size to a full C/small D and is very happy with her results.

It’s always a challenge to correct an asymmetry, but it is even more challenging when the asymmetry already exists in the setting of a previous surgery.

Pictured here is a patient who has two very different breasts coupled with previous implants that were originally placed in an effort to correct this asymmetry. As you can see, this did not accomplish the goal. In addition, the implants that were previously placed are now discontinued and there was no previous OR note available to help guide us on the original volume.

Through careful planning and discussion with the patient, Dr. Jalil ordered several sizers and types of implants, all varying in projection and volume. After initially removing all the scar tissue and correcting the implant pocket with several deep sutures, he then placed new implants in the range of ~490 cc under the muscle on both sides. Once the implants were perfectly placed, the right sided breast was then lifted using a lollipop style incision.

In the after images, you can see that the symmetry and shape is now nearly identical. Mission accomplished!

Dr. Ron Somogyi removed this patient’s existing 320cc implants and performed a mastopexy (breast lift) to achieve her aesthetic goals. Results are shown at six months post-op.

This patient’s old implants (saline, 400cc) were replaced with moderate profile plus 485cc implants through a bilateral implant exchange. These implants were then secured with meticulous pocket work and capsule repair to ensure no bottoming out or displacement. Once perfectly placed, the breast tissue was then lifted and centred around the implants to achieve these results.

This patient wished to have her existing implants removed. Dr. Somogyi performed an explantation and breast lift to maintain her desired shape. Results are shown at six months post-op.