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Dr. David Stoker board-certified plastic surgeon Los Angeles. We have a really nice 10-month long-term post-op result on revision breast implant surgery. We've got here a good-looking 40-year-old mom who had a couple of things going on. Her implants were about 16 years old, and she developed a capsular contracture on her right side. She also has a certain anatomy where you can see she has a depressed sternum; we call that pectus excavatum and prominent costal margins of her ribs. When somebody has that anatomy, the implants tend to slide towards the midline, so we had to be careful how we handled this area. It's tricky because there are bilateral old ruptured implants and we need to do a capsulectomy switch over the implants to a new size and slightly different volumes on the two to get the best outcome possible. She's got a nice, soft, natural feel to the two sides. She's got beautiful curves in here. The incisions are fading nicely. What’s capsular contracture? When any type of implant is placed in the body, a layer of fibrous scar tissue is formed around the implant. In some cases, this scar capsule may thicken and contract. Because breast implants are soft and deformable, a contracting capsule may distort the shape and feel of the breast. Surgery is typically required to treat advanced capsular contracture. However, because of improvements in modern implants, capsular contracture is much less common today than it was decades ago. What happens when a saline implant ruptures? When a saline implant ruptures, saline leaks out over the course of a few days and the breast shrinks in size. The saline, which is the same as used for intravenous fluid, is rapidly absorbed by the body and has no harmful effects. What happens when a silicone gel implant ruptures? When silicone gel implants rupture, the silicone leaks outside of the implant shell. The gel in older implants was more of a liquid than today’s gels. The current FDA-approved implants contain a more viscous gel that is unlikely to diffuse far from a ruptured implant. The newest generation of implants, still in clinical trials, is a cohesive gel that is the least likely to have gel leak from a ruptured implant. The FDA recommends MRI scans every three years to check for a ruptured silicone implant. If a rupture is suspected, the implants should be replaced. What are breast implants? The newest silicone gel implants are sometimes referred to as cohesive gel implants because of their firm feel. This new generation of implants uses a cohesive gel that is thought to be less likely to rupture. The implants are popular internationally, but in the U.S. they are still restricted by the FDA. Clinical trials are now being conducted to confirm the safety of the implants. Why do implants sometimes move position? Implants may move in the years following breast augmentation. The implants may drop to a lower position or slide to the side of the chest wall. Many variables contribute to whether or not implants move, including initial pocket dissection, implant size, and patient body type. Textured implants are less likely to move than smooth implants. If implant movement causes a suboptimal breast appearance, a revision operation may be warranted. ----------------- BEFORE AND AFTER PHOTOS AND CONTENT UPDATES CAN BE FOUND BELOW Instagram: / stokerplast. . Realself: https://www.realself.com/dr/david-sto... Yelp: https://www.yelp.com/biz/david-stoker... Facebook: / stoker-plast. . Website: https://www.drstoker.com STOKERX Skincare: https://stokercosmetics.com/ Keep your skin young, healthy, and rejuvenated without breaking the bank. Stoker Plastic Surgery: David Stoker, MD 4640 Admiralty Way #1000 Marina del Rey, CA 90292 Phone: (310) 300-1779