1. PATIENT INFORMATION & PROCEDURES

CategoryDetails
PatientMs. A.S.K
Age41
LocationSurabaya, Indonesia
OccupationSmall Business Owner
Primary ProceduresSilicone Removal, Symmastia Repair & Breast Lift
Treatment GoalsRemove silicone deposits, restore breast separation, and correct breast sagging

2. INITIAL CONDITION: SEVERE BREAST DEFORMITY CAUSED BY LIQUID SILICONE INJECTIONS

Ms. A.S.K, a 41-year-old patient from Surabaya, Indonesia, had been living with serious complications following liquid silicone injections performed 15 years earlier.

Over time, the injected silicone caused significant changes to her breast tissue and appearance, resulting in physical discomfort and emotional distress.

Her primary concerns included:

  • Severe Symmastia (Loss of Breast Separation): Hardened silicone deposits had spread across the midline of her chest, causing the natural cleavage between her breasts to disappear. This resulted in an abnormal, continuous appearance across the center of her chest.
  • Silicone Granulomas and Tissue Damage: The injected silicone had formed hardened lumps known as granulomas, accompanied by inflammatory changes and deterioration of the surrounding breast tissue.
  • Severe Breast Ptosis (Sagging): The weight of the hardened deposits and changes in breast tissue contributed to significant sagging, affecting the overall shape and position of her breasts.

After struggling with these complications for 15 years, Ms. A.S.K sought specialized reconstructive surgery to address the silicone-related damage and restore a more natural breast contour.

3. DR. DAVID CONG’S COMPREHENSIVE BREAST RECONSTRUCTION APPROACH

This complex reconstructive case required careful surgical planning, precision, and an understanding of the affected breast anatomy.

Dr. David Cong developed a comprehensive treatment strategy combining silicone removal, symmastia correction, and breast reshaping.

  • Silicone and Granuloma Removal: The procedure involved carefully dissecting and removing hardened silicone deposits and affected inflammatory scar tissue where surgically feasible. Special attention was given to preserving healthy surrounding structures while addressing the damaged areas.
  • Symmastia Repair and Breast Separation Reconstruction: One of the most technically challenging aspects of the surgery involved reconstructing the natural separation between the breasts. Through specialized tissue manipulation and reconstruction, Dr. David Cong worked to re-establish the anatomical boundary along the center of the chest and restore a more defined intermammary cleavage.
  • Breast Lift (Mastopexy): Following the removal of damaged tissue, a breast lift was performed to reposition the nipple-areola complexes and reshape the remaining breast tissue. This helped correct severe sagging and improve the overall breast contours.

By combining these procedures, Dr. David Cong aimed to address both the structural complications caused by liquid silicone injections and the patient’s aesthetic concerns.

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4. EARLY SURGICAL RESULTS AND PATIENT EXPERIENCE

The initial postoperative results demonstrated significant improvements in Ms. A.S.K’s breast shape and separation.

Key improvements included:

  • Removal of Silicone-Affected Tissue: Hardened silicone deposits and associated damaged tissue were surgically removed, helping address the complications caused by the previous injections.
  • Restored Breast Separation: The natural division between the two breasts was reconstructed, creating a more defined cleavage and improving the appearance of the central chest.
  • Improved Breast Shape and Position: The breast lift helped elevate and reshape the breasts, providing a more balanced and lifted appearance.

These early results represented an important step in Ms. A.S.K’s reconstructive journey. Final breast contours and healing outcomes would need to be evaluated as postoperative swelling subsided and the tissues recovered.

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Patient Testimonial – Ms. A.S.K

“I lived with this pain and insecurity for 15 years, believing that nothing could be done to fix it. The silicone removal process was challenging, but the moment I saw my breasts separated and lifted again, I burst into tears. Dr. Cong didn’t just help restore my body; he gave me back my confidence. This surgery truly changed my life!”


Are you experiencing complications from previous silicone injections or struggling with breast deformities that affect your confidence and quality of life?

Dr. David Cong provides individualized surgical assessments for complex breast reconstruction cases, including silicone-related complications, symmastia repair, and corrective breast surgery.

Contact Dr. David Cong’s team to discuss your condition, explore available treatment options, and receive a personalized surgical evaluation.

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