Real Housewives Star Admits Plastic Surgery

While most celebrities deny having plastic surgery even if the result is too drastic and blatant, Real Housewives star Brandi Glanville has no qualms admitting going under the knife to improve her appearance.  In fact, she even said that in a town where “everyone is perfect, it is important to look good.”

In a previous interview, Glanville, 39, said she had breast augmentation surgery, a procedure necessary to regain the volume loss associated with pregnancy, in addition to increase her bust size.  And aside from breast implants, the star also admitted having regular treatments of laser to address her skin problems including “adult acne” and Melasma, a condition in which the skin produces too much pigmentation.

The TV personality also admitted to be receiving weekly spray tan to maintain her skin’s glow without damaging it, in addition to Botox injection and fillers to fight the early signs of aging.

Because she grew up modeling, she said that she is extremely aware of her physical appearance and knows the areas which need some improvements.  Another reason for her penchant for plastic surgery is the fact that she is now back in the dating scene.

To Glanville’s detractors who called her “plastic,” she said that “everyone has the right to do anything that can make her feel good.”

The good thing about Glanville is that despite having several cosmetic procedures, both surgical and non-invasive in nature, she looks naturally beautiful.  This is probably due to her belief that “less is more” which is her approach in plastic surgery.

Her breast augmentation is a clear example of Glanville’s “less is more” approach in plastic surgery.  While many celebrities have chosen large breast implants that gave them the “heavy top” look, she opted for smaller ones that perfectly fit her slender frame, thereby the result is a very natural appearance.

Leading Los Angeles plastic surgeon Dr. Tarick Smaili, who did not treat Glanville, said he is noticing a shift to a “more natural appearance.”

“Celebrities nowadays are choosing smaller breast implants that will give them a more natural, sexy look.  For example, Kate Hudson and Victoria Beckham have been rumored to have had breast augmentation using smaller implants, while Dolly Parton and Denise Richards have downsized their implants,” Smaili said.

Aside from giving a natural appearance, the renowned plastic surgeon also cited other advantages of small- to medium-sized breast implants including faster recovery, lower risk of downward displacement and sagging, and less chance of developing stretch marks.

Film School in China Bans Students Who Had Plastic Surgery

With the growing popularity of plastic surgery in China, a film school has made it clear that anyone who alters his or her appearance will likely be disqualified from the entrance examination.  Officials from the illustrious performance institute of Beijing Film Academy said that “changes in the faces and other body parts might affect the acting of students.”

Even students with tattoos may be disqualified from entrance examination.

Surprisingly, many people think the decision to ban those who had plastic surgery is “fair,” arguing that actors who had “surgical enhancements” are somewhat cheating.

Some people even say that plastic surgery is a fraud.

However, what they fail to realize is that plastic surgery is not all about looking better than others.  For some people, this may be their only way to live a normal life, improve body functions, and repair deformities caused by illness and accidents.  Does it mean individuals who had reconstructive plastic surgery are also banned from the film school?

One student’s parent even said that she agrees with the plastic surgery ban because “what matters is the performance and acting, not how a person looks.”  With this argument, what is the point of excluding those who had “cosmetic enhancements” when their talent is the most important thing rather than their appearance? 

And not to mention the freedom of choice.  The choice to undergo “surgically-assisted beautification.”

Another potential loophole is that how on earth the film school’s officials can determine if someone had surgical enhancements or not?  What kind of criteria they are going to use?  Perhaps it would be too tedious to conduct background check for the sole purpose of determining if a student had plastic surgery or not.

Currently, eyelid surgery is one of the most common cosmetic plastic surgeries in China.  And with 94 percent of the population consisting of Han people who usually lack a prominent eye crease, individuals with this feature may end up being accused of having “surgical enhancements” even if they did not.

The issues surrounding plastic surgery are somewhat analogous to guns.  Guns are neither bad nor good as the situation depends on who will use them.  The same thing is true in cosmetic surgical enhancements. 

