This patient had a previous breast augmentation and developed asymmetries and a contracture on both sides right worse than left.
She is seen here after a breast revision. I removed her existing 375cc submuscular implants and the implant capsules and replaced them with 480cc high profile implants and repaired her symmastia (kissing breasts in the midline) and used ADM or acellular dermal matrix to help build an “internal bra” that stabilized her pectoral muscle. She now has relatively symmetrical breasts without symmastia and they are soft. She has significant chest wall and rib asymmetries that I had to work with to make her breasts look even. I actually chose larger breast implants because they will work with her anatomy better and give her a more natural look.
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