Dr. Becker is uniquely qualified to treat Breast Implant Complications as he is highly experienced in Reconstructive & Cosmetic Surgery
Dr. Hilton Becker is a recognized authority on breast implants. He has developed several adjustable breast implants and published numerous articles and book chapters on breast implant complications and how to treat them correctly.
Following bilateral mastectomy and reconstruction with adjustable implants above the muscle.View Gallery
Breast Implant Complications May Be Related To:
- Implant failure
- Surgical procedure or errors
- The patient’s physiology
- Size of Implant
- Symmastia (Implants touching in the middle)
- Capsular Contracture (hardening of the tissues around the implant)
- Rippling (more common with saline and textured implants)
- Abnormal Muscle Movement, animation deformity (causing distortion of implant) see video
- Bottoming Out (implant in abnormally low position)
- Sagging (of breast over implant; of implant itself)
- Unsightly scarring
Many patients who have undergone breast augmentation or breast reconstruction in the past have developed a variety of complications, many of these have come about as a result of older techniques and implants.
Fortunately many advances have been made in this area that have greatly improved the result of revisional surgery with our breast revision in Boca Raton procedure. These include
Advances in Breast Implants and Breast Augmentation Surgery in Boca Raton
Fortunately, many advances have been made in breast implants and breast implant surgery that have greatly improved the results of revisional surgery. These include:
- Newer implants – smooth, round cohesive gel implants
- Adjustable saline implants
- Improved surgical techniques
- Use of the sub-fascial plane
- External expansion— Brava
- Micro fat injections (stromal derived stem cells).
- PRP – Platelet Rich Plasma
- Biological scaffolds
Patient with sub-muscular breast implants and sagging
Following replacement of implants and sub-glandular position and ‘scarless’ breast liftView Gallery
Dr. Becker is a recognized expert in both reconstructive and cosmetic breast surgery. He is therefore confident with all the techniques and makes them available to his patients.
Complications Related to Saline Implants
Although results with saline implants are generally positive, complications seen with saline implants can include:
- Rippling and thinning of the tissues
- Excessive sagging – if saline implants were placed above the muscle
- Distortion and excessive muscle movement if they were placed beneath the muscle
- Stretching of the areola
Patient with Capsular ContractureView Gallery
Fortunately, with modern silicone gel implants achieving FDA approval after extensive research into consumer safety, these latest generation implants provide a viable solution to many of the problems that commonly occur with saline implants.
“Our patients who have had problems with saline implants are delighted by the feel and shape of the new gel implants. By replacing gel implants above the muscle under the Fascia, abnormal movement is eliminated and a more natural shape and feel is restored.”
Complications following saline breast implant surgery are often related to the physical characteristics of saline verses that of breast tissue. Saline is heavier than breast tissue, and when confined to a flexible silicone bag it has more of a tendency to ripple, compared to a silicone gel implant. Saline implants therefore have a greater tendency to become ptotic (sag), especially when placed above the muscle.
Abnormal Muscle Movement Related to Submuscular Placement
Patient with abnormal muscle contraction correction with subfascial placementView Gallery
In certain patients, particularly muscular athletic patients, submuscular implant placement results in elevation and abnormal movement of the muscle.
We have achieved very successful results by re-positioning those implants in the subfascial position. When the fascia is thin it is enhanced with a mesh matrix (an absorbable synthetic mesh)
Bottoming out is the term used to describe a breast where the implant is sitting in a lower than normal position.
This may result from:
- Over dissection of the breast pocket
- Stretching of the breast pocket where there is insufficient support eg. pre-pectoral implant placement where the skin is thin.
- Release of the muscle inferiorly allowing the implant to herniate out of the pocket.
- It is also more common with large implants and saline implants.
- Re-enforcement of the thin tissue and recreation of the fold with sutures or mesh.
- Replacement with smaller implants.
Capsular contraction is a result of the body’s reaction to the implant, this results in tightening of the tissues around the implant. Read Article
There are several treatment options available for capsular contracture:
- Massage and ultrasound.
- Open capsulotomy – release of the scar tissue.
- Open capsulectomy – excision of calcified or thickened scar tissue.
- Capsulotomy with expansion – using adjustable implants.
- Insertion of acellular dermal or synthetic mesh matrix.
- Insertion of adjustable implant and post operative expansion.
Click here to learn about an affordable, safe, non-surgical therapeutic option for the treatment of Capsular Contracture.
Dissatisfaction with size, symmetry and shape
Dr. Becker has authored a chapter in the text book – Surgery of the Breast. Read Article.
The adjustable breast implant developed by Dr.Becker enables the size of the breast to be changed after surgery. Read Article.
