Breast implant revision # 6

This patient is a good example of what of how breast augmentation can go very wrong and lead to multiple surgeries.  She originally had a submammary breast augmentation with saline implants in 2001 performed by prominent surgeon at a Charlotte-based plastic and dermatology conglomerate.   This was complicated initially by implant malposition inferiorly or what some people call “bottoming out.”   Attempted capsule repair was made leading to subsequent capsular contracture.  She then underwent capsulectomy and conversion to a submuscular space again with the saline implants.  She then bottomed out twice more with two attempted repairs.  Finally, she developed a nasty grade IV capsular contracture with pain and implant distortion, and came to me for another attempt at correction.  I performing initial capsulectomy, drain placement, and conversion to a new set of high profile saline implants.  She maintained a soft outcome with no recurrent contracture. However, she desired additional fullness and the softness of a gel implant. She was converted to a high profile, 550 mentor gel implant on the left and a 500 cc implant on the right.  She did not desire a lift with the required scars in one of the soft, but natural breast mound.  She is one year postop in the after images. Please note, this ended up being a total of eight surgeries, so when you decide to embark on breast augmentation, make your choices of both surgeon and implants wisely.