Breast Augmentation Revision – Patient 105

A mother of 3 in her mid 40’w who was 21 years after saline breast augmentation when she developed a sudden deflation of her right breast implant. She did not have her records,so we had to make an educated guess and have a range of implants available in the operating room. Her left implant was weighed upon removal and was determined to be filled to 392cc. She did not have a history of capsular contracture (firmness of the breast due to tightening of the scar tissue around the implant, often felt to be from “biofilm”) so I felt comfortable with immediately replacing her implants. She elected for silicone gel implants, and was replaced with 375 cc cohesive round silicone gel high profile implants, which are similar in dimensions to her current implants. She is shown before and again, 8 months after surgery. She is especially pleased with the more natural feel of the implants, compared to her prior saline implants. I was able to use her original infra mammary incision. She had an abdominoplasty at the same time. Of course the breasts are “sisters and not twins” with her right nipple being higher than her left before and after surgery.