This patient is a 64 year old female who presented to my practice with interest in revision breast surgery. This patient had multiple previous breast augmentation surgery and continued to develop capsular contracture (tightening of the scar tissue) with tethering of the areolar scars. The patient was unhappy with her firm, unnatural breast appearance and wished to have revision surgery.
For this patient, I absolutely recommended using Strattice (an acellular dermal matrix) to reduce the risk of a recurrent capsular contracture, and to provide padding under the areolas in order to smooth out their appearance and minimize scar tethering. (Please see the link on my website for more information on Strattice). Finally, I recommended a circumareolar mastopexy to tighten the breast tissue and improve the areola positions.
During surgery I performed a complete capsulectomy (scar capsule removal) and power irrigation of the breast pockets with an antibiotic wash. I also released most of the scar tissue behind the areolas. I placed Mentor 400cc high profile cohesive silicone gel implants and placed Strattice to minimize the risk of recurrent capsular contracture. I also lain in Strattice under the areolas to minimize internal scar tissue formation, and performed a circumareolar mastopexy (around the areola tightening) to improve the areolar shape and symmetry.
The patient recovered very well after surgery and was extremely happy with her much softer, more natural and aesthetically pleasing breasts. She expressed that her breasts had not looked or felt so great for many years.