This patient originally presented to another plastic surgeon with breasts that were small and asymmetric with significant sagging of the left breast. She underwent Saline Breast Augmentation placing the implants above the muscle and a left peri-areolar breast lift (scar around the areola of the nipple). She went to see Dr. Fata 7 years later because she was still unhappy with the look and feel of the saline implants, the uncorrected asymmetry, and the large size of the areola on the left. Dr. Fata replaced the saline implants with silicone gel implants and placed them under the muscle while changing the sizes to improve symmetry. He also revised the breast lift on the left. She is shown before and 18 months after surgery.
Gallery of Breast Augmentation Revision
Plastic Surgeon Serving Indianapolis, Indiana
This 51 year-old woman was seen by Dr. Fata two years after having a Vertical Breast Lift performed by another plastic surgeon. She was disappointed in the outcome regarding the size and shape of her breasts and especially the appearance of the nipples and areolas. The "before" photos show a depressed puckering of the scar of the right areola and an abnormal shape of both areolas. Dr. Fata recommended revision of both areolas to improve the scars and shape as well as enlarging and reshaping the breasts with silicone gel implants. She underwent the recommended breast lift revision with augmentation placing 325cc silicone implants under the muscle. Photos were taken before and two years after surgery.
This 28 year-old woman had breast augmentation with 325cc silicone gel implants 18 months earlier. She did not return for her post-operative visits until one year after surgery because she wanted to increast her implant size. She also needed revision of the scars, which were raised, dark and visible because the implants had dropped too far below her natural breast fold. She underwent silicone implant exchange placing 400cc implants under the muscle as well as scar revision and repositioning of the implants above the breast fold. Pictures were taken before and 6 years after her revision surgery. You will also be able to see changes in the breasts because of breastfeeding.
This 55 year-old woman had saline breast augmentation 16 years ago placing the incision (and scar) along the edge of the areola of the nipple. The implants were removed 2 years later because of a recommendation by her primary care doctor for reasons that are at this time unclear. She presented to Dr. Fata because she felt that her breasts had a flat, deflated appearance. She also had a scar deformity on the right nipple creating a "dent-like" depression and distortion of the natural curve of the breast fold on the right. She underwent a peri-areolar breast lift (scar only around the areola of the nipple) and augmentation with 350cc silicone gel implants. On the right breast, she also had reconstruction of the breast fold and correction of the scar on the areola. She is shown before and 6 months after surgery.
This patient presented at age 59 with a history of having silicone breast augmentation 21 years earlier. A mammagram had shown signs of a rupture of the right implant and Dr. Fata's clinical exam found a hardening of the scar capsule surrounding the implant as well as significant sagging of both breasts. Dr. Fata performed a vertical breast lift ("lollipop scar") with removal of both the breast implants and scar capsules. As expected, the right breast implant was ruptured. These implants were replaced with 300cc moderate plus silicone implants. She is shown before and 7 years after her surgery at age 66.
This patient was a very thin 29 year old woman who underwent Silicone Breast Augmentation with 300cc silicone gel implants. At her 2 month check-up the implants were in a perfect position but by 6 months after surgery both implants had dropped too low because of thin, weak soft tissue support and the scars were visible. She underwent reconstruction of the lower portion of her breast tissue to correct the "bottoming out" of the implants by using an absorbable support scaffold known as Galaform. She is shown before and 1 & 1/2 years after correction of the "bottoming out".
This 63 year-old woman had Silicone Breast Augmentation over 30 years ago. She has had progressive hardening of both breasts for 10 years. She had leaks in both implants and capsule contractures (hardening of scar tissue around the implants). She underwent removal of both ruptured implants and the scar capsules, creation of a new implant pocket and placement of 250cc silicone gel implants per her size request. She is shown 2 months after surgery with a 34B cup size.
This 54 year-old patient had Silicone Breast Augmentation 30 years ago. Her breasts have gradually sagged well below the implants and she has noticed progressive hardening of both implants for 5 years. She had small leaks of both implants with capsule contractures (hardening of scar tissue around the implants) and significant sagging of both breasts. She underwent removal of both ruptured impants and scar capsules, replacement with 400cc silicone gel implants, and a vertical breast lift. She is shown 6 months after surgery with a 38D cup size.
This 25 year old woman underwent Silicone Breast Augmentation with 325cc implants. She was doing well at her 6 month check-up with a 34C cup size but at one year after surgery the right breast implant had drifted too low and had dropped below the natural breast fold (infra-mammary fold). She underwent revision to re-set the proper breast fold position and to replace the implant above the fold. She is shown before Breast Augmentation, one year after Breast Augmentation, and before and 6 months after her revision surgery.
This 35 year-old woman underwent Saline Breast Augmentation with 350cc implants placed above the muscle 6 years earlier. She noted a gradual decrease in volume of the right implant and her exam was consistent with leak and deflation of the saline implant. She underwent removal of both saline implants and replacement with 375 silicone gel implants placed below the muscle to improve both fullness and support. She is shown before revision surgery with a right sided deflation and one year after surgery.