Severe Breast Deformity – Ruptured Silicone With Nipple Repositioning
This patient presents from Korea with severe scar tissue contracture with ruptured silicone implants causing constriction and malposition of the right nipple areolar complex. She has complete loss of medial cleavage. See her preoperative photographs showing severe encapsulation and painful breast deformity.
The patient underwent bilateral open periprosthetic capsulectomy, circumferential open capsulotomy,removal of all ruptured silicone implant material and calcified granulomas through the inframammary approach. Notably, the scar tissue is completely exenterated and a 9-month postoperative photograph shows softening of her breast with the nipple areolar complex now in a more natural position and lowered appropriately. Her cleavage is excellent. There is softness to the breast with reconstruction with 320 cc silicone gel high profile implants. The patient is an excellent example of repositioning of the nipple without a breast lift by simply maintaining the implant in a normal position in a pocket with correct open capsulectomies and capsulotomies. A high profile silicone was excellent. The patient is happy with the results. Her cleavage is exceptional and she has had no recurrent scar tissue formation.