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.
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.
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.
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.
Below, the Strattice is inserted into the breast via the areola incision.
Below, the patient is immediately post surgery and has bilateral 435cc silicone gel implants placed.
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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