This is a 40 year old female, 5’3″ and 115 pounds who had a previous breast augmentation many years ago above the muscle with saline implants and she developed a bilateral breast contracture. Her breasts were rock hard, did not move, and they were painful to her. It’s interesting that if you look at her pre surgery photos, they don’t look bad. The problem is that they are stuck on and rock hard and painful to touch.
We discussed options at length. She wanted larger implants and she wanted saline implants because they were less expensive than the silicone variety. At her surgery, I removed her contracted saline implants that were above the muscle. I removed the capsule around the implants at the same time. I put in 420cc saline implants beneath the muscle and used acellular dermal matrix to help support the muscle with the larger implants. She is seen here about 1.5 years after surgery. Her breasts are soft and certainly larger. You can see how she can move them to the midline. I can feel rippling around the perimeters of her implants as she has a very thin layer of skin on top of her implants. She is pleased. She wanted me to put in larger implants but I told her that I wouldn’t.
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