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Dr. Alejandro Nogueira's Case #HRFBEMFU

Intraoperative & Technical photo gallery

Breast Implants | Breast Revision

This case shows a patient carrier of breast implants which were inserted many years ago in a very peculiar way; unforeseeably and unknowingly to patient it was found the right implant was silicone gel filled and the left one was soybean oil filled; both of the prostheses were ruptured and leaking, however the right one was somehow entire with only one point of silicone leakage, while the left one was totally corroded by the soybean oil acidity and an inflammatory reaction happened within the capsule, besides she was unhappy with the result and sought breast revision; a total bilateral capsulectomy, old implants explantation and meticulous cleansing of silicone, calcifications and fibrosis were carried out.

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Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 1
#1Preoperative look of this case's patient; note both breast implants hardened, raised and slightly deformed, especially the patient's left side one which was soybean oil filled.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 2
#2Exceptional image showing the extraordinarily atypical periprosthetic capsule around a soybean oil filled breast implant, which was very hard, firm and yellowish.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 3
#3Exceptional image showing the extraordinarily atypical periprosthetic capsule around a soybean oil filled breast implant, which was very hard, firm and yellowish.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 4
#4Exceptional image showing the extraordinarily atypical periprosthetic capsule around a soybean oil filled breast implant, which was very hard, firm and yellowish.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 5
#5Exceptional image showing the extraordinarily atypical periprosthetic capsule around a soybean oil filled breast implant, which was very hard, firm and yellowish.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 6
#6Exceptional image showing the extraordinarily atypical periprosthetic capsule around a soybean oil filled breast implant, which was very hard, firm and yellowish.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 7
#7Exceptional image showing the extraordinarily atypical periprosthetic capsule around a soybean oil filled breast implant, which was very hard, firm and yellowish.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 8
#8Exceptional image showing the extraordinarily atypical periprosthetic capsule around a soybean oil filled breast implant, which was very hard, firm and yellowish.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 9
#9Leakage of inflammatory puss like fluid contained within the periprosthetic capsule around a soybean oil filled breast implant after opening it in order to perform the capsulectomy and explantation.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 10
#10Leakage of inflammatory puss like fluid contained within the periprosthetic capsule around a soybean oil filled breast implant after opening it in order to perform the capsulectomy and explantation.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 11
#11Leakage of inflammatory puss like fluid contained within the periprosthetic capsule around a soybean oil filled breast implant after opening it in order to perform the capsulectomy and explantation.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 12
#12Leakage of inflammatory puss like fluid contained within the periprosthetic capsule around a soybean oil filled breast implant after opening it in order to perform the capsulectomy and explantation.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 13
#13Both implants after the capsulectomy and explantation; the patient's right one with one silicone gel leakage point next to the rear seal of factory closure, the patient's left one totally degraded by the soybean oil, atypically yellowish and ...Read more
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 14
#14 The patient's right implant with one silicone gel leakage point next to the rear seal of factory closure; next to it the firm, thick and pathological periprosthetic capsule after the mandatory capsulectomy; abnormal capsules are form stable ...Read more
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 15
#15Detail of patient's right implant; the circle spots the silicone gel leakage point next to the rear seal of factory closure.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 16
#16Detail of patient's right implant under manual pressure; the circle spots the silicone gel leakage point next to the rear seal of factory closure.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 17
#17Detail of the periprosthetic capsule around the right breast's broken implant after the mandatory capsulectomy; it is firm, thick and pathological, its removal is a must whatsoever is the technical choice for the breast revision procedure.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 18
#18The patient's left implant totally degraded by the soybean oil, atypically yellowish and empty of any filler; next to it the firm, thick and pathological periprosthetic capsule after the mandatory capsulectomy; abnormal capsules are form stable ...Read more
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 19
#19Detail of the patient's left implant; totally degraded by the soybean oil, atypically yellowish and empty of any filler.
Asymmetric breasts,Breast implants capsular contracture,Breast implants capsule calcification,Breast implants displacement malposition,Breast implants riding too high,Broken breast implants,Slightly saggy droopy breasts,Too far apart wide cleavage breast implants,Too narrow breast implants,Waterfall effect breast implants,Capsulectomy - photo 20
#20Detail of the periprosthetic capsule around the left breast's broken implant after the mandatory capsulectomy; it is firm, thick and pathological, its removal is a must whatsoever is the technical choice for the breast revision procedure; note ...Read more

