Disproportionately Large Breast Implants
DOUBLE BUBBLE BREAST DEFORMITY WITH
BREAST HYPERTROPHY AND UPPER POLE VISIBILITY
The patient below presents with disproportionately large breast implants that were placed for her body. The patient had a Benelli round block lift as well as large 500 moderate smooth silicone gel implants placed approximately 10 years ago. Unhappy with the appearance of the breasts with upper pole rippling, visibility as well as severe hanging and the lateral width is too wide, a better appearance for her body due to the narrowness of her hips, flanks and shoulder would be to use a more tapered implant such as the style 45, 460 cc Allergan gel implant, slightly downsizing in size or volume as well as recreating a complete formal mastopexy using the inferior pedicle Wise-pattern technique. The patient underwent complete removal and reimplantation with the 460 implants.
Note, her implant was actually ruptured on the right where the shell actually has ooze presenting out of it. After removing the implants and replacing them with the extra style 45, this greatly reduced visibility of the upper pole rippling.
The formal mastopexy was performed using the inferior pedicle Wise-pattern technique, removing a tremendous amount of skin which led to a greatly enhanced tightening of her breast as can be seen directly on the operating room table just prior to placing the patient’s dressings.
In order to correct severe double bubble deformities, the implants must be repositioned correctly, the skin envelope must be addressed where the nipple areolar complex must be superiorly raised and skin from along the inframammary fold and the vertical limb must be appropriately removed.