This patient is a 41-year-old female who had previously undergone a breast augmentation surgery with saline implant via areolar incisions by another surgeon. The patient had an unnatural breast appearance with the right breast having a superior malposition and the left having a mild amount of glandular ptosis. The patient also had size asymmetry and I felt she would benefit from implant exchange from saline to silicone with upsizing to larger implants that better fit her base width. I also recommended circumareolar mastopexies and a Neo-subpectoral pocket in order to improve the position of the implant relative to the overlying skin.
With regards to her abdomen and lower extremities I felt a full abdominoplasty with fascial plication and power-assisted liposuction of the lateral chest, flanks, medial and lateral thighs would give her the best overall results.
During surgery, I placed Sientra textured, round, moderate profile cohesive silicone gel implants. On the left side I used 385 cc and on the right side I used 435 cc due to a preoperative asymmetry. I also performed a full abdominoplasty with fascia plication and liposuction of the flanks. After surgery, the patient recovered smoothly and was very happy with her new appearance.