Before & After Photos

As a recognized expert in plastic surgery of the breast, Dr. Brown is often asked to assist and manage various types of breast revision cases, including capsular contracture, implant malposition, implant removal, implant rupture, and soft tissue stretch. The cases below represent some of the patients that Dr. Brown has treated with these difficult problems.

Capsular Contracture

Capsular contracture, which is the development of scar tissue around a breast implant is one of the more common complications following breast augmentation.

Capsular Contracture corrected with implant removal, scar tissue removal, replacement of new silicone gel 310cc implants above the pectoral muscle and breast lift. Before and 6 months after.

Capsular Contracture corrected with implant removal, scar tissue removal, replacement of new silicone gel 310cc implants above the pectoral muscle and breast lift. Before and 6 months after.

Capsular Contracture corrected with implant removal, scar tissue removal, replacement of new silicone gel 310cc implants above the pectoral muscle and breast lift. Before and 6 months after.

Capsular Contracture corrected with implant removal, scar tissue removal, replacement of new silicone gel 310cc implants above the pectoral muscle and breast lift. Before and 6 months after.

Capsular Contracture corrected with implant removal, scar tissue removal, replacement of new silicone gel 310cc implants above the pectoral muscle and breast lift. Before and 6 months after.

Capsular Contracture corrected with implant removal, scar tissue removal, replacement of new silicone gel 310cc implants above the pectoral muscle and breast lift. Before and 6 months after.

Capsular contracture (scar tissue around implants) corrected with implant removal, scar tissue removal and placement of new 275 cc silicone gel breast implants under the pectoral muscle

Capsular contracture (scar tissue around implants) corrected with implant removal, scar tissue removal and placement of new 275 cc silicone gel breast implants under the pectoral muscle

Capsular contracture (scar tissue around implants) corrected with implant removal, scar tissue removal and placement of new 275 cc silicone gel breast implants under the pectoral muscle

Capsular contracture (scar tissue around implants) corrected with implant removal, scar tissue removal and placement of new 275 cc silicone gel breast implants under the pectoral muscle

Recurrent capsular contracture treated with implant removal, scar tissue removal, replacement of new silicone gel implants under the pectoral muscle and breast lift. Before and 2 months after

Recurrent capsular contracture treated with implant removal, scar tissue removal, replacement of new silicone gel implants under the pectoral muscle and breast lift. Before and 2 months after

Recurrent capsular contracture treated with implant removal, scar tissue removal, replacement of new silicone gel implants under the pectoral muscle and breast lift. Before and 2 months after

Recurrent capsular contracture treated with implant removal, scar tissue removal, replacement of new silicone gel implants under the pectoral muscle and breast lift. Before and 2 months after

Recurrent capsular contracture on the left and implant rupture on the right treated with implant removal, scar tissue removal, replacement of new silicone gel implants under the pectoral muscle and breast lift. Before and 3 months after

Recurrent capsular contracture on the left and implant rupture on the right treated with implant removal, scar tissue removal, replacement of new silicone gel implants under the pectoral muscle and breast lift. Before and 3 months after

capsular-contracture-3-oblique

capsular-contracture-3-oblique

Capsular contracture (scar tissue around implants) and ptosis (sagging) 13 years following breast augmentation. Corrected with removal of old implants and scar tissue, replacement of new 330cc round silicone gel implants under the muscle along with a breast lift. Before and 6 months after.

Capsular contracture (scar tissue around implants) and ptosis (sagging) 13 years following breast augmentation. Corrected with removal of old implants and scar tissue, replacement of new 330cc round silicone gel implants under the muscle along with a breast lift. Before and 6 months after.

Capsular contracture (scar tissue around implants) and ptosis (sagging) 13 years following breast augmentation. Corrected with removal of old implants and scar tissue, replacement of new 330cc round silicone gel implants under the muscle along with a breast lift. Before and 6 months after.

Capsular contracture (scar tissue around implants) and ptosis (sagging) 13 years following breast augmentation. Corrected with removal of old implants and scar tissue, replacement of new 330cc round silicone gel implants under the muscle along with a breast lift. Before and 6 months after.

Capsular contracture fifteen years following breast augmentation with anatomic-shaped silicone gel breast implants. Treated with removal of the capsule (scar tissue) and replacement with smooth round silicone gel breast implants. Before and 6 months after.

Capsular contracture fifteen years following breast augmentation with anatomic-shaped silicone gel breast implants. Treated with removal of the capsule (scar tissue) and replacement with smooth round silicone gel breast implants. Before and 6 months after.

