Skye is a 34 year old lady who after breastfeeding her child underwent bilateral breast augmentation in Russia in 2000 by injection of 190cc of an initially unidentified substance, later determined to be Polyacrylamide Hydrogel (PAAG). This substance is known to have been used in the former Soviet Union for many years in plastic and aesthetic surgery. In Skye’s case, she ended up with complications and having to have corrective breast surgery with Dr Patrick Tansley of NorthEast Plastic Surgery. This is her story about getting it right the second time around.

Skye says. “I needed help with fixing aftermath of previous plastic surgery, it was becoming a serious health issue. I also wanted to look feminine again and have natural looking breasts.”

Mr Tansley tells us about when he first met Skye. “At her initial consultation with NorthEast Plastic Surgery, Skye expressed the desire simply to have an improved, natural shape that was proportionate. Appropriate research, investigations, ultrasound and MRI imaging was undertaken, which identified the nature of the PAAG gel and the anatomical extent of her problem.Skye had developed progressive asymmetrical deformation of the breasts along with the gel becoming mobile within not only the breast soft tissues, but also extending around the chest wall and into the armpits and back. This caused not only a range of physical difficulties but also great personal distress affecting many areas of her life. Careful multidisciplinary consideration was given as to how best address the matter and multiple consultations were undertaken with the patient to ensure she was fully informed of the staged surgical approach required and technical challenges anticipated.”

Two Corrective Surgeries

Skye had two surgeries. She says, “The first surgery was to remove gel previously injected 15 years ago and then after full recovery I had breast augmentation surgery. The second surgery was a combination of reconstructive and plastic surgery.”

Dr Tansley gives us more detail about Skye’s surgeries. “First-stage surgery to remove the gel was undertaken in February 2016. Using preoperative ultrasonographic markings, removal using large-bore liposuction cannulae was attempted but found not possible due to gel thickness. Rather ‘toothpaste-like’ in nature, it was therefore manually evacuated by means of multiple strategically located small incisions. With careful postoperative management, she made an uneventful recovery and no residual collections were identified.

“Consideration of second stage surgery was made some months later once adequate time had been allowed for the tissues to settle and heal. In February 2017, conventional bilateral breast augmentation was then undertaken using Polytech 275cc round, polyurethane-foam-covered implants. This is the category of implant proven to have the lowest rates of capsular contracture, the commonest complication affecting patients with breast augmentations. The surgery was technically difficult as a consequence of severe tissue plane disruption caused previously by the PAAG gel. This disruption extended not only across the midline at the front, but also involved muscles of the chest wall and back. A variety of specialised reconstructive techniques were therefore required.”

Find a good surgeon you can trust

Skye tells us she wishes she had the corrective surgery earlier. She says she was in denial. “If you know that you have an issue with previously completed surgery, I would suggest to find a good surgeon you can trust right away and try to resolve it. If you wait, things will only get worse.”

One of the things Skye says made her feel better about her second lot of breast surgeries is that Dr Tansley explained it in detail to her prior to undergoing it. She knew what to expect and had no surprises. “Dr Tansley went above and beyond to help me with my issue which was quite complex and wasn’t a standard case. He is a very skilful reconstructive and cosmetic surgeon and his team did a great job supporting the process.”

Be prepared for recovery

Skye says her recovery went really well. “I personally was able to work from home after two days and return to work after a week. If you have little kids, I would suggest to prepare them that you won’t be able to lift them well in advance before the surgery. I started training my child to walk on the stairs independently and stopped carrying my child around a month prior to surgery. Be prepared for recovery and get help.”

Feeling normal again

Skye says she now feels great and is not scared to go on beach holidays or get changed in the gym. She feels normal again and this is a huge achievement for her. She also says she has no more physical pains. “No more fears and I’m feeling and looking great. I can do things I love doing such as running and I don’t need to hide anything or feel uncomfortable while I am doing them.”

Mr Tansley is equally as pleased for Skye. “The patient made an uneventful recovery and is delighted with the life-changing aesthetic results. Her case represents a good example of how excellent aesthetic outcomes can be achieved even with complex aesthetic problems when managed by careful consideration, appropriate investigation and specialist reconstructive techniques in the hands of surgical experts.”

Mr Patrick Tansley is highly experienced in all aspects of complicated breast corrective surgeries. You can read more about him at or check out the blogs below.

Susan’s Breast Explant with Dr Patrick Tansley
Breast Implants Q & A with Dr Patrick Tansley

You can also phone Mr Tansley and NorthEast Plastic Surgery at one of their 2 locations: Melbourne, VIC 03 9088 5000 or Brisbane QLD 07 3180 3400 to arrange a consultation.


Trish is a plastic surgery blogger. She is passionate about wellbeing, health and beauty, and doesn't mind a little bit of 'help' from the amazing cosmetic and beauty procedures that are available today. Trish spends her days talking to women and men who are looking for suggestions and advice on procedures that are available to them. Cutting through the sales pitch and hype, a down-to-earth response on general information is what you will get.

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