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Breast Augmentation Revision Patient 4

Age: 29 years
Height: 5’ 5”
Weight: 112 pounds
Preop: 32 D/DD
Postop: 32 D
Implant Size: 450 cc smooth round moderate plus profile saline
Incision/Location: Periareolar, submuscular
Notes: This patient underwent bilateral breast augmentation in 2005 elsewhere with a texture anatomic silicone implant. Her implants were placed under the muscle (submuscular) via an inframammary (crease) incision. She presented with severe distortion of both implants, rippling, and bottoming out. She sought revision to improve the overall shape. Revision of both breasts was performed with reopening the upper portion of the pocket (capsulotomy), raising the crease approximately 3.5 cm per side (capsulorraphy), and closing down the outer portion of the right and left pockets (capsulorraphy). Aceullar dermal matrix reinforcement (Alloderm) of the lower part of the breast was also performed to thicken the soft tissue covering of the implant and to stabilze the crease. This gave a much improved contour, raising the breast and producing a rounder portional shape. The patient elected to place a saline-filled implant. Patient shown 6 months after surgery.