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Breast Augmentation Revision: An Interesting Case

Revision Breast Augmentation:

I saw a woman in the Beverly Hills Office last week who was interested in having a revision breast augmentation. She had a breast augmentation in Beverly Hills approximately six months ago by another surgeon. However, she unfortunately developed an infection requiring removal of the breast implant

Thankfully, infections after breast augmentation are very rare. Even more rare is an infection to the extent where an implant needs to be removed. This likely occurs in less than 1% of the population. Serious infections of breast implants can be treated with antibiotics, either orally or in the rare circumstances intravenously in the hospital. Her implants were removed approximately three months ago. Meanwhile, the implant that remained continued to mature. When we talk about breast implants maturing, we are generally referring to the breast implants falling on the chest wall with a lowering of the breast fold. In addition, the maturing breast implant tends to reshape into a more rather natural appearance once the tissues stretch. Another thing that happens with matured implants particularly of larger sizes is that the breast itself shrinks or atrophies. In a situation where there is infection of a breast implant and it is removed, it is necessary to wait several months and treat the infection and to ensure the infection is clear before proceeding with another breast implant augmentation. Of course the downside of this is that the contralateral or opposite breast implant is continuing to mature on the chest wall while the implant that was removed is reverting to its original shape. Tissues tend to retract particularly after an aggressive infection. In this case, after waiting for five months, the breast implant was replaced. This required a significant amount of scoring of scar tissue and capsule within the previously infected breast. It also required manually lowering the fold to try to match the opposite breast. After such surgery with lowering of the fold, particularly in a very large implant such as this one, it is important to maintain the integrity of the fold by postoperative taping or support with wire bra. This was an interesting breast augmentation case because infections of the breast are so rare, and what made this challenging was the fact that these are very large implants that required quite a bit of pocket dissection to accommodate the large implant inside her tissues. She had a very nice result, and I will continue to see her frequently to make sure she is healing properly to prevent bottoming out of this new implant.