This is a 37 year old woman, who is 5’8″ and 130 pounds who was interested in a breast revision. She told me that she didn’t like the feel of her breasts nor the shape. By history, she has submuscular saline implants that are textured and 325cc in volume.
On first visual inspection, her breasts looked fine but a bit separated or far apart on her chest wall. On physical examination, her implants were firm and non mobile, and you can easily feel her saline bag and associated implant rippling. She had a VERY significant “pigeon chest” type of condition. Her central ribs were quite high and prominent and I can feel the edge of her ribs adjacent to the medial part of her implants. It was impossible to move her implants towards the center of her chest because I couldn’t get them over this “hump”. I can easily feel her saline “bag” along the bottom of her breasts as her skin and tissue was so thin in this area.
Although her breasts don’t look “bad”, and certainly these photos don’t do justice to the success of this case, we decided on a plan as follows:
So here she is with 350cc smooth walled high profile silicone implants used in the same pocket, I closed off the pocket laterally on both sides to move the implants medially, I used ADM to keep her implants medially and up. Her breasts are quite soft and natural, the shape is improved for sure, and she is able to get her implants two finger breaths close from the center of her chest. I found at surgery that she had big time pigeon chest with a depression in her ribs from the saline implants sitting on them with a contracture. Her pectoral muscle had retracted up towards her clavicles and was providing very little coverage, and even less support, to her breast implants.
Take a look at her post-operative photos (they don’t do the result justice). Check out the “rig” that she found that works for her. She told me she couldn’t find a bra that fits in the store but she was at “BIG LOT” and found what works. She needed to keep her implants medially on her chest. You can see the picture of her in her full top with her breasts towards the center. You can see her wearing two bras—the first black one below the supportive outer bra. The black bra was for comfort the outer support bra was to hold her implants medially. It works. It’s her “rig”. She and her significant other worked quite hard to expand the pockets medially and I know they were successful because they moved towards the midline (over her rib “humps”).
Lessons to learn:
When it comes to improving your life, there’s no time like the present. The decisions you make today about your skin health, your body, and your beauty will impact you for the rest of your life. For more than three decades, Westlake Plastic Surgery has made the future brighter and more beautiful for patients just like you. Schedule your consultation today to begin your aesthetic journey at Westlake Plastic Surgery.Schedule An Online Consultation