Breast Augmentation Revision of Surgical Error in Pocket Dissection

Breast Augmentation Revision of Surgical Error in Pocket Dissection

A woman's breast before and after breast augmentation surgery.
52-year-old female shows breast augmentation revision results that corrected a prior breast augmentation surgical error in pocket dissection – left oblique view
A woman's breast before and after Breast Augmentation surgery.
52-year-old female shows breast augmentation revision results that corrected a prior breast augmentation surgical error in pocket dissection – right oblique view
A woman's breast before and after breast augmentation surgery.
52-year-old female shows breast augmentation revision results that corrected a prior breast augmentation surgical error in pocket dissection – left vieW
High definition breast augmentation.
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Breast Augmentation Revision: Correcting Surgical Errors in Pocket Dissection

A surgical error in pocket dissection is a common contour irregularity seen in poorly performed breast augmentation results. This patient is shown before and after breast augmentation revision of surgical error in pocket dissection. At her original breast augmentation surgery, her surgeon incorrectly sized her and likely used an implant too large for her breast pocket. As such, they over-dissected the superior breast pole, which is what causes the unnatural appearance seen in the before photo.

Breast augmentation is a popular cosmetic procedure that has helped countless individuals achieve their desired breast size and shape. While the majority of breast augmentation surgeries are successful, there are instances where surgical errors occur during pocket dissection, leading to unsatisfactory outcomes. These errors can result in implant malposition, asymmetry, discomfort, and even aesthetic concerns. In this comprehensive guide, we will explore the reasons behind surgical errors during pocket dissection and discuss the various aspects of breast augmentation revision surgery to correct these issues.

Understanding the Importance of Pocket Dissection

The Pocket Dissection Process

A crucial step in breast augmentation involves the dissection of the pocket. Pocket dissection  requires appropriate surgical lighting, proper surgical tools, and an experienced surgeon.  Creating a pocket for implant placement can be performed both above the subglandular muscle and under the submuscular muscle. Both of these pocket dissections require consideration and possess advantages and disadvantages. The advantages of the subglandular pocket dissection are that the pectoralis muscle is not violated so that full strength is maintained.

Another advantage of not violating the pectoralis muscle is avoiding a hyperdynamic deformity when the patient flexes her pectoralis muscle. The disadvantage of this surgical procedure is that the implant may be more exposed since it has less tissue coverage, thus making it more palpable. This concern is compounded in thinner patients with less cushion over their chest and in patients desiring saline implants for their augmentation since they are firmer than silicone implants.

The submuscular pocket provides a safer implant positioning under the pectoral muscle and has been associated with a lower propensity for thick capsule formation. Avoiding a thick capsule has resulted in lower capsular contracture rates. The disadvantage of a submuscular breast implant pocket position is that it is more invasive and will result in hyperdynamic chest deformity. 

Factors Affecting Pocket Dissection Accuracy

Common Surgical Errors in Pocket Dissection

  1. Implant Malposition
    • Subglandular vs. submuscular placement
    • Implant shifting and displacement
    • Rippling and wrinkling
  2. Asymmetry
    • Size and shape discrepancies
    • Nipple position irregularities
    • Uneven cleavage
  3. Capsular Contracture
    • Formation of a thick scar tissue capsule
    • Pain and distortion of breast shape
    • Risk factors and prevention
  4. Rippling and Wrinkling
    • Visible implant imperfections
    • Causes and risk factors
    • Corrective strategies

Why Surgical Errors Happen

  1. Surgeon Experience and Skill
    • Importance of choosing a board-certified plastic surgeon
    • The role of surgical technique
    • Surgeon-patient communication
  2. Anatomical Variations
    • Differences in breast tissue, muscle structure, and chest wall anatomy
    • How these variations affect surgical outcomes
    • Pre-operative assessment and planning
  3. Implant Selection

The Breast Augmentation Revision Process

  1. Initial Consultation
    • Discussing concerns and goals
    • Comprehensive physical examination
    • Review of previous surgery details
  2. Surgical Planning
    • Identifying corrective measures
    • Choosing the appropriate implant
    • Setting realistic expectations
  3. The Revision Surgery
    • Anesthesia options
    • Correcting pocket dissection errors
    • Managing complications like capsular contracture
  4. Recovery and Aftercare
    • Post-operative instructions
    • Monitoring healing progress
    • Resuming normal activities

Choosing the Right Surgeon for Revision

  1. Credentials and Experience
    • Board certification in cosmetic or plastic surgery
    • Years of experience in breast augmentation revisions
    • Before-and-after portfolio
  2. Patient Testimonials
    • Reading reviews and testimonials
    • Asking for patient referrals
    • Assessing patient satisfaction
  3. Consultation
    • Meeting potential surgeons in person
    • Asking questions about their approach
    • Evaluating their communication skills

Risks and Complications of Revision Surgery

  1. nfection and Delayed Healing
    • Risk factors and prevention
    • How infections are managed
  2. Scarring
    • Scar management techniques
    • Scar appearance over time
    • Revision surgery for scar improvement
  3. Anesthesia Risks
    • Rare but possible complications
    • Anesthesia consultation and safety measures
  4. Persistent Asymmetry
    • Realistic expectations for revision surgery
    • Addressing ongoing asymmetry

Recovery and Long-Term Results

  1. Follow-Up Appointments
    • Regular check-ups with your surgeon
    • Monitoring healing progress
    • Addressing any concerns or complications
  2. Long-Term Satisfaction
    • Achieving your desired breast appearance
    • How revision surgery impacts self-esteem and confidence
    • The importance of maintaining a healthy lifestyle

Conclusion: breast augmentation revision of surgical error in pocket dissection

In conclusion, breast augmentation revision surgery can correct surgical errors in pocket dissection and help patients achieve their desired breast appearance. It is essential to choose an experienced and skilled plastic surgeon, communicate your goals and concerns openly, and understand the risks and benefits of revision surgery. By following the proper steps and maintaining realistic expectations, individuals can regain confidence and satisfaction with their breast augmentation results.

Breast augmentation revision is a complex procedure that requires careful planning and execution. Still, with the right surgeon and approach, achieving the desired outcome and enhancing the overall quality of life for patients is possible.

Breast augmentation revision of a surgical error in pocket dissection is not as simple as removing and replacing the implant with a new one. With the over-dissection of the breast pole, a new implant will not completely improve the contour to your original goals.

She had revision surgery with several components to correct this patient’s breast appearance. This procedure combined a breast lift using a modified vertical mastopexy design, downsizing the implant to fit her breast pole correctly, and finally, a capsulorrhaphy of the upper pole.

The modified vertical mastopexy allows us to lift the breast to an optimal shape while the new implant creates the optimal size. The capsulorrhaphy is completed to close that superior pocket and ensure the correct placement of the new breast implant.

If you notice a similar appearance after your breast surgery, it is possible you had a similar surgical error. While this may be unfortunate, it is not a reason to give up on your dream breasts! Schedule a complimentary virtual or in-person consultation with SurgiSculpt today to see if a breast augmentation revision surgery can help you.

This 52-year-old female shows breast augmentation revision results that corrected a prior breast augmentation surgical error in pocket dissection. After her prior breast augmentation, she was unhappy with her unnatural appearance and came to SurgiSculpt for a breast augmentation revision consultation.

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