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Breast Implant Exchange

Before & After Gallery | Patient 3

Patient 03 - Breasts After Menopause


Patient Details

Case 3 – Bilateral Breast Revision with Exchange of Implants and Bilateral Crescent Lift

Reason for consulting with OC Breast Surgery specialist
This 57-year-old patient had three previous breast surgeries before consulting with an OC Breast Surgery specialist. After menopause, she noticed her breasts had changed. They had gotten bigger. She was wanting smaller, perkier breasts that would age well. Her current bra size was 38DD. She wanted to never have to buy a D bra size again! In the exam, the surgeon noted that her breasts moved well and there was no capsular contracture. She told the surgeon she wanted to be as small as possible but did not want to consider a breast lift even though the distance from her sternal notch to her nipple area measured 25cm on the right and left breast making her a candidate for a full lift. The surgeon suggested a crescent lift to raise the nipple areolar (N-A) complex about 1cm to 1.5cm. Crescent lift can be a good option for some patients, but it does not lift the underlying tissues of the breast. It only makes the breasts appear to be lifted by raising the nipple up a little.

Surgical Plan – Bilateral Breast Revision with Exchange of Implants and Bilateral Crescent Lift

Pre-Op Sizing
Since the patient wanted smaller implants, she did not need to do any pre-operative sizing. Instead, she provided photos of her ideal breasts, breasts that were too big and those that were too small. Her goal was to be as small as possible without needing a full lift.

Pre-Op Labs
Blood Test
All breast surgery patients are required to have a Mammogram or Ultrasound within 1 year of the surgery date. All patients must have a CBC and Basic Metabolic blood test to be cleared for surgery. Patients over the age of 50 must have had an EKG within 1 year of the surgery date.

Day of Surgery
Bilateral Breast Revision with Crescent Lift is done under General Anesthesia. Surgery time is 3 hours and 15 minutes. Prior to surgery, skin marks were placed with the patient in the sitting position. Before removing her implants, the surgeon liposuctioned 200cc of fat from the right breast and chest wall and 250cc of fat from the left side in order to debulk and give the breasts a better shape. He then removed Mentor smooth gel implants (right 550cc, left 600cc), then tightened and remodeled the capsule to accommodate the smaller implants. Various internal sizers were tried and the patient raised to the sitting position before the surgeon elected to use 295cc Natrelle Inspira silicone cohesive, smooth, moderate profile implants. Bilateral crescent lifts raised the nipples with the right side being raised slightly more than the left to create symmetry. The patient was placed in a post-surgical bra and surgical tape placed on the sutures to minimize scarring.

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Post Op
The next day at her first post-op appointment, the patient was instructed to follow the Breast Implant Moving Exercises several times a day for the first two weeks. Post-op photos were taken six weeks after surgery. Scars continue to improve for one year after surgery. At her six-month post-op the patient reported being very happy with her new smaller breasts and thankfully not having to buy any more D bras!