Age: 48 years Height: 5’ 4” Weight: 110 pounds
Preop: 34 B
Postop: 34 C Implant Size: 335 cc right 325 left smooth round moderate plus profile saline Incision/Location: Periareolar, submuscular pocket reassignment Notes: This patient underwent bilateral breast augmentation with saline implants in 1997 elsewhere and presented with rupture of both implants. Her original surgery was performed via an incision in the crease of the breast (inframammary), and on top of the muscle (subglandular). Bilateral breast implant exchange was performed. Submuscular placement (pocket reassignment) was performed to reduce the risk of capsular contracture and to provide a more stable soft tissue cover for both implants. The previous pocket was closed with sutures. The patient elected to have a saline implant placed. She now has significantly improved volume and shape, and a natural contour. She is shown 6 months after surgery.