Breast Augmentation Revision – Patient 259

A nurse in her early 70’s with Meme polyurethane covered implants from the early 80’s which have now ruptured. She had done well until her recent mammogram and had noted some pain since it was done. The mammogram suggested possible herniation of the implant shell or sub capsular rupture of sub glandular implants.

An MRI was obtained and confirmed bilateral implant rupture. She had a bilateral capsular contracture, with a firm, hard feel to each breast. The capsular contracture does help to hold the breasts up however and when is is corrected the breasts will drop, so a mastopexy (breast lift) is frequently needed at the time of implant replacement. Her original implant report and operative note was obtained, showing a “160 gm” implant. She was sized in the office by adding a sizing shell to the outside of her breasts and elected for a 300 cc smooth round moderate plus profile silicone gel implant. We performed a total capsulectomy with the removal of the entire capsule and implant, and a change of location for the new implant to under the muscle along with a mastopexy. She is shown just before surgery and again, 6 months after. Her breasts have remained soft.