I love taking on complex aesthetic and reconstructive cases! This sweet, sweet patient presented with multiple problems after her first breast augmentation over 20 years ago. A few of her main problems included: severe breast asymmetry with the left breast implant bottomed out, right grade IV capsular contracture, saline implant rippling, and too narrow of breast implants. Although her original implants were meant to be under the muscle, unfortunately the pectoral muscles were over dissected…this caused the muscle to window shade upward toward her clavicle. The chronic pressure of her implants on the skin has caused it to become very thin.
 
Revision aesthetic breast surgery is one of the most challenging parts of plastic surgery.
We defined a solid plan, which included:
1. Removing the right breast capsule (capsulectomy) to get rid of the capsular contracture
2. Swapping the saline implants for Sientra silicone gel implants to help with the rippling
3. Extensive pocket work to allow her new implants to sit and stay centered on the chest
4. Galaflex mesh (internal bra) to help keep the implants in the correct position for as long as possible
 
We are both incredibly happy with her result and she is grateful that she now feels whole again!

Performed By: Chris Schneider, MD

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