Richard A. Baxter, M.D.

The Art Behind Plastic Surgery

Breast Implant Revision

Breast Implant Revision Photo Gallery, by Dr. Baxter


capsulectomy and implant replacement

Bilateral capsular contracture treated with capsulectomy, implant replacement and Benelli breast lift

before6 months after

Benelli Strattice and over to under split muscle

Stretch deformity and rippling corrected with saline to silicone implant exchange, over to split muscle under, Strattice internal bra, and Benelli breast lift.

Before revisionsAfter revisionsBefore, lying downAfter, lying down

Rippling and malposition correction with Strattice

Patient with lateral implant malposition and rippling, corrected with implant replacement and Strattice ADM

Before StratticeAfter StratticeBefore StrattticeAfter Strattice

Plane change to split muscle plus Strattice

Animation deformity, bottoming out, and rippling corrected with change to split muscle and Strattice internal bra.

before (Vectra3D)after plane changebefore (flexing)After (flexing)

Breast revision with plane change and Soft Touch implants

This patient requested downsizing her implants, improvement of rippling, revising her previous breast lift, and correction of asymmetry. She was converted from above muscle to split muscle, exchange to full profile Soft Touch cohesive gel implants, and revision of the breast lift.

BeforeAfter (VECTRA 3D)Before (forward leaning)After (leaning forward)

Breast Implant Revision double bubble and animation

Before and after pictures of double bubble plus “windowshading” animation deformity corrected by conversion from dual-plane subpectoral to split muscle plane.

BeforeAfterBeforeAfter

Double Bubble/Animation correction

Correction of animation deformity and double bubble by conversion to split muscle plane.

Before (relaxed)After (relaxed)Before (flexing)after (flexing)

Implant removal and lift

This patient requested removal of her breast implants, and a full lift was done in order to reshape the breast tissue.

before implant removalafter implant removal

Breast Implant Revision for double bubble and animation

This patient presented with bilateral rotated “gummy bear” anatomical implants with animation deformity and double bubble, corrected with conversion to split muscle plane and exchange to round implants.

BeforeAfterBeforeAfter

Animation plus bottoming out

This patient of Dr. Baxter presented with windowshading animation deformity of both breasts and bottoming out of the right breast, corrected by converting from dual-plane subpectoral to the split muscle plane and and a SERI internal bra.

Before1 year post opbefore (flexing)1 year flexing

Breast Implant Revision animation deformity

This patient had significant animation deformity one year after augmentation with subpectoral 300 cc saline implants, corrected by conversion from dual plane to split muscle plane.

BeforeAfterBeforeAfter

Breast Implant Revision windowshading animation

Before and after pictures of animation deformity (“windowshading”) and double bubble corrected by conversion from dual-plane subpectoral to split muscle plane.

BeforeAfterBeforeAfter

Breast Implant Revision with Strattice

Patient presents with submuscular 375 cc saline implants, with windowshading animation deformity, rippling, and wide space between breasts; she also requests increase in size. Corrected by conversion to split muscle plane, Strattice grafts, and exchange to 450 cc silicone gel implants.

BeforeAfterBeforeAfter

animation corrected with split muscle

This patient presents with animation deformity from dual plane breast augmentation, corrected by conversion to the split muscle plane. (She also had a reverse tummy tuck.)

beforeafterbefore (flexing)after (flexing)

animation correction with split muscle

This patient with dual plane submuscular implants had animation deformity and sagging, corrected by conversion to the split muscle plane and vertical pattern lift by Dr. Baxter.

before, flexingbeforeafter, flexingAfter split muscle

Breast Implant Revision Strattice for capsular contracture

Before and after pictures of capsular contractures corrected by capsulectomy, Strattice grafts, and implant replacement.

BeforeAfterBeforeAfter

Breast Implant Revision capsular contracture Alloderm

Previous bilateral mastectomy and reconstruction with saline implants, 360 cc filled to 380 cc, dual plane subpectoral technique; she presents with grade 4 capsular contractures, asymmetry, and pain. Corrected by capsulectomy, Alloderm internal bra, and exchange to Sientra form-stable (“gummy bear”) 370 cc cohesive gel implants.

BeforeAfterBeforeAfter

Breast Implant Revision Strattice for bottoming out

Before and after pictures of bottoming out implants corrected with capsulorrhaphy and Strattice internal bra and replacement of saline implants with Natrelle Style 15, 304 cc.

BeforeAfterBeforeAfter

SERI Breast Implant Revision pt. 1

This patient had multiple issues including bottoming out, rippling, and animation deformity, corrected by implant exchange, SERI internal bra, and change to split muscle plane.

BeforeAfterBeforeAfter

SERI Breast Implant Revision pt. 2

Animation deformity persisting after implant removal. This patient presented after multiple attempts at correcting animation deformity and finally decided to remove her implants, but the pectoral muscle was not re-attached so the problem persisted. Corrected by conversion to the split muscle plane to re-attach the lower portion of the muscle, and SERI Scaffold internal bra for support and coverage with new smooth round silicone gel implants.

BeforeAfterBeforeAfter

SERI Breast Implant Revision pt. 3

Before and 1 year after correction of bottoming out and rippling with bilateral SERI Scaffold internal bra.

BeforeAfter

Breast revision SERI patient 4

Saline implants with rippling, bottoming out, and animation deformity, corrected with conversion to split muscle plane, SERI internal bra, and exchange to Natrelle Style 15 smooth round silicone gel implants, 371 cc. VECTRA 3D images.

pre-op SERI 3DAfter SERI bra 1 year

SERI internal bra for correction of traction ripples

This patient of Dr. Baxter had traction ripples in the upper part of the breast from saline implants above the muscle. They were exchanged to 304 cc Style 15 Natrelle silicone gel implants under the muscle using the split muscle technique, and a SERI internal bra for support. VECTRA 3D images are shown with one-year follow up.

pre-op traction ripples with saline implantspost op SERI internal braPre-op oblique view traction ripples with saline implantsPost op oblique view SERI internal bra

Bottoming out repair with SERI internal bra

This patient of Dr. Baxter shows repair of breast implants bottoming out using a SERI internal bra, before and 1 year after.

Pre-op SERI1 Year SERI

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