The availability of the New Cohesive Gel (MemoryGel – Gummy bear) implants, and mesh (biologic and synthetic), provide new options that are highly successful in treating these complications.
Use of Adjustable Implants to Treat Breast Implant Complications
The implant is adjustable after surgery by means of a small injection dome that allows the inner saline compartment to be increased or decreased.
Currently only the smooth adjustable implant is available (spectrum) in the USA . The adjustable gel implant is available outside of the USA
- Post-operative adjustability
- Ability to stretch scar tissue
- Ability to modify the shape after surgery
- Ability to change the size of the implant after surgery to the size desired by the patient and to more accurately match the size of the opposite breast in case of asymmetry
- More natural feel
- More elasticity of shell
- Less rippling
Replacement of Saline Implants with Silicone Gel Implants
Now that silicone gel implants have been approved for use by the FDA, women have the option of having the most natural form of breast enlargement available.
When Silicone gel implants were not available in the United States, woman had only two options available to them:
- Use saline implants placed above the muscle – Due to the weight of the saline implant they would tend to sag excessively, resulting in an abnormal shape, commonly known as Rock-In-The-Sock. Rippling was also problematic.
- Place the saline implant under the muscle. Although this technique reduced sagging, muscle contracture resulted in abnormal distortion of the implant.
Patients, who have previously had saline implants and are dissatisfied with their results, can now have their saline implants replaced with the New Cohesive Gel (MemoryGel – Gummy bear) implants.
It is of my opinion that the most beautiful and natural results in breast augmentation are seen with Silicone Gel implants, placed above the muscle in the Sub-Fascial position.
Our patients who have received these implants are happier than ever.
The Blunt SeromaCath® was developed by Dr. Becker
The blunt SeromaCath® was developed by Dr. Becker. It is used to drain Seromas after breast implant surgery. Should an infection be suspected after surgery, the Seroma Cath is highly beneficial in treatment.
- The catheter is inserted into the pocket around the implant and fluid is aspirated.
- The fluid is sent for culture before antibiotics are started.
- The pocket can be irrigated with antibiotic solution and then attached to a drainage bulb.
- This avoids the surgical practice to insert a drain.
Greer Medical, Inc. is proud to introduce the NEW BLUNT SeromaCath® specifically designed for treatment of postoperative seromas surrounding breast implants.
Developed from concepts originally conceived by Hilton Becker, MD, Greer Medical is pleased to bring you the first BLUNT SeromaCath® designed to treat seromas surrounding breast implants without the risk of perforating the implant.
The rounded blunt tip allows for an easy and safe entry into the pericapsular space following breast reconstruction and augmentation.
Greer Medical’s BLUNT SeromaCath® is the newest in a family of three SeromaCatl® catheters specifically designed to meet your clinical needs.
For further information on the BLUNT ScromaCath’s® or to place an order, please call toll free 1 800 424 2155 or visit our Web site at www.greer-medical.com Grer MEDICAL, INC.
Dr. Becker’s response to questions on realself.com
Breast Implant Removal
Breast augmentation is the most popular cosmetic surgery in the U.S. today. According to the American Society for Aesthetic Plastic Surgery (ASAPS), more than 300,000 breast augmentation procedures were performed in a recent year, most of which were surgeries to place breast implants.
However, some women who have breast implant surgery find that they need (or want) to have their implants removed later. The American Society of Plastic Surgeons (ASPS) reports that breast implant removal procedures were performed 28,467 times in a recent year.
Dr. Hilton Becker is a board-certified plastic surgeon with a background in reconstruction and wound healing. He is also a pioneer in breast implants and breast reconstruction. With his training, experience, and commitment to patient care, Dr. Becker performs breast implant removal procedures at a superior level in Boca Raton, Florida.
Why do some women need or want to have breast implants removed?
Women choose to have their breast implants removed and/or replaced for a number of reasons. These may include cosmetic dissatisfaction, complications with their breast implants, or health issues that develop after the implants are placed.
Cosmetic dissatisfaction is the most common reason for having breast implants removed. Some women simply change their minds about the breast size they would like to have. Many decide to have their implants removed and return to their natural breast size.
Large breasts can cause pain and discomfort and be a hindrance for physically active women. They can lead to breast sagging in older women and make a woman appear heavier than she actually is.
Other women may want their implants removed and replaced with different implants. They may want to upsize or downsize, or change the type or placement of the implant for cosmetic reasons.
Breast Implant Complications
One of the most common complications with breast implants is capsular contracture. This is a condition in which scar tissue forms a tight, constricting capsule around the implant, causing it to become hard and misshapen. Treatment requires surgical removal and replacement of the implant.
