Then, the old femoral component of the knee prosthesis is removed. The femur is prepared to receive the new component. In some cases, the damaged bone is removed and bone graft or a metal wedge may be used to make up for the lost bone. Next, the tibial component along with the old plastic liner is removed.
The damaged bone is cut and the tibia is prepared to receive the new component. Like the femur, the lost bone is replaced either by a metal wedge or bone graft. Then, a new tibial component is secured to the end of the bone using bone cement. A new plastic liner will be placed on top of the tibial component. If the patella kneecap has been damaged, your surgeon will resurface and attach a plastic component. The tibial and femoral components of the prosthesis are then brought together to form the new knee joint, and the knee muscles and tendons are reattached.
The incision is closed with surgical glue leaving the patient with minimal post-operative wound care. Like all major surgical procedures, there may be certain risks and complications involved with revision knee replacement surgery. The possible complications after revision knee replacement include:. You can walk with crutches or a walker. You will be sent for rehabilitation within a couple of days of surgery.
A physical therapist will teach you specific exercises to strengthen your leg and restore range of motion to the knee. After his suggestion and professional opinion, going with just a lift with my natural breast tissue has left me very happy!!! Toledo were so patient with me and walked me These differences and asymmetries will always continue to exist—to some degree—after surgery. If your augmented breasts are significantly distorted, revision surgery may offer improvement, but not perfection.
As with all cosmetic procedures, at the Highland Park Plastic Surgery Center, a patient must be in good physical and emotional health and have realistic expectations. Toledo will decide if your desired outcome is reasonably achievable, as well as worth the risks and expenses involved.
This condition occurs when the implant slides down your chest, below your natural inframammary fold. Typically, this complication occurs in women who have poorly developed folds, tight skin, and large pectoralis muscles. Common examples are body builders, tennis players, and athletic women in general whose excessive use of the pectoralis may push the implant down. If the bottoming out is severe, then a surgical revision is needed. Some patients request a revision surgery because they desire their breasts to be bigger or smaller.
Toledo and the staff of the Highland Park Plastic Surgery Center will make every effort to ensure that you choose the correct implant during the primary surgery to avoid a revision. However, as patients age, they may realize that large breasts are not important to them anymore. Additionally, with weight gain, what was once a C cup in a year-old could become a DD cup in a year-old! These patients require a smaller implant, no implant, or possibly a breast lift. Visible rippling and wrinkling beneath the skin usually occur with saline implants that are placed over the muscle, especially in individuals with thin skin and minimal breast tissue.
The larger the implant, the more potential there is for rippling— regardless of whether the implants are saline or silicone. This deformity is difficult to correct and may involve changing the type and size of the implants, performing a submuscular placement, or even adding dermal grafts. While this is rare, implant failure can occur. If a saline implant ruptures, deflation will take place quickly and is noticeable. On the other hand, if a silicone implant ruptures, it may only be detected through a MRI.
Silicone implant ruptures often form capsular contractures, as your body is trying to wall off the spillage of silicone gel. A ruptured implant, whether saline or silicone, will require a revision surgery. Breast implant manufacturers have warranties for their implants to help with the surgery expenses. Symmastia occurs when implants are placed too close together. Breast revision surgery in this case is a process where the implant is removed and the breast reshaped back to a normal size and position so that it looks natural.
Skin tightening may be needed if the skin was stretched over time due to the implant. Despite significant advances in medical technology and strong, durable manufacturing, there are rare cases where an implant may rupture. If the implant is filled with saline, there will be a noticeable deflation of the breast.
In the case of silicone implants, the gel stays intact, so there will not be a noticeable difference. An MRI will be needed to detect the defect. Implant ruptures are typically covered under warranty by the manufacturer within a certain amount of time.
Patients may get new implants during the revision surgery. Again, implant rupture is a rare situation. Double bubble is a term used for an implant that has moved out of place and causes a visible crease and a double breast appearance. This can occur if the implants were improperly placed or if a significant amount of scar tissue forms around the implant.
A revision surgery is needed to correct this condition. To ensure the implant stays in its proper position, a strattice may be used to protect it from moving.
It is common for scar tissue to form around the breast implant once it has settled into the surgical pocket within the chest. In most cases, this scar tissue does not cause any harm or problems for the patient. However, in some cases, the scar tissue can tighten around the implant, which causes the implant to be displaced. This causes a hardening of the breast, which can look aesthetically unappealing, as well as cause discomfort. This is corrected by a capsulectomy in which the scar tissue is surgically removed.
Based on statistics, there are more occurrences of contracture with saline implants compared to silicone-based ones. A noticeable rippling can sometimes be seen underneath or on the side of the breast. This is generally more common among patients who have very low tissue volume and who are thin. Although not really a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. Rippling is most common with saline implants. I had never been really happy with them too big and I felt they were making me look matronly rather than sexy.
So I made an appointment with Dr. White because of his high ratings and reputation as a Dallas area surgeon. I expressed all of my fears to him about my age and the likelihood that I would look deformed and saggy. White never made any false promises to me, but immediately assured me that he would do everything in his power to get the best possible outcome. White performed a Bilateral Capsulectomy with Explanation, meaning he removed the implants as well as the capsule and scar tissue around them.
Although I am left with a smaller breast size than I was before the implants, I am so pleased with the results. After following all of Dr. White's instructions to the letter, and 6 weeks of wearing a compression bra, I am amazed that the skin has shrunken as much as it has.
White had initially said that I would probably need to come back and have a breast lift, and although it would probably make them look even better, they look acceptable now.
If I decide not to go through with a lift, I am still very satisfied with the results. I am convinced that because of Dr. White's total dedication to each and every one of his patients, the best results possible are achieved. I did not want to replace the implants. White was the only surgeon who believed I would not need to either 1 replace the implants or 2 have them removed and undergo a breast lift. White believed he could take the implants out and create natural if smaller breasts.
I selected him based on this third option and research. I am very happy with the quality of work after two months and believe I absolutely made the right choice. I had a breast augmentation 20 years ago with great results and have been happy ever since. Approximately one month ago, my left breast implant ruptured leaving me I was initially very panicked but had a friend who recently underwent a breast augmentation so I asked her if she recommended her surgeon.
She said Dr Steven White was the best and she highly recommended him. I called the very next day and was scheduled for a consultation that very same day. I was very overwhelmed but Dr. White and his office staff all have such a great bedside manner it alleviated much of my initial anxiety.
White was very up front with me about the best way to approach a second breast augmentation. I really had no questions because he was so thorough in explaining everything. I knew after my initial consultation there was no need for me to shop around for a surgeon. Having been through a breast augmentation once already, I wasn't concerned about the surgery. I was probably most concerned about my breasts being much too large after the revision but Dr.
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