Removal and Replacement With Formal Mastopexy
SECONDARY AUGMENTATION MASTOPEXY
The patient presents from Brazil. Large implants, low profile, silicones were placed above the muscle, subglandular. She has developed severe grade 3 ptosis and will do well with a secondary augmentation mammoplasty with style 45 silicone 500 cc extra high profile silicone gel and a complete formal mastopexy using the inferior pedicle Wise-pattern technique. Her before results showed severe grade 3 ptosis, low hanging breasts, and nipple well below the inframammary fold. She did well with having low profile gels replaced with style 45, extra high profile, 500 cc implants showing on her after photographs excellent upper pole fullness. In order to elevated the nipple and reduce the nipple areolar complex size, a formal mastopexy using the inferior pedicle Wise-pattern or anchor scar was performed.
Her postoperative results are excellent. She is at three weeks. The vertical scar and inframammary incisions are healing nicely. The sutures have all been removed. In order to appropriately reconstruct patients with this degree of severe skin laxity, a complete breast lift using skin excised circumferentially around the nipple vertically and along the inframammary fold must be performed.