In some cases, patients have an adverse reaction to the breast implant materials which leads to internal infection and bleeding. When infection occurs, it is vital to remove the breast implants.
Health Issues that Require Implant Removal
A diagnosis of breast cancer can make it necessary to remove implants as soon as possible. The detection of calcium deposits also requires that breast implants be removed.
For patients who wish to have their implants removed there are several options available to improve the shape of the remaining breast:
- Repositioning the remaining tissues
- Internal lifting and mesh suspension
- Breast lift
- Fat grafting
Breast Reconstruction and Cosmetic Surgeon
Dr. Hilton Becker has a reputation for excellence in both cosmetic breast surgery and breast reconstruction in Boca Raton and beyond. He has in-depth knowledge of breast implant complications and performs implant removal and replacement with a high level of skill and extraordinary patient care.
Dr. Becker is a general surgeon as well as a board-certified plastic surgeon, with a background in reconstruction and wound healing. If you have breast implants that must be replaced due to size, shape, or age of implants, if you have developed complications, or if you need to have your implants removed for medical reasons, schedule a consultation with Dr. Becker to discuss your options.
Breast Implant Complications
Significant advances have been made in the area of breast implant surgery in recent years. Nevertheless, complications can arise. As a general surgeon and board-certified plastic surgeon and a pioneer in breast surgery and reconstruction, Dr. Hilton Becker treats breast implant complications in Boca Raton with a superior level of surgical skill and personal patient care.
What Are the Most Common Breast Implant Complications?
Complications can occur with both saline and silicone gel-filled breast implants. Some breast implant problems are cosmetic in nature, while others can impact the health of the patient. The following are some of the most common complications experienced by women with breast implants.
After breast implant surgery, a capsule of scar tissue forms around the implant. Capsular contracture occurs when the capsule becomes too tight, squeezing and distorting the implant and making it hard and unnatural in appearance.
This complication can occur with either saline or silicone implants. It can make the breast appear unnatural and lead to pain or discomfort for the patient. The standard treatment for capsular contracture is surgical removal of the implant and the surrounding scar tissue.
Although breast implants are designed to be durable, they are not intended to last forever. The shell of the implant may tear or break, allowing the saline or silicone to leak out of the implant. There are a number of possible reasons for implant rupture, including:
- Pressure or trauma to the chest
- Folding or wrinkling of the implant shell
- Damage when the implant is placed, or a biopsy performed
- Aging implant
- Manufacturing defects
Saline implants deflate when they rupture, making the problem obvious. With silicone implants, MRI or other diagnostic testing may be required to detect a leak. In either case, the solution is to surgically remove and replace the ruptured implant.
When a breast implant slips below the inframammary fold (the crease at the bottom of the breast where it meets the chest), this condition is known as “bottoming out.” The symptoms of this problem may include:
- Lower breast crease than you had originally
- Nipple and areola tilted upward
- Surgical scars in the breast crease travelling up to the lower breast mound
Revision surgery will likely be required to correct this problem. Several surgical techniques are available to treat bottoming out. Dr. Becker will individually tailor a breast revision surgical plan for you.
After breast reconstruction or breast augmentation, wrinkles or ridges may appear in the implant and show through the skin. This problem is known as rippling.
The treatment for rippling is to surgically remove and replace the implant. Gummy bear cohesive silicone gel implants fill out their shells more smoothly and consistently. This newer type of implant is much less prone to rippling than saline implants.
Dr. Hilton Becker is a recognized authority on all types of breast surgery. With an extensive background in reconstruction and wound healing, he offers a distinct advantage to patients seeking cosmetic surgery. If you have developed complications with your breast implants, schedule a consultation with Dr. Becker in Boca Raton, Florida to discuss your options for treatment.
Capsular Contracture Treatment
As stated in an article in the Archives of Plastic Surgery (APS) published by the National Institutes of Health (NIH), capsular contracture is the most common complication of breast implant surgery, with an overall incidence of 10.6%. This painful condition, in which the breast becomes hard and misshapen, is one of the most common reasons for revision breast surgery. As a general surgeon and board-certified plastic surgeon with a background in wound healing and reconstruction, Dr. Hilton Becker provides capsular contracture treatment in Boca Raton with the highest level of skill and comprehensive patient care.
What Is Capsular Contracture?
Capsular contracture is a breast implant complication that occurs when the scar tissue capsule that forms around the implant becomes tight and constricting. The capsule squeezes the implant, causing it to become hard and distorted. The breast may feel stiff and painful and develop a misshapen, unattractive appearance.
What Causes Capsular Contracture?