But perhaps the plastic surgery ban imposed by the prestigious film school has its own merits.  According to the country’s health ministry, about 70 to 80 percent of those who seek cosmetic surgical enhancements are high school and college students who are too young to understand the ramifications of their decision.

Also, another concern is that teenagers are not yet physically mature to undergo cosmetic plastic surgery.

Teen Mom Farrah Abraham Proud to Be on Best Cosmetic Surgery List

It is not uncommon for celebrities to deny having plastic surgery even if the result is blatant or sometimes to the point of looking “fake.”  However, this is not the case of Farrah Abraham who is proud to make it on UsWeekly’s 2011 list of best cosmetic surgery.

The celebrity mom, who was featured in MTV’s reality show 16 and Pregnant, tweeted: “Thank you USWeekyly for including me on 2011 BEST: Plastic surgeries.”

After giving birth, Abraham underwent breast augmentation surgery to increase her bust size from cup size A to C.  Despite criticism for having the procedure at a relatively young age, she said that she is happy with her decision.

Los Angeles leading plastic surgeon Dr. Tarick Smaili, who did not treat Abraham, said that she is a good example of natural-looking breasts after plastic surgery.

“The good thing about her breast implant size is that it complements her body and perfectly fits her small frame.  She did not go overboard as some celebrities have done in the past by using large implants that often result to the heavy top look,” Smaili said.

During the 1990s, the cosmetic surgeon said the trend in breast augmentation was the “bigger the better,” despite the unnatural look it gave to some patients, particularly those with small frame.

But nowadays, Smaili said that he is seeing more patients asking for revisions to “downsize their breast implant and achieve a more natural look.”

“I think the trend today is the natural bust size.  Just enough volume especially in the upper poles of the breasts to create more cleavage.  People should know that not all patients who ask for breast augmentation solely want to enlarge their breasts; in fact, a significant number of my patients just want to regain the lost volume caused by pregnancy,” Smaili said.

The cosmetic surgeon added that 300 to 350 cubic centimeter (cc) of breast implant size is often enough to create the natural look, although he warned that factors such as waistline, chest width, natural fat and tissue, and overall body frame should also be considered when deciding for the “right” implant size.

Citing Abraham’s breast augmentation, Smaili lauded her decision to stick “to a realistic size considering her small frame and thin arms.”

“Patients like her are easy to work with.  They know their body and consider its limitation.  While we always remind our patients that going for extremely large implants have many disadvantages, there are some who are still persistent about this.  But any self-respecting and ethical surgeons would have to turn these women down because we should not push the body’s limit—that’s my rule,” Smaili said.

Poll Shows Breast Surgery Improves Sex Life

Women who have received breast enhancement surgeries such as augmentation and mastopexy (or breastlift) have reported better sex life and higher satisfaction after the procedures, according to a survey conducted by RealSelf.com, a popular online forum that tackles plastic surgeries and cosmetic treatments.

On average, respondents claimed that breast enhancement surgery have increased their sex life satisfaction by 34 percent, while 61 percent said they had sex more frequently after the procedure.

By contrast, only 7 percent of the respondents said they had fewer sexual encounters after their breast augmentation or breast lift surgery.

On a scale of one to ten, one being the lowest satisfaction rate, patients experienced more than a two-point increase in their overall sex life satisfaction following their breast enhancement surgery.

Before the procedure, the average sex life satisfaction score was 6.07 and then jumped to 8.13 after the surgery.

While about 70 percent of respondents said that their overall sex life has improved, 28 percent said that breast surgery did not change anything.

Currently, the average cost of breast augmentation and breast lift in the US is $6,000 and $10,000, respectively.  But despite the procedures’ relatively high price, a number of patients seeking them has increased over the past couple of years.

