23/12/2020

I don’t like the chest I have ended up with.

For the past few years, we have specialised in secondary breast surgery, or breast surgery to resolve problems which have arisen after a breast surgery. There are times when, for various reasons, things do not work out the way they should.

On some occasions the problems are caused by using implants; being either too big or too small or which have moved. Where one is higher than the other or they have a contracture. Many things can happen with implants. Sometimes due to the bad design of the surgery, because the patient has gained lots of weight or other times just because the body of the patient simply does not respond as expected.

One of the things we see more frequently are badly executed breast lifts. They are usually patients who present a new drop of the breasts very early on. The cause is usually that, the weight of the implant is disproportioned to what the body of the patient can support. When taking on a breast elevation the most important thing is not the volume, it is the volume that the tissues can withhold during our reconstruction manoeuvres. We are operating on a fallen chest and therefore a chest that presents internal damage meaning it is not very susceptible to support a greater weight without dropping again.

One of the things we see more frequently are badly executed breast lifts. They are usually patients who present a new drop of the breasts very early on. The cause is usually that, the weight of the implant is disproportioned to what the body of the patient can support. When taking on a breast elevation the most important thing is not the volume, it is the volume that the tissues can withhold during our reconstruction manoeuvres. We are operating on a fallen chest and therefore a chest that presents internal damage meaning it is not very susceptible to support a greater weight without dropping again.

Another thing that we usually see are mastopexies with very large, very wide scars, which are normally periareolar. They are cases where the surgeon in order to reduce the quantity of the scar and so that the patient is satisfied, forces the indication. Instead of performing a mastopexy in an inverted T, for example, he tries to remove all of the excess skin of the drooping breast through a scar which is exclusively periareolar. This provokes very large and wide areolas which ultimately have to be altered. We now offer the urgotouch laser which helps us greatly to have optimal results.

This is the case of a patient who, after gaining a lot of weight, had pain and discomfort with the implants, which by the way were broken and we decided to remove them, and reconstruct the chest with a lift in inverted T using  her breast tissue as an autoprothesis. A nicer, more natural result and the patient was left pain free.

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