Breast augmentation and reconstruction are some of the most common plastic surgery procedures performed in the US every year. However, since these operations include the placement of a saline or silicone implant in living, human tissue, there are degrees of unanticipated changes that can occur with an individual’s skin type. Pregnancy and weight loss and gain tend to affect the skin in a way making it less strong and more subject to the forces placed on it. Thus, implants can descend or move toward the side more than intended or ideal.
Thus, revision breast surgery cases often requires the correction of this phenomenon often termed “malposition.” Normally, a surgeon will re-enter the breast “pocket,” or space where the implant was placed and tighten internally the capsule creating an “internal bra.” This allows the surgeon to re-position the implant in a higher or more medial or lateral position depending upon the problem. However, the surgeon is dependent upon the tissue strength of each individual patient. This, again, can be variable.
Allergan, the makers of Natrelle breast implants, Botox and Juvederm, have recently released a new product called SERI which is a knitted, silk based, resorbable scaffold that is designed to be used to help reinforce these “internal bra” type surgeries. Formally known as a capsulorrhaphy, these procedures are usually successful, but the use of SERI seems to help reinforce the repair and preventing a secondary relaxation of the tissues.
Patients who have been pregnant and breast fed or lost considerable weight often present to their plastic surgeon with skin that is empty and somewhat relaxed. Frequently, this skin will stretch too much and leave the implant lower on the breast. Using SERI to help internally support the implant can help to prevent this from ever happening. The SERI and muscle can help to hold the implant in place, leaving little to no pressure on the skin. This allows the skin to be passive and free of the weight or downward force of the saline or silicone breast implant.
Dr. Marin has been chosen by Allergan to participate in the early clinical trials of the product to begin treating San Diego patients or patients from out of state who suffer from malposition and are in need of revisionary breast surgery.
To find out if you are a candidate for revision breast augmentation surgery and the placement of the SERI surgical scaffold, contact our San Diego office today for a complimentary in-office consultation.10:44 PM