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Dr. Alejandro Nogueira's Case #87D96IGF

Intraoperative & Technical photo gallery

Breast Implants | Breast Lift | Breast Revision

This case shows a patient carrier of breast implants which were inserted many years ago; both of the prostheses were ruptured and leaking silicone besides she was unhappy with the result and sought breast revision and a breast lift; a total bilateral capsulectomy solidary en bloc with the breast lift tissue removal, old implants explantation and meticulous cleansing of silicone, calcifications and fibrosis were carried out.

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Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 1
#1Preoperative look of this case's patient; note both breast implants hardened, raised and slightly deformed.
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 2
#2A standard capsulectomy was unfeasible due to the massive degradation state of the implants and due to the extensive extracapsular invasion of the breast tissue, therefore the capsulectomy was performed navigating very carefully the tissues ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 3
#3A standard capsulectomy was unfeasible due to the massive degradation state of the implants and due to the extensive extracapsular invasion of the breast tissue, therefore the capsulectomy was performed navigating very carefully the tissues ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 4
#4A meticulous surgery is required to extract en bloc as a single piece the tissue removed during the breast lift, the periprosthetic capsules and the broken breast implants; note the deformities of the implants' contour due to the capsular contracture ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 5
#5A meticulous surgery is required to extract en bloc as a single piece the tissue removed during the breast lift, the periprosthetic capsules and the broken breast implants; note the deformities of the implants' contour due to the capsular contracture ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 6
#6A meticulous surgery is required to extract en bloc as a single piece the tissue removed during the breast lift, the periprosthetic capsules and the broken breast implants; note the deformities of the implants' contour due to the capsular contracture ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 7
#7A meticulous surgery is required to extract en bloc as a single piece the tissue removed during the breast lift, the periprosthetic capsules and the broken breast implants; note the deformities of the implants' contour due to the capsular contracture ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 8
#8Both implants after the capsulectomy and explantation; there are several silicone gel leakage points at their shell, the shells are degraded, thinned down and show the presence of a silicone gel film due to the sweating through the shell; next ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 9
#9The patient's left implant after the capsulectomy and explantation; there are several silicone gel leakage points at its shell, the shell is degraded, thinned down and shows the presence of a silicone gel film due to the sweating through the ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 10
#10The patient's left implant after the capsulectomy and explantation; there are several silicone gel leakage points at its shell, the shell is degraded, thinned down and shows the presence of a silicone gel film due to the sweating through the shell.
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 11
#11Detail of the patient's left implant firm, thick and pathological periprosthetic capsule after the mandatory capsulectomy, attached to the breast tissue which is always removed during breast lift mastopexy; abnormal capsules are form stable ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 12
#12The patient's right implant after the capsulectomy and explantation; there are several silicone gel leakage points at its shell, the shell is degraded, thinned down and shows the presence of a silicone gel film due to the sweating through the ...Read more
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 13
#13The patient's right implant after the capsulectomy and explantation; there are several silicone gel leakage points at its shell, the shell is degraded, thinned down and shows the presence of a silicone gel film due to the sweating through the shell.
Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Breast tissue infection,Breast tissue necrosis,Broken breast implants,Lateral breasts,Mildly large breasts,Severely saggy droopy breasts,Too far apart wide cleavage breasts,Wide breasts,Capsulectomy - photo 14
#14Detail of the patient's right implant firm, thick and pathological periprosthetic capsule after the mandatory capsulectomy, attached to the breast tissue which is always removed during breast lift mastopexy; abnormal capsules are form stable ...Read more

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  TECHNICALITIES

  • AREAS

    Breast
    Breast
  • TREATMENTS

    Breast Implants
    Breast Lift
    Breast Revision
    Synonyms
    Augmentation Mammoplasty | Boob Job | Breast Augmentation | Breast Elevation | Breast Enhancement | Breast Enlargement | Breast Prostheses | Breast Uplift | Enhancement Mammoplasty | Enlargement Mammoplasty | Mammary Augmentation | Mammary Elevation | Mammary Enhancement | Mammary Enlargement | Mammary Implants | Mammary Lift | Mammary Prostheses | Mammary Uplift | Mastopexy | Remedial Mammoplasty | Repair Mammoplasty | Secondary Mammoplasty
  • DIAGNOSES APPLICABLE

    Breast implants capsular contracture
    Breast implants capsule calcification
    Breast implants displacement malposition
    Breast implants riding too high
    Breast tissue infection
    Breast tissue necrosis
    Broken breast implants
    Lateral breasts
    Mildly large breasts
    Severely saggy droopy breasts
    Too far apart wide cleavage breasts
    Wide breasts
    Synonyms
    Breast cutaneous necrosis | Breast fat necrosis | Breast gland abscess | Breast gland infection | Breast glandular necrosis | Breast implants encapsulation | Breast implants hardening | Breast implants sitting too high | Breast prostheses capsular contracture | Breast prostheses capsule calcification | Breast prostheses displacement malposition | Breast prostheses encapsulation | Breast prostheses hardening | Breast prostheses riding too high | Breast prostheses sitting too high | Breast skin necrosis | Broad breasts | Broad chest | Broad mammary base | Broken breast prostheses | Broken mammary implants | Broken mammary prostheses | Empty cleavage breasts | Empty mammary cleavage | Gapped cleavage breasts | Gapped mammary cleavage | Hollow cleavage breasts | Hollow mammary cleavage | Leaking breast implants | Leaking breast prostheses | Leaking mammary implants | Leaking mammary prostheses | Mammary cutaneous necrosis | Mammary fat necrosis | Mammary gland abscess | Mammary gland infection | Mammary glandular necrosis | Mammary implants capsule calcification | Mammary implants displacement malposition | Mammary implants encapsulation | Mammary implants hardening | Mammary implants riding too high | Mammary implants sitting too high | Mammary laterality | Mammary prostheses capsule calcification | Mammary prostheses displacement malposition | Mammary prostheses encapsulation | Mammary prostheses hardening | Mammary prostheses riding too high | Mammary prostheses sitting too high | Mammary skin necrosis | Mammary tissue infection | Mammary tissue necrosis | Mastitis | Mild gigantomastia | Mild macromastia | Mild mammary hypertrophy | Mildly big breasts | Mildly heavy breasts | Mildly hypertrophic breasts | Mildly overdeveloped breasts | Mildly oversized breasts | Ruptured breast implants | Ruptured breast prostheses | Ruptured mammary implants | Ruptured mammary prostheses | Severe breast ptosis | Severe mammary droopiness | Severe mammary ptosis | Severe mammary sagginess | Severely low breasts | Shifted breast implants migration | Shifted breast prostheses migration | Shifted mammary implants migration | Shifted mammary prostheses migration | Spaced cleavage breasts | Spaced mammary cleavage | Too far apart broad cleavage breasts | Too far apart broad mammary cleavage | Too far apart wide mammary cleavage | Too lateral broad cleavage breasts | Too lateral broad mammary cleavage | Too lateral wide cleavage breasts | Too lateral wide mammary cleavage | Wide chest | Wide mammary base
  • TECHNIQUES EMPLOYED