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  TECHNICALITIES

  • AREAS

    Breast
    Breast
  • TREATMENTS

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

    Asymmetric breasts
    Breast implants capsular contracture
    Breast implants capsule calcification
    Breast implants displacement malposition
    Breast implants riding too high
    Broken breast implants
    Slightly saggy droopy breasts
    Too far apart wide cleavage breast implants
    Too narrow breast implants
    Waterfall effect breast implants
    Synonyms
    Breast implants encapsulation | Breast implants hardening | Breast implants sitting too high | Breast implants sliding droopiness | Breast implants sliding ptosis | 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 prostheses sliding droopiness | Breast prostheses sliding ptosis | Broken breast prostheses | Broken mammary implants | Broken mammary prostheses | Empty cleavage breast implants | Empty cleavage breast prostheses | Empty cleavage mammary implants | Empty cleavage mammary prostheses | Gapped cleavage breast implants | Gapped cleavage breast prostheses | Gapped cleavage mammary implants | Gapped cleavage mammary prostheses | Hollow cleavage breast implants | Hollow cleavage breast prostheses | Hollow cleavage mammary implants | Hollow cleavage mammary prostheses | Leaking breast implants | Leaking breast prostheses | Leaking mammary implants | Leaking mammary prostheses | Mammary asymmetry | 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 implants sliding droopiness | Mammary implants sliding ptosis | 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 prostheses sliding droopiness | Mammary prostheses sliding ptosis | Mammary unevenness | Ruptured breast implants | Ruptured breast prostheses | Ruptured mammary implants | Ruptured mammary prostheses | Shifted breast implants migration | Shifted breast prostheses migration | Shifted mammary implants migration | Shifted mammary prostheses migration | Slight breast ptosis | Slight mammary droopiness | Slight mammary ptosis | Slight mammary sagginess | Slightly low breasts | Spaced cleavage breast implants | Spaced cleavage breast prostheses | Spaced cleavage mammary implants | Spaced cleavage mammary prostheses | Too far apart broad cleavage breast implants | Too far apart broad cleavage breast prostheses | Too far apart broad cleavage mammary implants | Too far apart broad cleavage mammary prostheses | Too far apart wide cleavage breast prostheses | Too far apart wide cleavage mammary implants | Too far apart wide cleavage mammary prostheses | Too narrow breast prostheses | Too narrow mammary implants | Too narrow mammary prostheses | Uneven breasts | Waterfall effect breast prostheses | Waterfall effect mammary implants | Waterfall effect mammary prostheses
  • 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.
  • The images of results, treatments, techniques and clinical situations are mere guidance examples aiming to help the patients in their decision-making process, providing an average overview of Dr. Alejandro Nogueira's work; no one of them can be considered as an obligation of any particular results nor a commitment for the application of any specific techniques, therefore you should not base your results expectations on them.
  • 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.
  • The images may display content that is graphic in nature showing explicit surgery, clinical events and that may depict partial or total nudity; if you find such material offensive or you are sensitive to it you should not use this feature and should exercise caution before accessing other explicit features of the website.
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  • All the prices and quotations visible on our website belong to or are calculated out of the reduced price list and do already enjoy by default a -20% discount from the standard price list for our treatments as compensating remuneration for the release and transfer of the intellectual property, the rights of image, the medical records and the personal data of our patients for scientific dissemination, medical teaching, public communication, commercial promotion, advertising marketing, commercial exploitation and disclosure in general, unless they express the opposite at their surgery day booking by opting for the standard prices. External Link READ MORE ABOUT BENEFITS OF THE COLLABORATIVE MODEL
  • 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.
  • Standard quotations do cover the planned protocol of management, including preoperative consultation with the surgeon, preanesthesia examination, basic preoperative tests, surgeon, anesthetist and assistant fees, planned operating room, rental time, regular intraoperative surgical supplies (materials, drugs, etc.), agreed implants (breast, etc.), one recommended postoperative garment (brassiere, corset, etc.), 1 hour recovery unit stay, individual ward room, regular hospital supplies (materials, drugs, etc.) and postoperative office-based care.
  • 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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