Breast revision surgery can be extremely complex and the proper execution of such a procedure requires
exceptional surgical technique, experience, and extreme attention to
detail. The difficulty in these particular cases lies in the procedure
being performed as well as the results from previous surgery/surgeries.
Generally, any woman undergoing a breast augmentation will need some sort of a
breast revision in the future, however, there are many other reasons that
women may need to undergo a breast revision surgery. Dr. Golshani
specializes in this area of plastic surgery and has extensive experience
correcting some of the most difficult cases. When deciding to undergo
any sort or augmentation or revision, it is extremely important for the
patient to see a board certified plastic and reconstructive surgeon with
significant experience and expertise in the field. Dr. Golshani has
properly revised and corrected thousands of patients who have suffered from
poor augmentations done by other surgeons, complications with implants, and
has reconstructed thousand who have undergone bariatric and mastectomy
surgeries.
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.