Replacement of Deflated PIP Breast Implants to Correct Rippling24th July 2012
Implant Removal / Replacement
Our patient today had her breast implants performed in 2005. They were 270cc implants, and she’s coming forward to have them exchanged today. So we’re not sure of the condition of the implants, but we’ll have a look in a minute. I’ll show you that on the video.
So I just thought I’d show you the scars, and the scars, I don’t know whether you can see that so well. She had some problems healing with the scars, but you can see they’re really wide here. Just drawing there a line. They’re not very good scars at all really. So I’m going to try and remove the majority of that. She’s also got some rippling here, which we’ll try and address with a firmer Allergan implant. But first thing to do is remove the old scar and then have a look at the implants.
Can you see there’s quite a lot of gel bleed. This is very typical of a non-ruptured PIP. Deflation in the top, this waviness, this is what shows through the skin and is responsible for her rippling on the other side. Can you see this waviness? That’s what you can see through the skin. They leak so you get a very deflated area, and the silicone all goes down to the bottom. Then your rim feels empty, whereas it was like that and you’ve got gel bleed, as you can see on the outside. So a very typical appearance from a PIP.
This is the implant on the left. Quite a lot of gel bleed as you can see. A lot of deflation on the top and this is what’s giving her rippling here, I think, is this sort of deflation and seeing these wrinkles through the skin because our patient’s very slim. So I think that’s what’s happened, but this is quite a characteristic appearance of a PIP with all the silicone going to the bottom leaving it empty on the top.
Here we are at the end of the operation. I think we’ve got a better cleavage, nicer result. Hopefully that rippling is reduced there. I certainly can’t feel it because of the firmer implant and less rippling, and I’ll show you the implants in a minute.
These are the implants on both sides. This is the right side. Both are 270. This is lot number 39304. I’ll show you this is the deflation we’re noticing in the top of the implant. The gel bleed has dried out now, but quite a lot of deflation. This is the left side, where our patient had more of the rippling, and I think the reason for the rippling was this sort of folding here. Can you see? That came through the skin because our patient’s very slim, and you can see the deflation in the implant there and the silicone really moving to the bottom.
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