Her implants were supposed to have been behind the muscle, but the muscle was so damaged that there was none left to put the implant behind. Strattice was used to add coverage and keep what little muscle there was over the implants.
Inferior Malposition (L), Rippling
The left implant is lower than the right and the pocket was closed off. Her implants are still too wide for her, which is why they are so close together. Rippling is visible on the sideways photo, and this was helped by changing from saline to silicone.
Her saline implants had a lot of rippling that could be felt. They were also in front of the muscle. Since she is so thin, silicone implants were placed behind the muscle, reducing her rippling and improving her appearance.
Rippling, Wants Larger
Her implants were too small and too wide apart. Her breast skin was not filled. A slightly larger implant and removal of scar tissue gave her better cleavage, shape, and treated the rippling.
Wants Larger, Rippling
She is round and far apart, so it looks like a contracture. But it is actually a high profile saline implant (see rippling on side view.) Larger silicone implants were placed which improved her cleavage, shape, and rippling.
Like most rippling patients, notice how thin she is. In reality some of her improvement may have been due to her gaining weight. Still, there is a significant improvement in the lower inner left breast from tightening the pocket and changing to silicone.
Rippling is always worst when someone bends over. Note from her breastbone how thin she is (rippling is a problem of thinner patients.) Thickening the area with Strattice cured her rippling problem.
This patient had such large implants they thinned her tissue. And her muscle was damaged, so she lost coverage over the implants. Note the implant fold at 7 O'Clock on the right breast. Strattice was used to thicken the tissue and pull the muscle down.
If a loose and thin breast is underfilled, it will ripple. She was changed to silicone, but the real improvement came from doing a lift (scar is just barely visible on the outer breast on the lower right photo).
Contracture, Rippling, Strattice
Her implants were supposed to be behind the muscle, but the muscle was damaged which caused the upper inner rippling. Strattice reinforced the muscle and created enough coverage to stop the rippling.
Implant Removal, Rippling
Her muscle was damaged at her first operation, so she kept having rippling and distortion after multiple attempts to fix. Strattice could have helped, but she just wanted to stop spending money on her breasts and put it behind her.
This very thin woman originally had huge implants, which stretched her skin. She already had a lift with smaller implants, but the left was still low and she looked too round. Larger teardrop implants and a redo of the left lift helped her.
Wants Larger, Rippling
She had high profile silicone implants in front of the muscle which were too small for her. Going behind the muscle with a larger anatomic implant gave her a much more attractive shape and eliminated her rippling.
Significant upper inner rippling is visible on the right breast along with distortion of it. Her muscle had been damaged from previous surgery. Strattice was used to regain some muscle coverage and thicken her tissues.
Dr. Teitelbaum was a member of the national plastic surgery task force that developed the Covid-19 protocols for plastic surgery offices. He is therefore well-versed in all of the recommendations and his office meets or exceeds all of them. By now you are familiar with all the obvious measures such as reminding patients and staff not to come to the office if they have any symptoms, taking temperatures, maintaining social distancing, having everyone wear masks, placing hand sanitizers everywhere, reducing the number of patients in the office at one time, testing all surgical patients, etc. One unique feature is that Dr. Teitelbaum’s operating room has "laminar flow" – a very advanced system that directs the flow of air from a large diffuser on the ceiling to exhausts near the floor, ensuring that the fresh air flows in one direction. This not only reduces the chance of COVID infections for the patients and staff, but it also reduces the risk of surgical infections.
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