Breast Augmentation Revision Case Study 42

This lady has previously had a breast augmentation procedure 7 years previously. She wished to slightly increase in size. She did not wish to have a lift and during the revision a similar width implant with more projection in the lower pole was used to try and improve the position of the nipple in relation to the breast. In this scenario, the capsules were not completely removed and a capsule release with partial capsulectomy was performed to create a new pocket. Mr. Ross always sends a sample of the capsule for analysis which came back as normal. The results are seen at 6 weeks. The recovery in patients in whom the capsule is not totally removed is very quick and often quicker than the primary surgery. Patients in whom anatomical implants have been used for a revision must be careful not to return to all regular exercise immediately after surgery even though they feel able to.

When considering a breast augmentation revision it is important to consider the pros and cons of removal only and the pros and cons of removal and replacement. This lady has also considered a further breast lift and the use of autologous fat transfer.

At a consultation, it is important to run through all the pros and cons and the various options of breast augmentation revision so that you can be empowered to proceed. In particular, one must consider whether to remove all of the capsule or part of the capsule. Mr. Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected.

Mr. Ross is a plastic surgeon that underwent specific training in plastic surgery. Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) Association of Breast Surgeons (ABS) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS and ABS.

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