    Capsulectomy
    Synonyms
    Capsule removal

  DR. ALEJANDRO NOGUEIRA'S SIMILAR CASES PHOTO GALLERY *

See more accessing Dr. Alejandro Nogueira's entire Intraoperative & Technical gallery of cases.
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  • This information is indicative only and does not represent an obligation with patients or a prediction of forthcoming events, since is based on statistical means for large groups of patients, with the variability that implies, and the biased experience of medical professionals.
  • Medicine and Surgery are not exact sciences, therefore it is not possible to foretell the most likely evolution neither establish the most suitable management for each individual case until the moment the physicians can preoperatively evaluate the patient and receive feedback about the postoperative.
  • One surgical process can't be fully predictable or be rigidly scheduled on a previous protocol, so the management plan may be modified at any time based on the requirements that could be considered as necessary or most suitable.
  • Healing is an imprecise and always unpredictable process due to the uniqueness nature of each patient; even with your physician prioritising post-op patient care excellence and scar minimisation techniques and treatments your evolution and results may be likely different to the information contained on this website, therefore your physician cannot guarantee any specific scenario and outcome commitment regarding your procedures.
  • Remember that all surgery is likely to produce lasting swelling and a lifetime permanent scar, which is likely to partially evolve over approximately 12 to 18 months or longer because this is an issue of unpredictable kind; some patients may be prone to permanent swelling and bad scarring.
  • Information on our website is not a substitute for a personalised, individual consultation that includes a physical examination, history taking, a discussion of the potential risks including potential common complications, pros and cons of various procedural options, and the likely outcome expectations of your surgical procedure. Only an in-person consultation and examination can help your physician to provide you with information about what you, personally, as a unique individual, can expect.
  • Dr. Alejandro Nogueira's opinions, indications, procedures, techniques and methods of diagnosis, treatment and management change frequently as new information is available due to scientific knowledge and state-of-the-art medical practice progress; we aim to keep information updated, but it is possible that some information may have been superseded and is in process of being added to our website, therefore it may not represent Dr. Alejandro Nogueira's most current methods or protocols.
  • All images are genuine, trustworthy and real standard views of the "before" situation and the long term settled "after" actual results of Dr. Alejandro Nogueira’s work, as well as true intraoperative surgical views and authentic technical or clinical scenarios depicting real practice hands-on cases belonging to Dr. Alejandro Nogueira's skills and expertise.
  • No other professional but Dr. Alejandro Nogueira himself as leading and executing surgeon has carried out the techniques, procedures and surgeries shown in the galleries.
  • No images were staged, digitally edited or modified in any way, except for cropping, adjusting and resizing to fit gallery format, removing identifiable elements and blanking with anonymity purposes.
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  • Every patient has to be assessed individually in order to establish a customized prognosis of results and design an individual surgical plan, being somehow unpredictable the real final outcome of any procedure as well the surgical gestures applied during the intervention, since they will depend on multiple particular, frequently unpredictable and sometimes uncontrollable factors.
  • Even when you feel that you look very similar to another patient in their images, your results will likely vary significantly, because you are a unique person and every individual has not only a completely unique physique, but also uniquely individualistic body healing capacities, scarring tendencies and recovery processes, some of which are unpredictable even in very-healthy patients who rest adequately and do all the other right and prescribed things before and after their procedure.
  • Previous successful results of a physician do not guarantee future successful procedures and patient's satisfaction.
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  • Our prices are quotations valid for the majority of cases operated on; notwithstanding a few cases are non standard, atypical, requiring exceptional resources and, therefore, needing customized quote calculation; do seek the advice of our Medical and Sales Teams to find out whether your case lies within the standard protocol of management, which actually is the most likely scenario.
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  • Not included in standard quotations are, among others, non basic preoperative tests, pre and postoperative consultant referrals for assessment, additional garments, non hospital supplies (materials, drugs, etc.), postoperative tests and any kind of postoperative re-interventions, postoperative medical or surgical emergencies and costs exceeding the planned protocol of management like unplanned, unforeseeable and unavoidable extended surgical time rental of the operating room, extended hospital stay in standard ward or Intensive Care Unit (ICU) room and all the associated costs with any hospital-based assistance of complications, medicalized repatriation, hostelry accommodation, maintenance and travel costs; we do not take account of any costs not within the scheduled treatment pre and postoperative planned and agreed management.
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