Implant mal-position occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).

More Bottoming-Out Photos

California - Florida - Louisiana - Texas - Virginia

Bottoming-Out Photos - Plastic Surgeon, Dr. Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL

Repair of Bottoming Out - Plastic Surgeon, Dr. Ciaravino, Houston & Sugarland, TX

Bottoming-Out Photos - Plastic Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

Bottoming-Out FAQ - Plastic Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

      This is a 18 year old patient from Murrietta CA, interested in breast enlargement and found Temecula Plastic Surgeon Dr. Pousti over the internet. She was looking for a very large result. She also had some constriction of her breasts and wanted the shape to be more natural.  This patient is now 2 months post op breast augmentation with 800cc smooth round moderate profile saline implants made by the Inamed Corporation. She is very happy with her results.

      This 24 year old patient from San Diego, CA came in to meet with Dr. Pousti regarding her constricted breasts. She has tuberous (tubular) breasts deformity and wanted breast implants to correct it.  She is now about 2 months post-op correction of her tuberous breasts with 450 cc silicone gel implants made by the Mentor Corporation.  

Click here for True Story Experiences on Tuberous Breasts

More Breast Reconstruction Surgery Photos

      Lateral Displacement Reconstruction

 This 30 year old patient traveled from Arizona to have Dr. Pousti correct her “bottoming out” and the “lateral displacement” of her implants (left >right). Dr. Pousti performed “markings” on the patient the night prior to surgery to assist during the operation the next day.  

In the operating room, you can see how the right side has been corrected and the left has not yet been corrected.  

The patient is only a couple of weeks post-operative revisionary breast surgery but very happy with her results. 

More Breast Reconstruction Surgery Photos

In an era - medical breakthroughs, it is reassuring to learn that breast cancers are being diagnosed in there earliest stages so that, according to the American Cancer Society (ACS), 96 percent - women with such cancers are alive after five years. Another promising trend: advances in reconstructive techniques have made it possible for plastic surgeons to create a breast that more resembles a natural one.

"One - the most frequent questions among women facing breast surgery is 'how will I look afterwards'?" said Dr. Frank J. Ferraro, an attending plastic surgeon at Pascack Valley Hospital in Westwood. "They worry about whether their clothes will fit and if they will still feel attractive."

In the past, the majority - women who had mastectomy surgery wore a prosthesis - a breast form made from materials that have the weight and feel - a natural breast - in their bras and bathing suits after surgery. Many women found such a prosthesis inconvenient or uncomfortable and wanted to feel "whole" again; plastic/reconstructive surgeons began to develop techniques to restore the shape and contour - the original breast. According to NIH, today about 75 percent - women who have mastectomies choose postsurgical reconstruction.

CHOICES IN BREAST RECONSTRUCTION

If you are planning to have breast reconstruction surgery, you must find a plastic surgeon skilled in the procedure before the mastectomy surgery so that the plastic surgeon can work with the general surgeon to develop a plan that lends itself to reconstruction. Since this is a demanding technique, it is important to choose a plastic surgeon who is bored certified in this specialty and experienced in breast reconstruction.

Women can choose to have the procedure at the same time as the mastectomy operation or return to the hospital for reconstruction several weeks or months later. The women and her surgeons will discuss what type - procedure is best for her: an artificial implant or a muscle-flap procedure in which the breast is reconstructed with skin, muscle and fat taken from another part - her body. Factors to be considered include the woman's medical history, height, weight and amount - body fat as well as other medical conditions.

CHOOSING A MUSCLE FLAP

The TRAM flap is another variation. The flap comes from the transverse rectus abdominus just below the waistline. The reconstructive surgeon detaches a small piece - skin, muscle and fat and pulls it through a tunnel under the skin between the abdomen and chest. Some women have enough extra fat in the abdomen to create a breast shape without an implant.

One advantage - the TRAM techniques is that some women find that their abdomens look flatter - as though they have had a tummy tuck. Women who have chronic lower back problems often choose other techniques since they may develop weakened abdominal muscle after the procedure and can increase back strain.

 A third technique, the free flap, eliminates the tunneling step. A portion - skin, fat and blood vessels is removed from the buttock, thigh or abdomen and move to the breast area. The blood vessels in the flap are sewed to the vessels under the arm at the mastectomy site. Because extensive microsurgery is required to reattach the blood vessels, the free flap is the most technically demanding - the muscle flap procedures. This technique, however, gives superb results.

"Women who smoke or have diabetes may be poor candidates for muscle flap procedures because their blood vessels may have narrowed enough to prevent healing - the flap," Dr. Ferraro noted. "That's why we advise patients to quit smoking and keep their blood sugar as close to normal as possible so that they can benefit from these procedures and have a natural looking breast."

Florida Plastic Surgeons Breast Reconstruction Photo Gallery & FAQ

Texas Plastic Surgeons' Breast Reconstruction Photo Gallery

Virginia Plastic Surgeons' Breast Reconstruction Photo Gallery

Breast Reconstruction Photos - Plastic Surgeon, Dr. Brown, The Loudoun Center for Plastic Surgery, Herndon, Virginia

Midwest Plastic Surgeons Breast Reconstruction Before & After Photos

Breast Reconstruction Photos - Plastic Surgeon, Dr. Gerson, Lake Geneva, Wisconsin

Breast Reconstruction Photos - Plastic Surgeon, Dr. Rios, Plastic Surgery & Dermatologic Institute, Chicago, IL

Breast Reconstruction - Plastic Surgeon, Dr. Kunkel, Fort Worth, Texas

Breast Reconstruction - Plastic Surgeon, Dr. Constantino Mendieta* Coconut Grove, FL

Postmastectomy Breast Reconstruction - Plastic Surgeon, Dr. Otto Placik, Arlington Heights, IL

Breast Reconstruction - Plastic Surgeon, Dr. Mary Powers, Long Beach, CA

Breast Reconstruction Info - Plastic Surgeon, Dr. Silberman, Doylestown, PA

Breast Reconstruction - Plastic Surgeon, The Plastic Surgery Group* Albany, NY

Breast Reconstruction Info - Plastic Surgeon, Dr. Janet Turkle, Plastic & Cosmetic Surgery, Indianapolis, IN

Breast Reconstruction Info - Plastic Surgeon, Dr. Jennifer Walden, New York, NY

Breast Reconstruction Info - Plastic Surgeon, Dr. Steven Wallach, New York, NY

Breast Reconstruction Info - Plastic Surgeon, Dr. Laurence Weider, Dallas, TX

Breast Reconstruction Info - Plastic Surgeon, Dr. David Abramson, New York, NY & Englewood, NJ

Breast Reconstruction Info - Plastic Surgeon, Dr. Mariam Awada, Michigan Cosmetic & Reconstructive Surgery, Southfield, MI

Breast Reconstruction - Plastic Surgeon, Dr. Gary Berger, New York, NY

Breast Reconstruction Using Tissue Expander Implant - Plastic Surgeon, Dr. Gregory Fedele, Willough Hills, OH

Breast Reconstruction - TRAM Flap - Plastic Surgeon, Dr. Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio

Breast Reconstruction Info - Dr. Michael Fiorillo, Pearl River, NY & Westwood, NJ

Breast Reconstruction - Plastic Surgeon, Dr. Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio

Breast Reconstruction - Plastic Surgeon, Dr. Frank Ferraro, Ridgewood, NJ

Breast Reconstruction - Plastic Surgeon, Dr. Gerson, Lake Geneva, Wisconsin