Age: 44 years Height: 5’ 4” Weight: 160 pounds Preop: 36 C/D Postop: 36 C/D Implant Size: 500 cc moderate plus silicone implants Incision/Location: periareolar, submuscular Notes: This patient underwent saline breast augmentation in 1998 elsewhere via an inframammary submuscular approach. In 2008 she then underwent reaugmentation with larger silicone implants. In 2014 she began to experience tightness of the right breast with distortion of shape. She presented to Dr. Zemmel and Richmond Aesthetic Surgery surgery for revision, implant replacement and improvement in shape and texture.
In surgery the right implant was found ruptured. The implant, implant material and capsule were completely removed. The upper and medial portions of the pocket were reopened. Anterior capsulectomy was also performed to improved roundness and projection. The left implant was found to be intact. This implant was removed and the upper and medial portions of the pocket were opened as on the right side to improve contour.
Both implants were replaced with 500cc smooth round moderate profile implants. Her contour, text, and volume are significantly improved. She is shown 4 months after surgery and is very pleased with her results.