This is a 56 year old mother of two who is 5’8″ and 138 pounds who complained of a deflated right breast implant. She told me she had a lift on the right as well as an augmentation. On examination, she had a deflated right breast implant, ptosis of her breasts and extreme displacement of her breast implants under her arm when she laying down. Literally, her implants moved under her arms and she had a bare chest showing only. She seems totally disinterested in her breasts or her outcome from anything I could do. Does she want a lift? Does she want them larger or smaller? Silicone or saline? Do you want to remove the implants altogether? I felt that she really wasn’t engaging her breasts at all—there was no excitement.
She didn’t want a lift for whatever reason. She told me that the right breast started off a lot larger than the left breast so that her surgeon put in different breast implant sizes. They were saline, submuscular implants. The plan was to remove her implants, replace them with what I thought would be larger implants, and adjust the pocket to keep her breasts up front where they belong. At surgery, I removed a deflated right implant and an intact 325cc saline implant on the left side. I closed off the pocket around the implant along the lateral breast so the implants would no longer go under her arms, and I placed saline implants in the same pockets (375cc on the left and 350cc on the right), and I removed some breast tissue on the right side. She is seen here about 9 months out from her surgery. She is very happy with the breast revision procedure, and had totally engaged her breasts as something special.
Lessons to learn:
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