Age: 65 years Height: 5’ 5” Weight: 135 pounds Preop: 36 A Postop: 34 C Implant Size: Allergan Style SRM Silicone R 397cc L 371 cc Incision/Location: Inframammary Notes: This patient underwent bilateral transaxillary submuscular breast augmentation with dual lumen saline-silicone implants in 1984. She had an uneventful postoperative course and over the last few years experienced hardening of the breasts and shape change. Of note, the right breast implant migrated upward and outward from its original position. She presented to Dr. Zemmel desiring improved shape and symmetry and to relieve the hardening of both breasts.
Bilateral revision breast augmentation was performed through the patient’s previous inframammary incision. Ruptured dual lumen saline silicone implants were found. The entire implant, implant gel, and the breast implant capsule was removed. The breast pockets were then reshaped to improve symmetry. Finally she received new Allergan Style SRM Silicone implants. She is shown 4 months postoperatively. She has significantly improved symmetry, and the breasts are soft and mobile. She is very pleased with her results.