Secodary Mastopexy/Augmentation reductions are common operations where women want their implants removed and then exchanged for smaller implants. Frequently patients also need a simultaneous lift when the volume of the breast is reduced. These operations are typically challenging. As one reduces the size of the breast or changes the shape of the breast, it is important to respect the blood supply of the nipple areola complex.
For example, this patient had a prior mastopexy augmentation via a superior crescent incision in the submuscular position. Therefore, one needs to be cognizant of the remaining blood supply when attempting to raise the nipple areola complex.
This patient underwent capsulectomy, bilateral removal and replacement of saline implants for Mentor smooth round high profile silicone gel implants, and mastopexy via an oblique pattern.
I have found that the vertical, oblique, and helium balloon pattern mastopexy (described by Dr. Ed Pechter of Valencia, California) to provide excellent projection while removing excess skin. I have found that many women appreciate the breast projection that these patterns in combination with the high profile implant provide.
http://www.drbriandickinson.com/
For example, this patient had a prior mastopexy augmentation via a superior crescent incision in the submuscular position. Therefore, one needs to be cognizant of the remaining blood supply when attempting to raise the nipple areola complex.
This patient underwent capsulectomy, bilateral removal and replacement of saline implants for Mentor smooth round high profile silicone gel implants, and mastopexy via an oblique pattern.
I have found that the vertical, oblique, and helium balloon pattern mastopexy (described by Dr. Ed Pechter of Valencia, California) to provide excellent projection while removing excess skin. I have found that many women appreciate the breast projection that these patterns in combination with the high profile implant provide.
http://www.drbriandickinson.com/
