This is a 26 year old patient who is 5’6″ and 150 pounds who had a previous breast augmentation done elsewhere with saline implants. The right implant deflated about six weeks before surgery and the left implant was contracted. She liked the softness of the right breast and the more natural look than the contracted left.
She is seen here after removal of her saline implants in the partially submuscular position. I used her old incision that was around her areola. I completely removed both implant capsules. Her right implant was deflated and it was a 300cc labeled implant. The intact left implant was removed and it was labeled 300cc but was filled to 375cc of saline (this is actually more than is recommended by the implant manufacturer for this size implant).
I placed new moderate profile 375cc smooth silicone implants in the same pocket. Her pectoralis muscle was retracted towards her clavicle so in actuality, on the top third of her implant was covered by muscle. She enjoys a very nice result with soft, symmetrical breasts.
Lessons to learn:
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