Capsular contracture results from an excessive fibrotic reaction (formation of fibrous connective tissue) to a foreign body implanted in the breast, the precise cause of which is still unknown. However, the risk of developing this breast implant complication has been shown to be related to:
- Bacterial contamination
- Unknown predisposition
What Are the Symptoms of Capsular Contracture?
Most cases of capsular contracture develop within the first two years following breast implant surgery, although this complication can occur at any time. Symptoms may develop slowly and may include:
- High-riding or misshapen breast
- Tight or painful feeling in the breast
- Visible rippling
- Round, ball-like appearance
Degrees of Capsular Contracture
Capsular contracture can occur in degrees. The Baker grading system is used to measure the degree of this condition as follows:
How Is Capsular Contracture Treated?
Most cases of capsular contracture are treated with revision surgery. Surgical treatment options include:
- Capsulectomy: Surgical removal of the scar tissue capsule and implant replacement
- Capsulotomy: A procedure in which the capsule is scored to release the scar tissue
- Capsulotomy with expansion: An adjustable implant developed by Dr. Becker is used in conjunction with scar tissue capsule release.
- Insertion of acellular dermal or synthetic mesh matrix
- Placement of the implant in a new pocket
- Massage and compression
- Antibiotic irrigation of the pocket
When you come to Dr. Hilton Becker in South Florida for capsular contracture resolution, you are in the hands of a pioneer in breast augmentation and breast reconstruction surgery. After a consultation and careful evaluation of your anatomy, he will custom-tailor a surgical treatment plan specifically for you. With Dr. Becker as your treating physician, you have the benefit of a board-certified plastic surgeon with extensive training in reconstruction and wound healing who provides an extraordinary level of care for all his patients.
Breast Asymmetry Correction
It is not unusual to have one breast slightly larger or with a slightly different shape than the other. However, when the difference is significant, breast asymmetry can be a major cosmetic problem. Dr. Hilton Becker is a breast surgeon in Boca Raton who performs cosmetic breast surgery with artistry and skill to restore symmetry to the breasts.
What Causes Breast Asymmetry?
A number of different factors can lead to asymmetrical breasts, including:
- Uneven development during adolescence
- Pregnancy and breastfeeding
- Sudden, extreme growth of one breast as a teenager or young adult
- Asymmetrical shrinkage due to aging
- Weight fluctuations
- Mastectomy after breast cancer diagnosis
- Unsatisfactory results with a breast augmentation procedure
Reasons to Have Breast Asymmetry Correction
Having uneven breasts can mean more than having one breast larger than the other. Breast asymmetry can involve:
- Disparity in breast size
- Nipples and areolas of different shapes and sizes
- Uneven nipple positions
- Different breast shapes
Minor breast asymmetry (when both breasts are approximately the same cup size) is not necessarily a problem. You may want to consider breast asymmetry correction if you must change the way you dress or pad out one side of your bra to compensate, or if the differences between your breasts are embarrassingly noticeable and cause you to feel self-conscious about your body image.
Options for Correcting Breast Asymmetry
Breasts can be uneven in a number of different ways, and therefore, there are several surgical methods to correct asymmetry:
Breast augmentation with implants: If one breast is significantly larger than the other, breast implant surgery can help create uniformity in size. However, if you have an implant placed in the smaller breast, you will probably need an implant in the larger breast as well to create symmetry in both breasts. The adjustable breast implant developed by Dr. Becker is particularly helpful in correcting breast asymmetry. To learn more, click here.
Breast reduction: In some cases, the best way to achieve symmetry when one breast is larger than the other is to reduce the size of the larger breast. This can be achieved with breast reduction surgery. Nipple and areola asymmetry can also be corrected in this procedure.
Breast lift: Asymmetry can involve sagging and differences in the shape of the breasts. Breast reduction surgery can lift the breasts, improve their shape, and make them more symmetrical in appearance. The nipples can be repositioned and the areolas reduced in this surgery.
Fat transfer breast augmentation: With this technique, your surgeon can increase the size of the smaller breast using your own natural fat taken from fat deposits in other areas of the body. As the treated breast will look and feel natural, this treatment can help make the breasts as similar and symmetrical as possible.
Custom-Tailored Breast Asymmetry Correction
Dr. Hilton Becker is a board-certified plastic surgeon in Boca Raton, Florida with an extensive background in both reconstructive and cosmetic breast surgery. He takes extraordinary care of his patients, with painstaking attention to detail.
If significant breast asymmetry is a cosmetic problem for you, schedule a consultation with Dr. Becker. After discussion of your medical history and treatment goals and careful evaluation of your anatomy, he can individually tailor a treatment plan to correct breast asymmetry for you.