Successful Revision Case-Bernadette,67 from Australia

After a disappointing surgery in Thailand, Bernadette nearly lost hope of ever feeling beautiful or confident enough to wear a bikini and fully enjoy the beach with her husband, Peter. Last year she had undergone surgery hoping to improve the sagging of her breasts and the laxity of her tummy caused by aging.

Her Problems

She explained that the last surgery left her with a smaller breast and increased sagging. Moreover, the breasts became very asymmetrical, which she finds completely unacceptable. Her abdominal area also sags and shows irregularities. This has made her feel deeply depressed and she has had almost no desire to leave her home for nearly a year.

The Consultation

BErnadette met with Dr. Rushapol Sdawat for an in-depth, two-hour consultation and discussion. Dr. Rushapol recommended revision procedures for both her breasts and abdomen. For the breasts, he plans to remove the old implants, address and release the capsular contracture, and replace them with round, slightly larger implants while performing a modest lift to create a perkier, more aesthetically pleasing shape. For the abdomen, because her lower abdominal muscles are already tight but irregularity remains in the upper abdomen, the doctor proposes an inverted tummy tuck to achieve a smooth, naturally flat result while minimizing visible scarring; the resulting scar will be concealed beneath the breast base.

Moreover, Dr. Rushapol also recommends a revised temporal lift combined with dermal grafting to the face and lips to enhance volume, soften deep wrinkles, and create a more harmonious, refreshed appearance, addressing the lines and puckered wrinkles under her eyes that resulted from the previous facelift.

The Shocking Finding

Dr. Rushapol spent 14 hours performing multiple procedures at Intrarat Hospital: breast revision, tummy tuck revision, and facelift revision. During surgery we discovered a surprising and important issue — her old implants on the left and right sides were different sizes. This clear discrepancy explained why her breasts had been markedly asymmetrical and in poor condition.

The Final Result : Face , Breast, and Abs

To make it clear and easy to understand. We will conclude the Before and After as her original problem and the result.

Her face: She had a previous deep plane facelift, but her features still lacked harmony — wrinkles remained around the mouth and in the temporal areas. Dr. Rushapol addressed and corrected all of these concerns, smoothing and lifting the affected zones. Now her face looks lifted, younger, and noticeably refreshed, with improved balance and natural-looking contours.

Her breast: Because her previous surgeon used implants of different sizes during her earlier breast surgery, her breasts appeared abnormal and obviously asymmetrical. Dr. Rushapol replaced them with larger, well-matched implants and performed a lift, creating perky, symmetrical breasts that achieve the shape and proportions she wanted.

Abdomen: Her prior surgery produced an irregular upper abdomen while leaving the lower part overly tight. Dr. Rushapol performed a reversed tummy tuck to create a flatter, more harmonious, and firmer abdomen both above and below the navel.

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