In the US alone, about 296,000 patients had breast implant surgery in 2010.  Meanwhile, it has been estimated that 5 to 10 million people worldwide have augmentation surgery for cosmetic reasons, although a significant number of them also had the procedure to reconstruct their breasts after mastectomy or to transition from male to female gender.

On the other hand, approximately 90,000 breast lift surgeries were performed in the US in 2010 alone.

Dr. Tarick Smaili, one of the leading Los Angeles plastic surgeons, said he is expecting breast enhancements, particularly augmentation surgery, to further increase their popularity in the coming years.

“I think that the changing perception with cosmetic plastic surgery is the main reason why breast enhancements are enjoying their popularity.  Considered to be a taboo in the previous years, people are now more open to the idea that we have the freedom and the right tool to modify and improve our physical appearance,” Smaili said.

However, the cosmetic surgeon warned that not all people who want to have some “physical improvements” are good candidates for cosmetic surgeries.

“Of course there are many things to consider.  Does she have realistic goals and expectations?  Is she physically and psychologically healthy?  These are just some of the factors plastic surgeons would have to consider before taking any surgical step, particularly if it involves elective and cosmetic procedures,” Smaili added. 

Can Herbal Supplements Affect My Healing After Plastic Surgery?

Can herbal supplements such as green tea and ginko biloba have a negative effect on my body’s healing ability after plastic surgery?  For this question, the answer is YES.  Even if the package says “all natural ingredients,” it does not always mean that they would not cause some kind of harm.

While taking herbal supplements has its own advantages, this is not the case if you will undergo plastic surgery or any kind of operation.  This is because some of the ingredients used have been known to affect healing and natural blood clothing, thereby increasing your risk of skin necrosis (or gangrene), infection, and increased bleeding during and after surgery.

These are just some of the most commonly used herbal supplements you must avoid at least two weeks before and after your plastic surgery (e.g., breast augmentation, liposuction, facelift, body lift, etc.). 

·         Ephedra

Ephedra is often used in treatments for a wide range of respiratory problems such as asthma and bronchitis, although certain weight loss medications and “energy” supplements also contain this ingredient.

However, the US Food and Drug Administration has banned the ingredient after studies have suggested it can raise the blood pressure and heart rate, something which may lead to heart attack and stroke.

·         Chondroitin

As a treatment for people suffering from osteoarthritis, Chondroitin has been found to increase bleeding during surgery and delay one’s recovery.  Its effect can be further aggravated if you are taking other blood-thinning medications such aspirin and all types of non-steroidal anti-inflammatory drugs (e.g., ibuprofen and naproxen).

·         Glucosamine

The effects of this agent are the same as the insulin, thereby increasing your risk of hypoglycemia during surgery.  This complication happens when your blood sugar drops to a dangerous level. 

·         Echinacea

Commonly used for the treatment of bacterial, fungal, and viral infection caused by ulcers, arthritis, and chronic wound.  But studies suggested that this ingredient can suppress your body’s immune system, leading to delayed healing.

Just to be on the safe side, you should tell your plastic surgeon all about your current medications and herbal supplements during consultation.  Take note that even those which contain garlic, ginseng, gingko biloba, and other seemingly harmless, everyday ingredients can affect your healing ability.

In case that you are taking these herbal supplements and certain medications that can affect your healing, your plastic surgeon will ask you to stop these at least two weeks before surgery.

50 Years After Silicone Breast Implants Were Introduced

It was in the early 1960s when Thomas Cronin and his team have developed the world’s first silicone breast implants.  The idea started when they noticed that plastic bags used by the blood banks have the same softness of a breast.

When Cronin attended a plastic surgery meeting, one of his colleagues told him about a new company which had a new product that can be made into solid and liquid form, with a variety of viscosity.  Another great thing about the device was the extreme compatibility with the human tissue.

The medical-grade silicone can be turned into a solid form which will serve as the shell, while the cohesive silicone gel will act as the filling.  This material then paved way for the invention of silicone-filled breast implant, one of the most commonly used devices in cosmetic plastic surgery to date.

