Before and after bilateral breast revision with liposuction of the axillary rolls in a 66-year-old woman with previously removed ruptured silicone gel breast implants from the 1970’s.
She had extruded silicone that was causing chronic pain due to immense internal scar tissue formation – this is called “diffuse silicone granulomatosis.” She was left with left breast deformity and pain, asymmetry and a large right breast keloid of unknown origin.
Older generation breast implants had a thin shell which was prone to breaking down (in nearly all cases over time) and silicone that was very irritating to the body, resulting in massive inflammation and scar tissue.
Currently available silicone gel breast implants do not create this type of inflammation and are much less prone to breaking down. Although her implants had been removed, she really needed a total capsulectomy to remove all foreign material and the granulomatous scar tissue.
Her left breast was significantly smaller than the right. She actually liked this size better, so her revision involved a left local tissue rearrangement using the auto-augmentation technique, and a right balancing breast reduction and lift. Liposuction removed excess fat from her bra rolls and armpit region.
Follow up photos are shown 2 months after surgery. She has just started scar therapy and loves her “cute little boobies!” It is unlikely that she will form keloid scarring again, as her other scars from past surgeries look normal.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
