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Breast Augmentation Revision Patient 31

Age: 42 years
Height: 5’ 10”
Weight: 140 pounds
Preop: 34 C
Postop: 34 C
Implant Size:  Moderate plus profile 325 cc
Incision/Location: Periareolar
Notes: This patient underwent breast augmentation in South America in 2004 with a textured 275 cc silicone PIP implant.  A periareolar submuscular approach was used.  She now presents with breast asymmetry, right and left grade II capsular contracture and a wide intermammary distance (wide cleavage).

Implant removal and replacement was performed. Her previous periareolar incision was used and total capsulotomy was performed on both sides. Her pockets were reopened medially to improve her cleavage. Moderate plus profile 325cc smooth round implants were placed. She is shown 4 months after surgery and size, shape, symmetry and overall contour are significantly improved. She is very pleased with her results.