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Before and after right delayed breast reconstruction in a 50-year-old woman.  She had her right implant removed previously due to an acute breast infection.  After a period of several months that allowed the inflammation to resolve, she was ready for implant reinsertion.

Her previous inframammary fold incision was used to access the prepectoral implant space.  A capsulectomy removed excess scar tissue and reopened the implant pocket.  A representative piece of scar tissue (capsule) was sent to the Microbiology lab for assessment (Gram stain, culture and sensitivity, both aerobic and anaerobic).  Thankfully, her culture was all clear, indicating a low risk of capsular contracture.

A new smooth round silicone gel breast implant was inserted into the same implant space as previously, on top of the pectoralis major muscle. Her drain was in place for five days after surgery.

Follow up photos are shown 1 year after surgery with good symmetry and absence of any other breast implant-related complications.

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*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.

Dr Karen Horton