After creating the first prototype of silicone breast implant, the device was implanted into a dog.  The trial worked okay and so Cronin and his colleagues started to look for a woman who would be interested to have the first breast augmentation surgery through the new device.

The plastic surgeons found a willing test subject: Timmy Lindsey.  Now she is 80 years old and working in a care home in Texas.

At the time, no one would have ever imagined that breast augmentation surgery would become one of the most popular cosmetic surgeries worldwide.  In fact, a 2010 survey conducted by the American Society of Plastic Surgeons showed that 296,000 procedures were performed in the US.

It has been estimated that 5 to 10 million women worldwide had breast augmentation surgery for cosmetic reasons, although a significant number also had it to reconstruct their breasts after mastectomy (or cancer surgery), and for transsexual people to transition from male to female.

While breast augmentation is popular in the US and UK, this is not the case in some countries which have their own standard of beauty.  For example, the procedure is not as popular in Brazil because most people there prefer large buttocks rather than big breasts.

Today, most women who seek for cosmetic breast augmentation are categorized into two groups: those with small breasts who want to increase their bust size, and those mothers who have deflated-looking bosoms which are caused by childbirth.

In the US and most European countries, breast augmentation for cosmetic reasons can only be conducted for patients aged 18 years and older.

Celebrity Body-Builder to Downsize Her Breast Implants

In a recent interview, celebrity body-builder Jodie Marsh said she wants to downside her breast implants with a revision plastic surgery that is going to be performed this year.  Her decision to get another “boob job” came after dropping to a size 6 over the past couple of months.

The British tv personality, who has appeared topless on numerous tabloid newspapers, was quoted saying that her large implants seem out of proportion with her smaller body-frame.  In fact, she even admitted to “lifting her breasts” during body-building competitions because they hide the “first couple of rows of her abs.”

Meanwhile, Dr. TarickSmaili, a cosmetic surgeon who did not treat Marsh, said that he is seeing more patients wanting to downside their breasts in order to achieve a more natural look.

“In general, very large breast implants lead to the heavy top look which often looks unnatural, especially if you have a small frame and limited chest width.  Surprisingly, this was a trend during the previous years although I am now seeing that many patients are opting to replace their implants with smaller ones to look natural,” Smaili said.

Another concern with extremely large breast implants, Smaili said, is that the patients are at higher risk of rippling, which is more of a problem if they have a limited amount of breast tissue and fats to cover the implant shell.

Citing the body-builder’s recent photo, Smaili said that her upper and medial cleavage has some visible rippling, which the doctor explained is caused by implants that are too large for her body.

Marsh is not the only celebrity who is shifting to the natural look.  In fact, Denise Richards and Pamela Anderson have been reported to undergo a revision breast augmentation to downsize their implants.

Another good example is Kate Hudson who has been reported to have plastic surgery in 2010 to receive small breast implants that no one would even be able to tell she have them if not for her previous videos and photos.

Going back to Marsh, she previously said that she was concerned if she had the controversial PIP breast implants which have been pulled out in the UK market and other countries after findings suggest the devices have a very high failure rate.

However, she did not mention if her decision to replace her breast implants with smaller ones has also something to do with the controversial PIP devices.

Did Cameron Diaz Undergo Breast Implant Surgery?

Hollywood sweetheart Cameron Diaz has recently been the center of rumors.  According to some showbiz news reports, the actress may have received breast augmentation surgery after a recent photo shows her seemingly larger bust size while wearing a tiny bikini.

The 39-year-old actress was spotted on the Hawaiian beach during the holiday with a more toned and shapelier body.  Some experts have said that she may have increased her bust size by a cup.

While Diaz’s body appears to be shapelier than the previous years, some people are really not convinced if she had the procedure as the increase in her bust size was not as significant as compared to other celebrities who have gone under the surgical knife.  In fact, some bloggers even said that a slight weight gain may be the primary reason for the actress’ improved figure.

