Removal of Breast Implants and Mastopexy22nd February 2011
Breast Uplift SurgeryMr Adrian Richards of Aurora clinics presents the live surgical procedure of Breast Implant Removal and Breast Uplift or Mastopexy. For more information on this type of surgery and many other procedures carried out at Aurora Clinics please contact one of our fully qualified Patient Co-ordinators on 01844 214362
Removal of Breast Implant and Beat Uplift (Mastopexy)
Hello. My name’s Adrian Richards. I’m the Surgical Director of Aurora Clinics. In this very short video, I’m going to be taking you step-by-step through an operation I performed earlier today.
This is a patient who’s had her breast implants inserted ten years ago. They’re under the muscle and sitting in a very high position. She’s elected today to have the implants removed because she’s very sporty and also she’s elected to undergo a breast uplift because her nipples are in a low position.
So, here we are at the beginning of the operation. You can see there’s really quite an unnatural bulge at the upper part of the breast, which is caused by a high lying implant placed under the muscle.
This is the beginning of the operation. I’ve done quite a lot of planning as you can see from my marks and here. I’m going to raise the nipple up to that new position there. So, the nipple’s going to be raised four to five centimetres to that new position.
First of all, I’m going to remove the old implants. I’m going to use the old incision here at the base of the breast. I’m going to incise directly into that incision and locate the implant, which as you can see here is a textured silicone implant placed under the muscle. I remove it through the smallest incision I can. It’s intact.
Now, interestingly, I did notice this firm area of tissue behind the implant when I removed it, and here I’m just removing it. This is just the body reacting to the implant by making a slightly firmer area.
Now, this is my marks. I’m going to basically excise skin from between the marks to tighten up the breast tissue.
I’m just using a technique called tailor tacking, using temporary stitches here and just making sure that my final scars are going to lie in the natural skin folds.
I then make a superficial cut through the top layers of the skin and then remove this top layer of skin after cutting around the nipple here.
I then just mark the 9, 12, 6, and 3 o’clock positions on the nipple with this temporary ink to help me orientate the nipple when I sew it up. This is just the skin, top layer of the skin, which I’m going to remove finally here. That’s the top layer of skin removed, preserving the blood and nerve supply to the nipple.
Now, what I’m going to do now is I’m going to use this tissue from the side here to reconstruct the volume of the central part of the breast, which was lost when the implant was removed. So, basically by lifting that tissue up, you can see that’s under the muscle there, and reflecting that bit of tissue in towards the centre and the sewing it in this position, I’m going to preserve the volume of the breast in that central area.
Here you can see just the edges of the muscle and the breast tissue in the centre there. The next stage is really just to elevate the nipple to that new position and free it adequately, and then sew everything up with absorbable sutures. Then, as a final layer, I’ll just put some tissue glue on the area.
Here, this is after the right side is completed, and you can see I’ve managed to maintain probably a C or D cup without an implant on that side. You can see, again, quite good natural breast volume even without the implant in this lady with scars completely closed with absorbable sutures.
This is just really the final layer. I put brown Micropore tape on the area just to protect the wounds while they’re healing.
These are the implants, intact silicone implants on both sides of an unknown make. Interestingly, on the left side, I found this hard nodule of tissue, which was underneath the implant in a similar position to that larger area on the right.
As you can see, it’s really quite firm and I removed it. I’ve never actually seen this before in a patient. In all the breast augmentations I’ve done, I haven’t seen a nodule quite as firm as that. Interestingly it sat right in that little cavity in the back of the implant where the volume of the implant is printed. This is really quite unusual.
Thanks very much for watching the video. You’ll be able to find lots more videos like this on our website, Aurora-Clinics.co.uk. If you think you are suitable for this type of treatment or you have any questions about it, please e-mail us at email@example.com, and I’ll be happy to answer any of your queries. We’ve also got a series of podcasts which you may find interesting which, again, you’ll find details of on our Aurora Clinics website. Thanks a lot for watching.