Age: 58 years Height: 5’ 7” Weight: 165 pounds Preop: 36 D Postop: 36 D Implant Size: Allergan Inspira Style SRM 360 cc Incision/Location: Inframammary Notes: This patient underwent breast augmentation in 2000 at a major medical center in Maryland with saline implants placed in the subglandular position. She has developed hardening of the breasts (grade 4 capsular contracture), distortion of breast shape and pain over a number of years. She presents for revision to improve shape and relieve the tightness and discomfort.
Revision breast augmentation was performed via an extended inframammary incision. Total removal of the capsule and removal of her old implants was performed. 275 cc saline filled smooth round McGhan implants were removed. The previous subglandular pocket was closed with sutures, and the pectoralis muscle was raised creating a new pocket (pocket reassignment). A 360 cc Allergan SRM silicone implant was placed bilaterally. The patient is shown 4 months after surgery. Her contour, shape, and symmetry are significantly improved. Her breast are now soft and she is pain free and very pleased with her results.