During previous interviews, Diaz was quoted saying that she would love to have a curvier figure, something she said she was not “naturally gifted.”

Meanwhile, the actress was not a first-timer in plastic surgery.  In 2006, she had rhinoplasty or nose surgery after sustaining injuries; however, the Hollywood star said she would rule out cosmetic surgery.

Whether Diaz has gone under the knife or just gained some weight that resulted to a shapelier figure, it is really hard to tell since the increase in her bust size was not dramatic.  And because the actress has brushed off rumors of her alleged breast augmentation surgery, the only thing people can do is speculate.

But assuming that Diaz had breast implant surgery, her decision to choose smaller implants is commendable as it resulted to a very natural appearance rather than looking “heavy” on top. 

Meanwhile, Dr. Tarick Smaili said that he is seeing more and more women opting for the natural look.

“I see that the growing trend is having smaller implants so the results will be natural that it would be hard or even impossible to tell if a woman has undergone plastic surgery or not.  In fact, we’ve seen Hollywood celebrities such as Denise Richards and Pamela Anderson downsizing their bust size with another augmentation surgery,” the leading cosmetic surgeon said.

During the previous years, the actress has been accused of yoyo dieting that left her with a very thin frame and flat chest.  But after she gained some weight, she now looks healthier and shapelier than the previous years.

Does Plastic Surgery Impede Dolly Parton’s Acting?

Movie critics are not happy with Dolly Parton’s acting in her newest film, Joyful Noise, in which she and Queen Latifah play rival gospel singers in a small town.  Most of them cited the actress-singer’s noticeable plastic surgery, which they blamed as the main culprit for her “lack of expression.”

While the movie has made Dolly’s plastic surgery a butt of joke, with some of the characters’ tacky reference to her “overdone” appearance, not everyone is laughing.  Many people—especially movie critics—believe the actress deserves better than the slapstick, loud film that undermines her talents.

Going back to her acting, some movie bloggers said it was “painful” seeing the actress with overdone plastic surgery especially on the big screen.  This is more of a problem with the emergence of high definition technology that can emphasize any facial flaws.

In fact, one writer at the Chicago Tribune has described Dolly’s plastic surgery “as if she did her last work in a drive-through.”  But despite the harsh comment, he noted the actress’ vocal prowess and her charm.

To digress from the movie and Dolly’s impeded acting skills, facelift surgery is not just about removing the facial aging—e.g., wrinkles and sagging—but more importantly is maintaining the normal appearance and fundamental shape of the face.  This is the rule of thumb followed by board-certified cosmetic surgeons.

“The goal of facial plastic surgery is to create a natural appearance and not a windblown face and squinty eyes,” said Dr. Tarick Smaili, one of the leading Los Angeles plastic surgeons.

To create a natural appearance,Dr. Smaili said the most important thing is to remove the right amount of skin.  By contrast, he said that excising too much facial tissue can result to the “dreaded windswept look and squinty eyes.”

Another technique is to go deeper into the facial tissues, the cosmetic surgeon added, so the result of facelift surgery can last 10 to 15 years without the need for revision procedures.

However, Dr. Smaili warned that facelift does not stop the aging of the face and so the need for “minor tweaks” after 10 years will be needed in order to maintain the youthful appearance.  Revisions may include “isolated facelift,” Botox injection, eyelid lift, and even nose job (particularly for aging patients whose nasal tip becomes too drooping and elongated).

Citing Dolly’s appearance,Dr. Smaili said the actress probably had “too invasive” secondary facial rejuvenation procedures that resulted to her lack of expression.

Breast Surgery Improves Post-Cancer Patients’ Emotional Well-Being

Reconstructive breast surgery is an important part of recovery after battling with breast cancer.  This procedure is performed beyond cosmetic reason as breasts have always been associated with womanhood and sexuality; for this reason, diseases and invasive surgeries that result to deformities can have a huge impact to a patient’s emotional health.

