Age: 57 years Height: 5’ 4” Weight: 12 pounds Preop: 36 D Postop: 36 full C Implant Size: Allergan Style 15 339cc Incision/Location: Full lift, submuscular Notes: This patient underwent previous breast augmentation 2007 elsewhere via an inframammary incision using 425 cc saline implants elsewhere. She underwent a subsequent revision in 2008. She now presents for improvement symmetry and shape wishes to downsize her implants. She feels her breasts are low on her chest, and are heavy. She is also desiring cosmetic improvement of the abdomen and flanks and is requesting liposuction of these areas.
Revision breast augmentation was performed through a full lift incision. The previous implants were removed and the pockets were reopened in the upper pole and medial poles to improved upper pole and medial pole contour. Her implant also would fall towards the sides when laying down. Lateral and inferior capsulorraphy were performed to stich the pocket closed on the sides and from the bottom. This moved the implants up and towards the center. Allergan Style 15 339cc silicone implants were placed and full lift was performed. Finally, liposuction of the abdomen and flanks was performed. Autologous tissue fat transfer (fat grafting) was performed to improve the upper and medial pole contours. She is shown 4 months after surgery and is very pleased with her new shape.