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Breast augmentation revision surgery

How to minimize its need?

Picture of chest after implants.When a woman chooses to go under the knife, it is a big decision for her and family members. At that time, the thought of a revision surgery does not occur to most, but the reality is that one in four of these women will have a second breast augmentation operation within five years, according to the FDA. While some re-operations are necessitated by complications such as capsular contracture and rupture, many other revisions are performed simply because the patient isn’t satisfied with her cosmetic results.

Dr. Robert Schwartz, Dallas’ best-known plastic surgeon, has achieved a revision rate far below the national average by following a three-step process to accomplish his patients’ specific goals. Schwartz cautions that while he cannot prevent re-operations, his process is designed to minimize the chances of performing additional surgeries.

Step One -- Detailed Measurement

During the initial visit, a comprehensive series of measurements is taken of the patient’s breasts and chest area. These measurements define the types and sizes of implants that best match a patient’s physique. Implants that might produce less-than-optimal results are eliminated from consideration.

Step Two -- Real Women, Not Models

Schwartz asks patients to review dozens of before-and-after pictures to select the ones that most closely match the results they are seeking. The pictures are of actual breast augmentation patients -- not magazine models, as are often used in such consultations. By discussing the photos and the patient’s desires at length, Schwartz gains a precise understanding of the woman’s objectives and can choose the best implants to achieve them.  According to Dr. Schwartz, “Patients often describe the results they want in terms of cup size. But cup sizes are not precise measurements; rarely do the patient and surgeon have an identical image of what a C or D cup is. By reviewing the pictures together, the patient and I go to the operating room with a shared vision for the surgery.”

Step Three -- A Final Test

In the operating room, Schwartz utilizes test implants to confirm the best size and shape to match the patient’s frame and achieve her aesthetic objectives. Only then is the test implant replaced with an identical permanent implant. “Using this process, we leave the operating room confident that we have chosen the best possible implant for the patient’s goals and body type,” Schwartz said.

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