Meanwhile, breast reconstruction is either performed via breast implants and/or tissue-based method. 

According to a 2011 study published in Cancer, the official journal of the American Cancer Society, women who have undergone breast reconstruction in which the tissue was grafted from the abdomen have experienced significant gains in social, sexual, and psychological well-being.

The researchers believe their findings can help women suffering from breast cancer to decide if reconstructive plastic surgery can be a part of their recovery.

The study, which involved 51 women who had free MS-TRAM or DIEP flap reconstruction (tissue grafted from the abdomen to create a breast mound), shows the positive emotional impact of reconstructive breast surgery on post-cancer patients.  However, one downside is that majority have experienced muscle weakness in the abdominal area.

Some patients may have reconstructive plastic surgery right after their mastectomy, a procedure that completely or partially removes the breasts.  However, others have to wait for a couple of months to make sure that their body has already fully recovered from the trauma caused by the initial surgery.

If there is a significant deformity, most plastic surgeons recommend tissue-based grafting in which they use a patient’s own tissue from the abdomen to create a breast mound.  Meanwhile, the buttocks and back can also serve as a donor site to form new breast/s.

On the other hand, breast implant surgery may be enough for some patients especially if the initial surgery has left them with enough amount of breast tissue.  This technique often leads to less scarring than if the tissue-based method is used, although it is not recommended for those who are left with little or no tissue.

One downside of implant surgery is that the breast which is not treated may “age” at a different pace than the one with the implant, resulting to asymmetrical look.  For this reason, some patients may be recommended to have breast lift or other surgeries that can create a balance appearance.

Contrary to popular belief, breast implants do not pose a significant risk to post-cancer patients.  First and foremost, there is a very little chance of cancer recurrence on the breasts that have already been treated with mastectomy.

JWoww of Jersey Shore Denies Having Plastic Surgery

Despite the growing number of plastic surgery patients in the US, many of them are still denying the procedure and claim that their beauty is on their genes—and not because of the skillful hands of their cosmetic surgeons. 

Jersey Shore’s JWoww, whose real name is Jennie Farley, has been rumored to have undergone “facial plastic surgery.”  However, the reality TV star is adamant that she is “all natural from the neck up and even said during an interview with Wendy Williams Show that she is willing to submit herself to facial recognition test.

While JWoww has previously admitted that she have had breast augmentation surgery, she denied rumors of her having cheek and chin implant surgery, collagen injection to augment her lips, and “nose job.”

JWoww said that losing 15 lbs. probably changed the way her face looks, and also the projection of her nose.  

Over the past couple of months, there have been rumors of JWoww’s alleged facial plastic surgery because of her seemingly tighter skin and plumper lips, which some showbiz writers claim to be the works of collagen injection or implants.

The rumors of her alleged plastic surgery started after the August 4 season premiere of Jersey Shore as fans noticed that her chin and nose look thinner while her cheeks are somewhat more prominent.

While the brunette beauty claims that she did not have any plastic surgery on her face, she was quoted saying that she is open to the idea of having “touch-ups” such as Botox injection in case that aging starts to manifest on her face. 

“May be I’ll get Botox by the time I’m 30”, she said during her TV appearance.

Meanwhile, JWoww is also open to the idea that she will have her breast augmentation redone after several years as saline and silicone breast implants, although they are now made of a thicker shell, are not designed to last a lifetime.  However, her main concern is that pregnancy might affect the appearance of her surgery.

“I’ll have my breast implants redone in a few years after I’ve had kids”, the reality TV star said.

Regardless if JWoww went under the surgical knife again or not (and the improvements were just caused by weight loss and great make-up skills), most TV commentators and showbiz bloggers think that she looks better nowadays compared than during the season one of Jersey Shore.

Subfascial Breast Implant Placement Overview

With the advances in plasticsurgery, there are many available surgical techniques in breast augmentation to accommodate a specific anatomical feature, achieve the goals and expectations of a patient, create the most natural result possible, and minimize the risk of complications.

