Age: 42 years Height: 5’ 4” Weight: 125 pounds Preop: 36 C Postop: 36 C Implant Size: Allergan Inspira Style SRM 520 cc Incision/Location: Periareolar Notes:This patient underwent breast augmentation in 2001 with 400c saline implants placed via transaxillary approach elsewhere. She was then revised in 2004 by a second surgeon elsewhere. She now presents with complaints of breast asymmetry, breast sagging, and contour irregularities.
Revision breast augmentation was performed via a periareolar incision. The upper and inner portions of the pocket were opened to improve upper pole and medial pole fullness. This improved cleavage significantly. A larger silicone implant was placed in a dual plane II position. Liposuction of the abdomen and flanks and autologous tissue fat transfer were performed. Fat grafting was performed along the medial and upper poles of the breasts to improve contour and fullness in the upper and medial pole. She is very pleased with her results and is shown 4 months after surgery.