This patient is a 40 year old high power professional woman who works in IT. She has no children. She had previously undergone two breast implant surgeries. The first was 11 years ago when she had transaxillary breast augmentation with saline implants placed under the muscle. Eight years after that she had a revision to correct capsular contracture. At that time the surgeon removed the capsules and replaced the smooth saline implants with Mentor round smooth silicone gel implants, 275cc. The implants were placed in a subglandular pocket via a peri-areolar incision and a peri-areolar mastopexy was performed. When the patient presented to my office we discussed her goals which were to: improve the shape of the breast, reduce the sagging of the breast which was water-falling off the edge of the implants and improve the appearance of the scars. She understood that in order to achieve the best lift and reduce the waterfall effect, she would need a lollipop scar. I revised her mastopexy/augmentation by removing the old implants, repairing the pocket on the left side, converting to a subfascial pocket and using Sientra shaped round base high profile implants, 235cc and doing a major revision of the breast lift, which included scar revision. The patient is three years post-op. She is wearing a C cup bra. Her body has maintained the lift and the shape and scars are improved. Doctor’s notes: Revision breast augmentation surgery can be very challenging. The patient has been through a lot already, both emotionally and physically. By using a textured implant, the longevity of the breast lift should be improved. Smooth implants can lead to further stretching and sagging compared to textured. By planning the right operation and selecting the best implants for her situation, the chances of her needing another revision are greatly reduced.
All photos are of actual patients and are shown with permission.