Multiple Breast Deformities Requiring Revision Reconstruction
The patient’s preop photo shows a patient with multiple problems associated with her breast augmentation procedure. On the right it is notable that she has a double-bubble breast deformity with a severe Baker IV capsular contracture. Notice the implant is raised superiorly and the skin is over-laying inferiorly. This will require an open capsulectomy, removal and replacement with a high profile saline implant, inferior open capsulotomy and at this time an areolar Benelli lift reduction was performed as the patient was quite adverse to the inferior pedicle scar of the inverted T. The left shows a ruptured saline implant which required obviously explantation of the saline implant with a complete open capsulectomy due to complete constriction of the pocket and entrapment.
Subsequently, high profile salines were replaced bilaterally and an areolar reduction periareolar lift was performed on the left as well. Final results will be available in six weeks in a further blog. This is an excellent example on how patients can develop multiple problems from previous breast augmentation surgery and in this case double-bubble Baker IV capsular contracture and ruptured saline implants all included.