Breast Revision
Breast Implants Revision
Breast augmentation is a very popular operation. Usually the results are beautiful. Sometimes the results are less than desired and breast implant revision is necessary. The most common reason is a desire to change the size of the implants or a desire to change the type of implant fill, with saline or silicone. There are other reasons such as the implants being too firm (contracture) or poor asymmetric positioning. There are many options to improve the appearance of implants and it is these specific situations that rely on the surgeon's skill and artistic ability.
Breast Asymmetry
Breast asymmetry is a condition in which one breast is noticeably different from the other. This is manifest by conditions where one breast is larger than the other, one nipple is higher or spaced further from the center. It can also be as a result of breast folds which are higher or an enlarged areola.
There are different treatments for each asymmetry. Size differences can be adjusted by removal of fat/breast tissue from the layer breast. Droopiness is corrected by the removal of the excess skin of the breast. Removal of the skin is also a valuable treatment for nipple malposition or areola asymmetry. Breast folds can be lowered by pushing the crease internally.
There are multiple options available and the decision to use one of the various techniques is something that can be discussed between you and your surgeon the day of your consultation.
Gynecomastia
Due to various reasons, some men develop female-like breasts ("gynecomastia") as a result of excess tissue and fat in the chest area. This is oftentimes first noticed during the adolescent years when young men go through puberty. These individuals may feel insecure and/or embarrassed of this problem and refuse to remove their shirt when in public, such as at the beach or poolside.
Some of the common causes of gynecomastia include hormone imbalance, drug abuse, use of steroids, and certain prescription drugs. Also, it is important to note that gynecomastia is not only present in overweight men; it can also affect those who are otherwise in good physical shape.
Typically, men who experience gynecomastia attempt to reduce its appearance through diet and exercise; however, most of the time they end up making the appearance more evident due to the enlarged pectoralis muscle. In order to reduce the chest size, men opt to undergo a surgical procedure, "gynecomastia surgery" (male breast reduction surgery). This can involve liposuction to remove stubborn fatty tissue and/or excision of the tissue and skin.
During an initial consultation, Dr. Hochstein can thoroughly examine the patient and determine the most appropriate treatment.
What to Expect After Surgery
There is a moderate amount of discomfort associated with the liposuction and excision of gynecomastia in men. It should be well controlled by oral pain medications and should be expcted to last 2-3 days. It is always a good idea to have someone drive you home and stay with you at least for he first night of surgery.
There is some bruising and swelling associated with this surgery. In fact early on you are likely to see no difference at all as the swelling more than makes up for the amounts removed. It is helpful to apply cooling packs for the first 48 hours and to avoid salt intake while drinking plenty of water. I usually instruct my patients not to see much of a change for the first 2 months and that the final result is not known until 6 months. This is a surgery with an extremely low complication rate but should be monitored for any fluid accumulation afterwards.
Resumption of Physical Activities
I like for my patients to resume normal activities as soon as they feel up to it. Resuming work can be done as early as the next day or the day after as the discomfort from this operation tends to be short lived. The stitches are all under the skin and dissolving so that within 3 weeks my patients are able to begin going to the gym to work out. You should also avoid exposing the scars to the sun for at least six months. Sunlight can permanently affect the skin's pigmentation, causing the scar to turn dark. If sun exposure is unavoidable, use a strong sun block. A good rule of thumb is that if the scars have not lost their pink color yet the sun should be avoided.
Miami Florida is home to world renown and board certified plastic surgeon Leonard M. Hochstein. Specializing in all forms of breast augmentation, breast reduction, breast lifts, and breast revision, Dr. Hochstein also specializes in delivering the service and quality you deserve.
Conveniently located 20 minutes South from Fort Lauderdale International Airport and 20 minutes North from Miami International Airport, Dr. Hochstein welcomes patients from as far away as Australia, Europe, Canada , South America, and the Caribbean.
This website was designed to keep patients up to date with the latest information and techniques regarding breast implants. Feel free to explore the site and return to see updates as they are made.
We also encourage you to visit Dr. Hochstein's other website www.lhochsteinmd.com for information concerning other procedures you may have interest in.
Leonard M. Hochstein, M.D.
19495 Biscayne Blvd. #204
Aventura, FL 33180
Tel: (305) 931-3338
Fax: (305) 931-3324
Monday 9:30 - 5:30
Tuesday 9:30 - 5:30
Wednesday 9:30 - 5:30
Thursday 9:30 - 5:30
Friday 9:30 - 4:00
Dr. Hochstein is on call 24 Hrs a day.
