Neil J. Zemmel, MD, FACS * †
Kasandra R. Dassoulas, MD
Megan J. Goff, PA-C
Rachel M. Duke, NP, CANS
Caitlin M. Roop, LME
Short Pump Office
11934 W Broad Street, Suite 200
Richmond, VA 23233

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Patient Notes

Age: 34 years

Height: 5’ 3”

Weight: 120 pounds
Preop: 36 A
Postop: 34 C

Implant Size: moderate plus silicone implants 300cc
Incision/Location: Periareolar, dual plane II

Notes: Patient shown 4 months after surgery.

This patient underwent breast augmentation in 2005 with saline implants placed via a Periareolar incision in the submuscular position. She experienced bottoming out of the left implant which was revised with a partial correction. She also complained of severe animation deformity of both breasts, with the left worse than the right. Finally a second surgeon removed both implants in 2010 and attempted a muscle repair to lessen the animation deformity. This left her with severe scar tissue an did not successfully treat the animation. She had a child 2 years later which left her with volume loss of each breast. She presented to Dr. Zemmel for correction of the volume loss, improved shape and symmetry, and treatment of the animation deformity.

Revision breast augmentation was performed via the previous Periareolar incision. The pockets were reopened and the pectoralis major muscles were released from the overlying breast tissue creating a dual plane type II pocket. The lower edge of the left pectoralis major muscle was wrapped in Alloderm to prevent reformation of scar tissue between the skin, breast, and muscle. This prevented recurrence of the animation deformity on the more effected left side. Smooth round moderate plus profile silicone implants were then placed.
The patient is shown 4 months after surgery and is very pleased with her new results.

we are good

*Individual Results May Vary