Breast Implant Removal


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A breast implant removal or explantation of a ruptured 35-year-old silicone implant. ⁣⁣
“Signs that your silicone implant has ruptured can include changes in breast shape and size, and increasing pain, firmness, and swelling over a period of weeks. ⁣⁣

When a saline or silicone gel-filled implant has ruptured, the implant should be surgically removed. In some cases, your plastic surgeon will also remove the capsule of scar tissue surrounding the implant.” ( ⁣⁣

Bioengineered Breast: Hybrid Breast Reconstruction

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A post shared by Effie Politis, MD, FACS (@dreffiepolitis)

𝘋𝘦𝘷𝘦𝘭𝘰𝘱𝘪𝘯𝘨 𝘢 𝘩𝘺𝘣𝘳𝘪𝘥 𝘤𝘰𝘯𝘤𝘦𝘱𝘵 𝘪𝘯 𝘪𝘮𝘮𝘦𝘥𝘪𝘢𝘵𝘦 𝘴𝘵𝘢𝘨𝘦 𝘣𝘳𝘦𝘢𝘴𝘵 𝘳𝘦𝘤𝘰𝘯𝘴𝘵𝘳𝘶𝘤𝘵𝘪𝘰𝘯. ⁣⁣⁣

I was first introduced to the concept of “bioengineered breast” in 2009 by Dr. Pat Maxwell and colleagues. He originally coined this term to describe an enhanced breast form consisting of a combination of cohesive gel breast implant, regenerative scaffold, and regenerative cells. ⁣⁣⁣

The implant and the soft tissue covering it can both be enhanced to achieve the optimal female breast form.

Enhancing the soft-tissue cover not only supplements volume and shape but also further alters how the recipient’s host tissue responds to the foreign body implant. ⁣⁣⁣

This powerful combination of constructs better allows us to achieve the ultimate goal of breast reconstruction: to recreate a breast that appears and feels like the natural breast. ⁣⁣⁣

This patient had large breasts and underwent bilateral skin-sparing mastectomies. She opted for one-stage reconstruction to minimize downtime. This was achieved using a hybrid concept after the mastectomy flap perfusion was evaluated. ⁣⁣⁣

I was able to pair an anterior acellular dermal matrix sheet with a posterior stable Galaflex base to provide the patient with both softness and stability. ⁣⁣⁣

She plans on having fat grafting during her nipple-areolar reconstruction to further augment her soft tissue envelope and soften her breast borders.⁣⁣⁣

Breast Revision Case: Before and After

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𝐁𝐫𝐞𝐚𝐬𝐭 𝐑𝐞𝐯𝐢𝐬𝐢𝐨𝐧 𝐂𝐚𝐬𝐞 ⁣⁣

Before: ⁣⁣
Saline implants, dual-plane⁣⁣
– Breast and nipple-areolar ptosis⁣⁣

After: ⁣⁣
– Removal and replacement of saline implants for Sientra 385cc moderate profile hsc+⁣⁣
– GalaSHAPE 3D ace

Breast Implant Removal with Lift

Breast implants don’t last forever, eventually they need to be removed and replaced. When replacing implants, many patients opt to get mastopexy, or breast lift, in conjunction with placing new implants. During consultation, Dr. Effie Politis can evaluate the condition of your implants and advise if they should be removed and replaced, or removed altogether if you wish to return to a more natural look, with your natural breast size restored. When your breast implants are completely removed, this can make your breasts look saggy and deflated. But, fret not! This can be fully resolved with a custom breast lift. This procedure involves the removal of excess skin and reshaping your breast to make them plump, shapely, and round, while restoring the natural breast tissue to youthful position on your chest. If your nipples have drooped or sagged, their position and size can be altered in the same surgical procedure. If you have more questions regarding this procedure, don’t hesitate to reach out to us and schedule a consultation. You can call us at: (813) 542-2587. Looking forward to hear from you!