Revision breast augmentation with superior pedicle mastopexy

33 year old mother of two had saline breast augmentation with 400 cc devices prior to having children and ended up with ptosis or breast droop, contractures and a “snoopy nose” deformity with breast tissue spilling off the surface of the implant.  She underwent explantation of her old implants with capsule removal, conversion to a small, moderate profile implant (300 cc Mentor), superior pedicle mastopexy with lower pole tissue removal to create a stronger lift.  She is 6 weeks post-op in the after images.