Breast Enlargement Revision Patient 1

Dr. Aronowitz's Analysis: This 23 year old women had a breast augmentation with a retropectoral 350 cc saline prosthesis 5 years ago. She complained of the poor shape of the breasts with lateral placement of the implants and a nipple which was placed too high on the chest.
The original implant was placed too low on the chest when the surgeon lifted the inframammary crease to accommodate a relatively large implant in a small woman. The pressure of the pectoralis muscle over time caused the implant to stretch the skin of the lateral lower portion of the breast resulting in the bottomed out appearance.

Correction: The saline prosthesis was removed and the pectoralis muscle was replaced in its anatomically correct position against the chest wall. The abnormal pocket was closed laterally and the inframammary crease was reattached to the chest wall in its correct anatomic position. With the proper anatomy of the breast restored, a new pocket was dissected behind the breast, but on top of the pectoralis muscle. A variety of sizers were placed and a 250 cc smooth moderate profile silicone gel implant was selected and placed on each side.