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COVID-19 Reopening Updates View Update Virtual Consultation

breast implants agingMany women come to my office after having breast implants in place for many years and feel that their breasts “just don’t look the same.” This is a prevalent complaint for women who have breast implants for over ten years been pregnant and breastfeed after their original operation.

The regular breast implant is being contained within a breast “capsule” made of collagen.  This has tiny elastic properties and usually will stay in place over time.  However, the breast itself tends to age “off of the implant” since the normal skin has more elastic tendencies, which tend to relax over time. Most notably, after breastfeeding and pregnancy.  Thus, there is a loss of harmony between the implant and the breast itself.

The treatment usually involves several things to restore the balance between the breast and implant.  Firstly, a breast lift is needed to reposition the breast tissue back into a more youthful position.  The extent of lift primarily depends upon the amount of sag to the breast.  The more the nipple points downward, the more extensive the lift.  This needs to be determined only through an in-person consultation.

Lollipop Breast Lift

The breast implant is usually older (except in pregnancy cases) and may need to be addressed as well. The implant is best accessed at the time of the breast lift, but not necessary.  If the implants are more than ten years old, I frequently recommend exchanging them for new implants.  For lack of a more elegant example, it is always better to change a tire before it goes flat than wait for it to happen, as it usually occurs at the most inconvenient time.  The lift procedure provides ideal exposure to the implant, facilitating a simple exchange procedure.

Another benefit to this is that it allows you to change the implant volume if you desire. Since this procedure usually occurs years after the initial surgery, many women feel that they may want a different implant volume to suit the various times in their lives. Also, having experience for years with the previous implant allows one to make a much more informed decision.

Occasionally, the breast capsule may need to be adjusted to give a more natural appearance to the breasts allowing the implant to sit more naturally on the chest.  This again is easily accomplished through virtually any lift incision.

Since this process is so varied from patient to patient, it is impossible to know your exact needs without an in-office consultation, but rest assured that there are solutions to your problem.

Our ultimate goal is a natural, balanced breast together with the implant that simultaneously achieves your aesthetic goals.  If you are interested in knowing more about your breast implant revision options, call our San Diego office at 858-638-9800. If you are out of town, you can click here to submit your information and photographs for a “virtual consultation.”Save

*The content in this blog is developed to spread the awareness towards plastic surgery. Our blog is not intended to serve as a replacement for an actual in-office consultation with Dr. Marin. As such, the information within this blog reflects the unique cases of our individual patients.

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In light of the state wide restrictions on non-essential businesses to help reduce the spread of COVID-19, we are rescheduling all of our elective appointments until the global circumstances improve. Our necessary post-operative appointments will be made, as needed, to address immediate surgical concerns such as suture removal and acute postoperative issues. All non-acute follow up appointments, fillers and Botox will need to be postponed until after the quarantine period mid April. Our office will reach out to all patients who need to be rescheduled.

We will be offering new patient virtual consultations online and via Skype that can be scheduled through our website or by emailing Also, we will offer follow-up appointments in the same manner to help manage our patients’ concerns while still respecting the need for social distancing.

We appreciate all of your understanding during these difficult times for all of us.

Stay safe,

Dr. Main and the Marin Aesthetics Team