Nowadays, there are many breast implant placement techniques available to patients, although the most popular are the submuscular (the device is placed behind the muscles) and subglandular (the device is placed behind the tissues).

Meanwhile, there is a new technique called subfascial breast implant placement which is a compromise between submuscular and subglandular methods; it combines the benefits of the two primary placement options while eliminating the disadvantages associated with them.

The subfascial technique greatly resembles the subglandularimplant placement, with one major difference.  While the pectoral muscle is not touched, the fibrous fascia tissue is dissected from its front wall in order to place the breast implants beneath this layer.

Perhaps one of the possible advantages of subfascial implant placement is that it can isolate the device from the breast tissue, which leads to greater accuracy during mammogram examination.

Another benefit is the shorter recovery because the chest muscles are not disturbed, which is the case in submuscular implant placement.  And for this reason, patients can also expect less swelling, bruising, pain, tenderness, and other postoperative symptoms.

In terms of breast appearance, the technique provides a very natural result because it mimics the innate movement and contour of the tissue.  In addition, it provides added support from the strong fascia layer.

And unlike the subglandular implant placement, the subfascial technique prevents the risk of visible and palpable wrinkling because there is a fibrous fascia that provides coverage to the implant shell.

While the subfascial placement can lower the risk of capsular contracture (hardening of the scar tissue around the implants) compared with the subglandualr technique, it is not as effective as the submuscular implant placement which completely isolates the breast implants from the tissue, which is believed to harbor high levels of bacteria that can potentially increase the risk of complication.

Advocates of this new implant technique believe it works well for patients with small breasts and limited amounts of fats and tissue who want to achieve a smooth and natural-looking bust after breast augmentation surgery.

But for those who want to further minimize the risk of implant visibility, the submuscular implant placement is still the best technique.

Corrective Breast Augmentation for High-Riding Breasts

Breast augmentation, as its name suggests, augments the organ highly associated with femininity and sensuality.  And with the advances in plastic surgery, today the procedure is reasonably safe to many women that it has been the most popular “medical enhancement” over the past couple of years.

But one consideration to make is the risk of capsular contracture, a condition in which the scar tissue that normally forms around the breast implants becomes too thick that it ends up compressing the devices.  In severe cases, it results to visible distortion and pain.

Visible distortion may be manifested by a ball- or coconut-shaped breast or a high-riding bust.  In order to treat this problem, a revision plastic surgery is performed by doctors in which they remove the thick scar tissue and replace the breast implants with new ones.

Many plastic surgeons recommend replacing the breast implants to avoid or at least minimize the risk of infection, believed to be one of the causes of capsular contracture.

During a revision surgery, doctors avoid contaminating the breast implants so they apply the no-touch technique in which they use a funnel with a special lubrication.  With this procedure, the implants are placed inside the pouch which is then squeezed to its narrower end to push the devices into the breast pocket.

This technique, which is also called as the Keller Funnel, not just reduces the risk of contamination but also minimizes the pressure applied to the breast implants so the durability of their outer shell is not compromised during the implantation process.

To further avoid the recurrence of capsular contracture and high-riding breasts, plastic surgeons position the implants behind the muscle rather than on top of it so there will be less contact with the tissue, which is believed to harbor bacteria.

But instead of removing the scar tissue and replacing the breast implants with new ones, some doctors prefer to release the scar capsule using an electrocautery device.  This approach is particularly ideal for patients with a small amount of tissue and fats in their breasts, predisposing them to higher risk of visible and/or palpable wrinkling.

Patients with a high-riding bust or other forms of visible distortion due to capsular contracture should take into consideration that not all breast augmentation surgeons are adept in revision breast implant surgery, which requires a more complex skill.

Just to be sure, a patient should choose a doctor who has an extensive experience in conducting revision breast augmentation.

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