Breast Revision 03a

Description:

Patient happy with size C+ but after two childbirths had atrophied to A+. She underwent surgery with another doctor: breast augmentation with limited breast lift. Saline implants were placed under pectoralis muscle R 250 cc and L 300 cc.

Only 2.5 years later she presented to Dr. Pertsch noting the implants seemed too high and her breast tissue seemed to be sliding off the implants. She had undergone only a limited “circumareolar” or so called “donut” mastopexy by the other surgeon and the breast drooping had reoccurred quickly.

Exam consistent with 5’5 ½” 130 lb. 34C size now age 39 yrs. Pre-op photos reveal breast tissue sagging off of implants that were relatively high on the chest.

Dr Pertsch performed a complete breast lift on both. A small amount of breast tissue was removed to during glandular reshaping to give a longer lasting result. 36 gms of tissue were removed from R and 57 gms removed from the L. The R breast seemed slightly larger before this surgery so 25 cc of saline was added to L breast implant to improve symmetry. Original implants (only 2 years old) were placed in a slightly lower position on the chest wall (an inferior capsulectomy allowed implants to settle). Photos taken 2 years and 4 months after Dr. Pertsch’s surgery. 5’5 ½” 135 lb. 36C (almost D) but happier with improved shape. Breast felt very soft as implants remained very mobile within their pocket.