breast re-augmentation before and after pictures

bjbjqpqp hello, my name's adrian richards,and i'm a plastic surgeon and the clinical director of aurora clinics. in this videoi'm going to be showing you a pip replacement video, in which we remove ultra-high 335ccimplants which were put in, in 2006. scans have shown that the implants are probablyintact, but they've got quite a lot of rippling and palpability. so i'm going to exchangethem for nagor implants, and our patient would like slightly better cleavage, so i'm goingto insert slightly wider implants to help with this. i've just removed this implant,which is a 335cc pip implant. it was badly placed. it was sort of rotated and was almostlying upside down. and we can see here, this is the silicone gel bleed that we get fromthe pip implants, much more than normal implants.

can you see the stringy silicone? and alsoget deflation at the top of the implant. so you can see there that the top of the implant'sreally completely deflated there. so that's why our patient's been noticing loss of volumeon the top, and just really because there's gel bleed. so the next stage is to clean everythingout and put in a sizer, which is a temporary implant. this is a temporary inflatable implant,which i can blow up. can you see where the fluid's going in there? so what i'm goingto do is put that in, and then blow it up, and you can see it's much wider. so blow itup, see which is the optimum volume for our patient today. the first stage is just tofold it up evenly and put it in the cavity. then make sure it's sitting correctly, andthen you blow it up. that's 50 ml, and now

this is 100 ml, 150, 300, and that way youcan see the cleavage is improving. there's 300, 350, 400cc's. 460 [inaudible 2:40] reallygood actually. so that's 400, 460. so that way you can see that the cleavage is [inaudible2:54]. i think that will be good, 460, on our lady today. great. so we go to the 460.so we're going to get fuller and a bit wider. can you see there's more silicone gel bleedon this side, and the implant there is deflated at the top. so this is pretty classic, deflatedultra-high implant with silicone gel bleed. that certainly is a characteristic we're findingfrom pip. so now, i'm going to clean everything out, take a specimen of the capsule, and then replace it with a nagorimplant. so this is just the end of the operation. you can see we've got a better cleavage, fullerappearance to the breasts, and in a minute

i'll just show you the implants. so i justthought i'd show you the implants now they're out. this is the right implant, if you havea look down. it's a 335cc ultra-high implant, and the lot number is 906. and on the leftthe lot number is 6306. the implants had quite a lot of gel bleed, as you saw. when theyare exposed to the air, the gel bleed decreases. basically, the implant dries, but you cansee that the top of the implant here is deflated and the silicone tends to go to the bottom.this is a very characteristic appearance of a pip implant, basically losing its fullnessin the upper part. here's another one. if i put this bit as it would be in a person,there's probably slightly less gel bleed, actually, in this one, slightly less deflation,but still some deflation there. so overall,

i think good to remove the implants in thislady. i think they were too narrow for her, because she had quite broad shoulders. sowe've used broader implants. they are going to give better cleavage, and hopefully a betterresult, and also, obviously, having a removal of the pip implants and their gel bleed. ifyou'd like any information about breast implants or any other type of cosmetic surgery or plasticsurgery, please feel free to contact us either by ringing us or emailing us at any stage.thanks a lot. hello, my name's adrian richards and i'm a plastic surgeon and the clinicaldirector for aurora clinics robin normal.dot robin microsoft office word hello, my name'sadrian richards and i'm a plastic surgeon and the clinical director for aurora clinicstitle microsoft office word document msworddoc

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