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Case Number 4667: Use of Strattice for Patient with Encapsulation

This 40 year old patient from San Diego, California, was interested in breast revision surgery to correct the encapsulation she was experiencing after her breast augmentation surgery as well as her revision breast augmentation performed by a different surgeon. She presented with bilateral capsular contracture after multiple breast surgeries.

It is quite normal for the body to produce some scar tissue around the breast implant. Occasionally, an excessive amount of scar tissue is formed and it contracts or shrinks around the implant making the implant feel unacceptably firm. If the capsular contracture is mild, the breast or breasts are moderately firm. If severe, the breasts can appear distorted and be hard and very uncomfortable for the patient. before implant exchange with capsulectomy and use of allograft

While looking for a surgeon to address her capsular contracture, she found Dr. Pousti. She felt confident in his double board certification and his specialty in revisionary breast surgery. During  her consultation, Dr. Pousti recommended using Strattice in the breast revision procedure they were planning (capsulectomy and implant replacement).  The capsulectomy tissue deficit was addressed with Strattice Reconstructive Tissue Matrix reinforcement.

side view before implant exchange with capsulectomy and use of allograft

The procedure was discussed in detail with the patient and her husband.  Realistic expectation were discussed.  Markings were performed prior to surgery.  Below, you can see the scar tissue that was removed during the surgery.

scar tissue from implant exchange with capsulectomy and use of allograft

Strattice™ Reconstructive Tissue Matrix (TM) is a soft, natural product from LifeCell™ that is designed to reinforce weak or inadequate tissue and to support growth of your own tissue. Derived from porcine dermis, it’s a strong, flexible and sterile product.

allograft for implant exchange with capsulectomy and use of allograft

Below, the Strattice is inserted into the breast via the areola incision.

use of allograft

Below, the patient is immediately post surgery and has bilateral 435cc silicone gel implants placed.

after implant exchange with capsulectomy and use of allograft

right view after implant exchange with capsulectomy and use of allograft

left view after implant exchange with capsulectomy and use of allograft

Patient Testimonial:

I never have any surgery in my life until the age of 39.  After I gave birth of two beautiful girls. Because of breast feeding, I lost my breast volume and I decided to have my breast augmentation.  On November 2012, I had my BA with a local Doctor here in San Diego.  Two months later after the surgery, I noticed my breasts were hard and looked uneven.  I talked to my Dr. and he confirmed that I had capsular contracture on both breasts.   Then, he offered me a breast revision with no charges.  On April 2013, I proceeded my second revision breast surgery.  Just about a month, I had both breasts developed capsular contracture again.  I felt so frustrated.  I lost my trusts and my hopes with this doctor and I did not feel comfortable to go back to see him again.

So I have been doing a research and I found Dr. Pousti website. After viewing thousands of before and after patients’ pictures preformed by Dr. Pousti. I called the office and made an appointment for consultation. Because of my history, capsular contracture developed very early after surgery. After Dr. Pousti examined my breasts and explained the benefit vs the risk of having another breast revision . He recommended me to have my breast revision with placing Strattice, removing bilateral capsules and exchanging new implants.

December 2013, I had my breast revision done by Dr. Pousti. I am now only two weeks post op. I feel great and healthy. I am very satisfied with the way my breasts look. They are so soft, fullness and I also have a beautiful cleavage. I am so happy with my new breasts and new look.



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Patient Testimonial: 
I never have any surgery in my life until the age of 39. After I gave birth of two beautiful girls. Because of breast feeding, I lost my breast volume and I decided to have my breast augmentation. On November 2012, I had my BA with a local Doctor here in San Diego. Two months later after the surgery, I noticed my breasts were hard and looked uneven. I talked to my Dr. and he confirmed that I had capsular contracture on both breasts. Then, he offered me a breast revision with no charges. On April 2013, I proceeded my second revision breast surgery. Just about a month, I had both breasts developed capsular contracture again. I felt so frustrated. I lost my trusts and my hopes with this doctor and I did not feel comfortable to go back to see him again. So I have been doing a research and I found Dr. Pousti website. After viewing thousands of before and after patients' pictures preformed by Dr. Pousti. I called the office and made an appointment for consultation. Because of my history, capsular contracture developed very early after surgery. After Dr. Pousti examined my breasts and explained the benefit vs the risk of having another breast revision . He recommended me to have my breast revision with placing Alloderm, removing bilateral capsules and exchanging new implants. December 2013, I had my breast revision done by Dr. Pousti. I am now only two weeks post op. I feel great and healthy. I am very satisfied with the way my breasts look. They are so soft, fullness and I also have a beautiful cleavage. I am so happy with my new breasts and new look.

 



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Pousti Plastic Surgery Center
Pousti Plastic Surgery of San Diego
8851 Center Drive, Suite 300
La Mesa, California 91942
Phone: (619) 466-8851 or Email
 
Dr. Tom Pousti is a San Diego and La Jolla Plastic Surgery specialist. He has provided plastic surgery treatments to many San Diego and La Jolla facelift, tummy tuck, liposuction, breast augmentation, and rhinoplasty patients. His office is located in San Diego, and also serves the La Jolla, Riverside, Inland Empire and Temecula areas. Disclaimer


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