Los Angeles Cosmetic Surgeon - Revision Surgery
Dr. Aronowitz performs many corrective surgeries to improve undesirable results of previous plastic surgery. Dr. Aronowitz's extensive experience and expertise in plastic surgery makes him particularly qualified to perform revision surgery. Revision breast enlargement and revision liposuction surgery are his areas of special interest.
Breast Enlargement Revision Patient 1
This 23 year old women had a breast augmentation with a retropectoral 350 cc saline prosthesis 5 years ago. She complained of the poor shape of the breasts with lateral placement of the implants and a nipple which was placed too high on the chest.
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Dr. Aronowitz's Analysis: The original implant was placed too low on the chest when the surgeon lifted the inframammary crease to accommodate a relatively large implant in a small woman. The pressure of the pectoralis muscle over time caused the implant to stretch the skin of the lateral lower portion of the breast resulting in the bottomed out appearance.
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Correction: The saline prosthesis was removed and the pectoralis muscle was replaced in its anatomically correct position against the chest wall. The abnormal pocket was closed laterally and the inframammary crease was reattached to the chest wall in its correct anatomic position. With the proper anatomy of the breast restored, a new pocket was dissected behind the breast, but on top of the pectoralis muscle. A variety of sizers were placed and a 250 cc smooth moderate profile silicone gel implant was selected and placed on each side.
Breast Enlargement Revision Patient 2
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Dr. Aronowitz's analysis: Patient is a 28 year old woman who underwent retropectoral (under the muscle) augmentation 10 years ago. She has severe bottoming out of the breast due to excess lowering of the inframmary fold and marked lateral displacement of the 350 cc saline breast implant. The saline implant was removed and the inframammary crease restored with sutures closing off the abnormal space. A silicone gel, 300 cc implant was placed over the pectoralis muscle.
Breast Enlargement Revision Patient 3
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Dr. Aronowitz's analysis: The patient is a 72 year old woman who underwent retropectoral augmentation with silicone gel implants 27 years ago. Soon after surgery she developed severe tightness. She has a painful, hard capsular contracture in both breasts with ptosis or droopiness of the breast over the implant. A complete capsular removal was performed with replacement of the 225 cc silicone implants and a Wise pattern (inverted T) mastopexy.
Breast Enlargement Revision Patient 4
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Dr. Aronowitz's analysis: The patient is a 37 year old woman with a "double bubble" deformity of the left breast after augmentation caused by placement of the prosthesis below the inframammary crease. The actual lower border of the breast can be clearly seen because the lower border of the implant is well below the breast. Correction involves repair of the normal anatomic attachment of the inframammary crease to the chest wall.
Breast Enlargement Revision Patient 5
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