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Revisions
On occasion, surgery must be performed to revise the results of previously performed surgery on the breasts. Fortunately, this is not common. Dr Burden and Dr Ennis often see patients who are unhappy with their results from an augmentation performed elsewhere and are often able to improve upon the previous results.
Dr Ennis and Dr. Burden frequently evaluate patients who are sent to them from other physicians to evaluate their results following breast augmentation, breast reconstruction and breast reduction. Each problem is specific to the primary procedure performed. What follows is the discussion on the problems that can arise following breast augmentation, breast reconstruction and breast reduction along with before and after photographs. Some of the more common problems following breast augmentation and reconstruction with an implant are:capsular contractures, an implant not dropping or dropping too far and rippling.
Capsular contracture is the term used to describe the formation of scar tissue around the implant which, when thickened, can make the implant feel hard and round. Although the implant itself remains soft, the scar tissue “squeezes” the implant which makes the implant itself feel hard. In the submuscular position, the rate of capsule contracture is decreased in general from 15% to 3%. That's a significant difference.
"Rippling" occurs when the implant shell is easily felt beneath the skin. With subglandular augmentation, the possibility of this occurring is greater than with the submuscular position. Large studies have shown that the chance of "rippling" is 3 times greater with subglandular augmentation than with submuscular augmentation.
Please see our section on REVISIONS under the PHOTO GALERY

This patient underwent several prior surgeries on her breast before presenting to Dr Ennis at Destin Plastic Surgery. She underwent an endoscopic implant exchange through the underarm to have her subglandular implants changed to the submuscular position. Note the significant improvement in the appearance and shape of the breast when the implants are in the submuscular position.
Dr. William R Burden, MD, FACS and Dr. L. Scott Ennis, MD, FACS are known for their experience and dedication to staying in the forefront of leading technology in plastic surgery. They perform over a thousand breast procedures per year including many revisions from other places. Drs Burden and Ennis not only treat many patients from the Florida panhandle including Panama City, Pensacola, Fort Walton Beach, Tallahassee, Dothan, Atlanta, and Birmingham but also from around the world. Many people travel from Europe, South America and Asia to Destin to seek out their services.
Silicone implants are available today at Destin Plastic Surgery! Contact Destin Plastic Surgery now for more information!
(850) 654-1194
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