Capsular contracture fifteen years following breast augmentation with anatomic-shaped silicone gel breast implants. Treated with removal of the capsule (scar tissue) and replacement with smooth round silicone gel breast implants. Before and 6 months after.

Capsular contracture fifteen years following breast augmentation with anatomic-shaped silicone gel breast implants. Treated with removal of the capsule (scar tissue) and replacement with smooth round silicone gel breast implants. Before and 6 months after.

capsular-contracture-5-front

capsular-contracture-5-front

capsular-contracture-6-oblique

capsular-contracture-6-oblique

Capsular contracture treated with in office deflation of the saline implant in order to better understand the anatomy, followed by implant removal, replacement of new implants and breast lift

Capsular contracture treated with in office deflation of the saline implant in order to better understand the anatomy, followed by implant removal, replacement of new implants and breast lift

Capsular contracture treated with in office deflation of the saline implant in order to better understand the anatomy, followed by implant removal, replacement of new implants and breast lift

Capsular contracture treated with in office deflation of the saline implant in order to better understand the anatomy, followed by implant removal, replacement of new implants and breast lift

Implant Malposition

When a breast implant is not sitting in the correct or intended position, it is referred to as implant malposition. These can be some of the most challenging problems in revision breast surgery.

Two previous surgeries with right implant too high under the muscle and left implant contracted. Corrected by repair of each implant pocket, insertion of smaller implants and performing a breast lift. Before and 6 months after.

Two previous surgeries with right implant too high under the muscle and left implant contracted. Corrected by repair of each implant pocket, insertion of smaller implants and performing a breast lift. Before and 6 months after.

Two previous surgeries with right implant too high under the muscle and left implant contracted. Corrected by repair of each implant pocket, insertion of smaller implants and performing a breast lift. Before and 6 months after.

Two previous surgeries with right implant too high under the muscle and left implant contracted. Corrected by repair of each implant pocket, insertion of smaller implants and performing a breast lift. Before and 6 months after.

Synmastia (implants too close together). Corrected by placing 365cc implants in a new pocket under the muscle. Before and 6 months after.

Synmastia (implants too close together). Corrected by placing 365cc implants in a new pocket under the muscle. Before and 6 months after.

Synmastia (implants too close together). Corrected by placing 365cc implants in a new pocket under the muscle. Before and 6 months after.

Synmastia (implants too close together). Corrected by placing 365cc implants in a new pocket under the muscle. Before and 6 months after.

Synmastia (implants too close together). Corrected by placing 365cc implants in a new pocket under the muscle. Before and 6 months after.

Synmastia (implants too close together). Corrected by placing 365cc implants in a new pocket under the muscle. Before and 6 months after.

Inferior malposition of the right implant (implant too low) following breast augmentation and reduction of the areola. Right implant position corrected with internal sutures and revision of both areola scars. Before and 6 months after

Inferior malposition of the right implant (implant too low) following breast augmentation and reduction of the areola. Right implant position corrected with internal sutures and revision of both areola scars. Before and 6 months after

Inferior malposition of the right implant (implant too low) following breast augmentation and reduction of the areola. Right implant position corrected with internal sutures and revision of both areola scars. Before and 6 months after

Inferior malposition of the right implant (implant too low) following breast augmentation and reduction of the areola. Right implant position corrected with internal sutures and revision of both areola scars. Before and 6 months after

Superior malposition of the right implant (implant too high). Correction by lowering the right implant and replacement with larger cohesive gel implants. Before and 6 months after

Superior malposition of the right implant (implant too high). Correction by lowering the right implant and replacement with larger cohesive gel implants. Before and 6 months after

Superior malposition of the right implant (implant too high). Correction by lowering the right implant and replacement with larger cohesive gel implants. Before and 6 months after

Superior malposition of the right implant (implant too high). Correction by lowering the right implant and replacement with larger cohesive gel implants. Before and 6 months after

implant-malposition-4-front

implant-malposition-4-front

Inferior malposition of the left implant (implant too low) due to excessive release of the inframammary fold following breast augmentation and breast lift. The patient had several failed corrections. Left implant position corrected with internal sutures of the fold and insertion of an internal support matrix. Before and 6 months after

Inferior malposition of the left implant (implant too low) due to excessive release of the inframammary fold following breast augmentation and breast lift. The patient had several failed corrections. Left implant position corrected with internal sutures of the fold and insertion of an internal support matrix. Before and 6 months after

