This patient presented with a fairly unusual presentation. Sixteen years prior she had saline 425 cc implants placed under the muscle. Six years laters, she changed to silicone 550cc but had a post op complication of bleeding and infection, requiring a removal of her right implant, as well a some tissue and muscle. A year later, she had reconstruction with Alloderm and new 375cc gel implants. She then came to me 9 years later, wanting to be back to her larger size, which she missed. In addition to feeling too small, she felt her breasts had an odd shape with too much at the top. At surgery, I found a gel rupture on the left side and after revising the capsules and using a sizer, I placed Allergan 410 anatomic 595cc-Style FF bilaterally, giving her a bigger size and better shape.
Breast Implant Revision / Replacement
SERVING SCOTTSDALE, PHOENIX, GILBERT, MESA, CHANDLER AND ARIZONA
People often wonder how much difference 100cc in a breast implant will make. The patients “before” picture was with 250cc Allergan style SRLP silicone gel implants. Two years later the patient decreased to Allergan style SRM 140cc implants. Both surgeries were done for the under arm with a very natural result.
This is the type of operation where money surgeons would do this in 2 to 3 stages. I did this in one surgery. This is one of the more challenging surgeries because she presented with 20-year-old saline implants above the muscle with no records. She always felt they were too big and too heavy. For our surgery, I removed her old implants from above the muscle, placed new Allergan style SCM silicone implants 310cc under the muscle and did a Brazilian lift on top of that. She now has good upper pole fullness which she was lacking before.
This patient presented with a breast lift and implants 15 years prior. She had 400cc silicone gel implants and now presented wanting her breast tissue tightened and her areola made smaller. During surgery I discovered she had a silent rupture of her right implant. I removed the rupture, changed her implants to 400cc silicone gel on the right and 375cc on the left, and resized her areola and redid her lift. She is shown now seven months postoperatively.
This patient came in for a little rebalancing of her breasts. She had saline implants placed originally in 2004 and wanted to go slightly larger. She did not have any of her old information so in these cases I take a whole roller bag full of implants, take the old ones out and measure them, and then place new ones accordingly. She had 425cc implants and I expanded her lower pole and placed Allergan style 68MP saline implants 510cc filled to 560cc on one side and 575cc on the other. I also closed her left capsule to give her a little more fullness in the upper pole. By rebalancing her it gave just a better upward tilt to her nipple and areola.