Severe Baker IV Capsular Contracture with Severe Double-Bubble Breast Deformity
The patient below is a 28-year-old African-American female presenting with severe Baker IV capsular contracture, implant malposition, scar tissue, hardening with grade 3 ptosis. Patient is an excellent candidate for total breast reconstruction which would include bilateral open periprosthetic capsulectomy, circumferential open capsulotomy, removal and replacement with style 68 high profile Natrelle 200 cc saline implants through a periareolar approach, removal of her larger 480 cc low profile silicone gel implants and a formal mastopexy using inferior pedicle Wise-pattern technique. Her before photographs show severe encapsulation and the medial portions of her breasts show actual deformity of the implant edges. She will require open periprosthetic capsulectomy, circumferential open capsulotomy, removal of the larger silicone implants, low profile and replacement with small high profile saline implants and a primary formal mastopexy. Her after photographs show her in the Sexy Shapewear Linder Sport Bra. Notice the reduction in size of her breasts. Notice the fullness of the upper pole; however, she now has complete corrected nipple areolar complex position centrally into the breast mound. She also has a beautiful proportionality from a Double-D preoperatively to a mid to full “C” postoperatively. She is extraordinarily happy with her results.
The corrections of her breasts included placing the implants subpectorally, reducing the low profile to a high profile smaller implant, over-filling. Subsequently, the formal mastopexy was absolutely essential in order to remove the redundant skin, especially when reducing the volume size of the breast implant and repositioning of the nipple areolar complex. This is an open capsulectomy for a severe Baker IV capsule with severe malposition and distortion as well as a mastopexy to reposition the areolas and remove the redundant skin.