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Breast Revision Implant Exchange with Lift

Before & After Gallery | Patient 2

Patient 02 - Bilateral Capsular Contracture


Patient Details

Case 2 – Bilateral Breast Revision with Exchange of Implants to Silicone Implants and Super Breast Lift

Reason for consulting with OC Breast Surgery specialist
This 59 year-old patient from Los Angeles, Califonnia needed a breast specialist to correct capsular contracture in both her breasts. She presented with a Grade 4 capsular contracture on her right breast and a Grade 3 capsular contracture on her left breast. Her previous surgery was in 2004 by another surgeon not associated with OC Breast Surgery.

Capsular contracture can cause pain, discomfort, and distortion of the breast. Patients typically present with hard breasts that do not move well. A scar capsule is created by the body around every type of implant – saline and silicone. Ideally, the scar capsule is thin like Saran Wrap. All scars contract, but when the scar capsule that forms around the entire breast implant contracts more than desired, then it tries to shrink smaller than the implant this makes it feel hard, sometimes very hard to the touch.

Aside from capsular contracture, this was also concerned with the rippling in her breast caused by her saline implant. She expressed a desire to have smaller breasts – “but not too small” – that looked very natural with some fullness on top. She also wanted to reduce the size of her areola.

Surgical Plan – Bilateral Breast Revision with Exchange of Implants to Silicone Implants and Super Breast Lift

Pre-Op Sizing
Since this patient wanted to decrease her implant size, no pre-op sizing was necessary. She provided photos of her desired breasts along with pictures of breasts that were too small and too large.

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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 Exchange of Implants and Super Breast Lift is done under General Anesthesia in our outpatient surgery center. Surgery time is 4 hrs and 30 min.

Skin marks were placed on the patient in the sitting position prior to surgery. After removing her 700cc implants, extensive modifications were made to the capsule to enlarge the space to prevent further risk of capsular contracture. Internal sizers were placed through sterile Keller Funnels and the patient sat upright to see how the breasts fell naturally and if the size matched her desires. The surgeon placed two 405cc Natrelle Inspira silicone smooth, moderate profile implants under the muscle then performed a Super Breast Lift and reduced the size of her areola. The patient was placed in a surgical bra for support and her incisions covered with skin tape to help minimize scars.

On her first post-op appointment the following day, the patient was instructed to move her implants every couple of hours following the Breast Implant Moving Guide exercise video. Her photos were taken 4 months post-op. Scars continue to improve up to one year after surgery. The patient is very happy with her new smaller breasts and happy to no longer have hard breasts and rippling skin from her previous saline implants.