Superior malposition of both implants (implants too high) with sagging of the overlying breast tissue. Correction was performed by inserting new implants in a lower position and by performing a breast lift with incisions placed around the areola and vertically down the breast. Before and 1 year after

Superior malposition of both implants (implants too high) with sagging of the overlying breast tissue. Correction was performed by inserting new implants in a lower position and by performing a breast lift with incisions placed around the areola and vertically down the breast. Before and 1 year after

Superior malposition of both implants (implants too high) with sagging of the overlying breast tissue. Correction was performed by inserting new implants in a lower position and by performing a breast lift with incisions placed around the areola and vertically down the breast. Before and 1 year after

Superior malposition of both implants (implants too high) with sagging of the overlying breast tissue. Correction was performed by inserting new implants in a lower position and by performing a breast lift with incisions placed around the areola and vertically down the breast. Before and 1 year after

Synmastia (implants too close together). Corrected by placing smaller and narrower implants in a new pocket under the pectoral muscle along with reinforcement of  the medial breast implant pocket. Before and 6 months after

Synmastia (implants too close together). Corrected by placing smaller and narrower implants in a new pocket under the pectoral muscle along with reinforcement of the medial breast implant pocket. Before and 6 months after

Synmastia (implants too close together). Corrected by placing smaller and narrower implants in a new pocket under the pectoral muscle along with reinforcement of  the medial breast implant pocket. Before and 6 months after

Synmastia (implants too close together). Corrected by placing smaller and narrower implants in a new pocket under the pectoral muscle along with reinforcement of the medial breast implant pocket. Before and 6 months after

Synmastia (implants too close together). Corrected by placing new implants in a new pocket under the pectoral muscle. Before and 6 months after

Synmastia (implants too close together). Corrected by placing new implants in a new pocket under the pectoral muscle. Before and 6 months after

Synmastia (implants too close together). Corrected by placing new 270 cc implants in a new pocket under the pectoral muscle. Before and 6 months after

Synmastia (implants too close together). Corrected by placing new 270 cc implants in a new pocket under the pectoral muscle. Before and 6 months after

Synmastia (implants too close together). Corrected by placing new 270 cc implants in a new pocket under the pectoral muscle. Before and 6 months after

Synmastia (implants too close together). Corrected by placing new 270 cc implants in a new pocket under the pectoral muscle. Before and 6 months after

Implant Removal

Just as a woman makes a decision to undergo breast augmentation, there may be a time in life where she may decide to have her implants removed. If there is adequate natural tissue, then reshaping may be achieved with a breast lift. Other times, fat grafting may be an option. The following cases are examples of what a breast may look like after implant removal.

Capsular contracture treated with bilateral implant removal, capsulectomy and reshaping of the breasts with a breast lift and fat grafting. Before and after 1 year.

Capsular contracture treated with bilateral implant removal, capsulectomy and reshaping of the breasts with a breast lift and fat grafting. Before and after 1 year.

Capsular contracture treated with bilateral implant removal, capsulectomy and reshaping of the breasts with a breast lift and fat grafting. Before and after 1 year.

Capsular contracture treated with bilateral implant removal, capsulectomy and reshaping of the breasts with a breast lift and fat grafting. Before and after 1 year.

Recurrent capsular contracture and sagging of the breast treated with implant removal and reshaping of the breasts with a breast lift and fat grafting. Before and 6 months after.

Recurrent capsular contracture and sagging of the breast treated with implant removal and reshaping of the breasts with a breast lift and fat grafting. Before and 6 months after.

Recurrent capsular contracture and sagging of the breast treated with implant removal and reshaping of the breasts with a breast lift and fat grafting. Before and 6 months after.

Recurrent capsular contracture and sagging of the breast treated with implant removal and reshaping of the breasts with a breast lift and fat grafting. Before and 6 months after.

Previous breast augmentation. Patient felt too large and wanted implants removed. Before and 11 months after implant removal and fat grafting of 180cc in each breast.

Previous breast augmentation. Patient felt too large and wanted implants removed. Before and 11 months after implant removal and fat grafting of 180cc in each breast.

Previous breast augmentation. Patient felt too large and wanted implants removed. Before and 11 months after implant removal and fat grafting of 180cc in each breast.

Previous breast augmentation. Patient felt too large and wanted implants removed. Before and 11 months after implant removal and fat grafting of 180cc in each breast.

