Jacob Haiavy, MD
Inland Cosmetic Surgery, Rancho Cucamonga, CA

Dr. Jacob Haiavy is the medical director of Inland Cosmetic Surgery and has practiced cosmetic surgery, exclusively, in the fully accredited surgery center in Rancho Cucamonga since 2001. Dr. Jacob Haiavy has served as faculty for cosmetic breast, body, and facial rejuvenation courses and has written several journal articles on cosmetic surgery for leading publications. He is also a volunteer assistant clinical professor at Loma Linda University. Dr. Haiavy is also a fellowship director of an AACS approved full body & facial cosmetic surgery fellowship in Rancho Cucamonga, CA. Dr. Haiavy is a past president of the American Board of Cosmetic Surgery and also past president of the California Academy of Cosmetic Surgery He has also served on the board of trustees for the AACS and Cosmetic Surgery Foundation which promote education and safety in the field of cosmetic surgery.


Since millions of women have breast implants and it remains one of the most popular cosmetic procedures performed to date the incidence of breast revision surgery is on the rise as well. Patients that present for breast revision surgery may have inadequate tissue support. They may also present with other challenges such as rippling, synmastia, double bubble deformity and bottoming out. We will review a few cases of patients presenting with these challenges and review the most commonly used membranes for support of the breast. In addition, we will review advantages and disadvantages of each membrane used.

Take Home Message

Patients presenting for breast revision may present with challenges that may require additional tissue support in the form of a membrane and the surgeon has to weigh the different options to help the patients make the best choice.