Breast Revision, Bottoming Out and Ruptured Implants
The patient presents with bottoming out of her right breast implant after six years post-surgery with different surgeon, as well as ruptured left saline implant. The patient below has multiple components to her diagnosis, including a deflated left saline implant, asymmetry to the breast and significant bottoming out of the right breast with the implant inferiorly displaced approximately 2.5 cm or 1 inch. The patient required bilateral open capsulectomy, removal of ruptured saline implant and replacement with style 68 high profile Natrelle saline implants with different fill volumes and inframammary fold tightening and inferior open capsulorraphy to reposition the capsule and the inferior mammary fold up. The patient is now six months postoperative, shows excellent symmetry with nipple areolar complex even and volume equal. The scarring has healed well along the inframammary fold and the fold has held up nicely over six months without recurrent bottoming out. Patients who undergo breast revision surgeries such as severe bottom out correction and replacement should have surgeries performed only by Board Certified Plastic Surgeons with the American Board of Plastic Surgery.