Previous breast augmentation complicated by unrecognized bleeding and shifted implant on the left. Before and 6 months after implant removal

Previous breast augmentation complicated by unrecognized bleeding and shifted implant on the left. Before and 6 months after implant removal

Previous breast augmentation complicated by unrecognized bleeding and shifted implant on the left. Before and 6 months after implant removal

Previous breast augmentation complicated by unrecognized bleeding and shifted implant on the left. Before and 6 months after implant removal

Recurrent capsular contracture treated with implant removal and reshaping of the breasts with a breast lift and fat grafting. Before and 6 months after

Recurrent capsular contracture treated with implant removal and reshaping of the breasts with a breast lift and fat grafting. Before and 6 months after

Recurrent capsular contracture treated with implant removal and reshaping of the breasts with a breast lift and fat grafting. Before and 6 months after

Recurrent capsular contracture treated with implant removal and reshaping of the breasts with a breast lift and fat grafting. Before and 6 months after

Implant Rupture

Although breast implant rupture is rare (estimates are 0.7% per implant per year), when an implant breaks, it can cause deflation or distortion of the breast. If left for a prolonged time, the changes to the breast can be significant requiring the surgeon to use advanced reconstructive techniques to either remove or replace the implants.

Multiple previous procedures including breast lift, implant replacement and correction of capsular contracture. Now presenting with left breast implant rupture, capsular contracture, severe asymmetry and abnormal breast shape. Treated with implant removal, replacement of new 235 cc silicone gel breast implants under the pectoral muscle and revision of breast lift.  Before and 1 year after

Multiple previous procedures including breast lift, implant replacement and correction of capsular contracture. Now presenting with left breast implant rupture, capsular contracture, severe asymmetry and abnormal breast shape. Treated with implant removal, replacement of new 235 cc silicone gel breast implants under the pectoral muscle and revision of breast lift. Before and 1 year after

Multiple previous procedures including breast lift, implant replacement and correction of capsular contracture. Now presenting with left breast implant rupture, capsular contracture, severe asymmetry and abnormal breast shape. Treated with implant removal, replacement of new 235 cc silicone gel breast implants under the pectoral muscle and revision of breast lift.  Before and 1 year after

Multiple previous procedures including breast lift, implant replacement and correction of capsular contracture. Now presenting with left breast implant rupture, capsular contracture, severe asymmetry and abnormal breast shape. Treated with implant removal, replacement of new 235 cc silicone gel breast implants under the pectoral muscle and revision of breast lift. Before and 1 year after

Soft Tissue Stretch

Stretching of the skin typically happens over time in the lower portion of the breast. This occurs naturally with age but can also be caused or accelerated by weight fluctuations, pregnancy, genetics or large implant sizes. Correcting these problems often requires a combination of tightening of the skin, providing better support and possibly decreasing breast or implant volume.

Large implants with inadequate breast lift. This has resulted in stretching of the breast skin and nipples placed too high. Correction with small downsizing of implants and revision of the breast lift including internal support for the implant position. Before and 4 months after

Large implants with inadequate breast lift. This has resulted in stretching of the breast skin and nipples placed too high. Correction with small downsizing of implants and revision of the breast lift including internal support for the implant position. Before and 4 months after

Large implants with inadequate breast lift. This has resulted in stretching of the breast skin and nipples placed too high. Correction with small downsizing of implants and revision of the breast lift including internal support for the implant position. Before and 4 months after

Large implants with inadequate breast lift. This has resulted in stretching of the breast skin and nipples placed too high. Correction with small downsizing of implants and revision of the breast lift including internal support for the implant position. Before and 4 months after

Previous breast augmentation under the muscle with a breast lift. Implants have remained soft, however there has been sagging of the breast tissue. Correction performed with replacement of silicone gel implants in a new position under the muscle and revision of the breast lift with removal of lower breast tissue. Before and 3 months after.

Previous breast augmentation under the muscle with a breast lift. Implants have remained soft, however there has been sagging of the breast tissue. Correction performed with replacement of silicone gel implants in a new position under the muscle and revision of the breast lift with removal of lower breast tissue. Before and 3 months after.

Previous breast augmentation under the muscle with a breast lift. Implants have remained soft, however there has been sagging of the breast tissue. Correction performed with replacement of silicone gel implants in a new position under the muscle and revision of the breast lift with removal of lower breast tissue. Before and 3 months after.

Previous breast augmentation under the muscle with a breast lift. Implants have remained soft, however there has been sagging of the breast tissue. Correction performed with replacement of silicone gel implants in a new position under the muscle and revision of the breast lift with removal of lower breast tissue. Before and 3 months after.

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Dr. Mitchell Brown, Toronto Plastic Surgery and Toronto Brest Revision Surgery