This patient is a 27 year old female who presented to my practice with complaints about her breast shape and drooping. The patient had undergone prior breast augmentation with saline implants by another surgeon and wished to have a revision of her breasts to give her a perkier, rounder, and more natural look.
I felt that this patient would need a complex breast revision including changing the implants from saline to larger silicone implants, internal pocket reshaping to reposition the implants in a higher and more centralized position, and external skin tightening with an anchor scar pattern to tighten and reshape the breasts.
In surgery, I removed the patient's old implants which were overfilled saline (approximately 460cc on the right and 430cc on the left). I tightened the lower and lateral aspects of the breast pockets with internal stitching, and created more internal space in the upper breast pockets. I replaced her old implants with Mentor smooth, round, high profile cohesive silicone gel implants. The final implant sizes were 550cc on the right and 500cc on the left. After the implants were in position, I retightened the breast and shifted the nipples into a higher position (without detaching them) using an anchor scar lift.
After surgery, the patient healed nicely, and she was very happy with the significant improvement in the shape, size and positioning of her breasts.