Before and after bilateral breast augmentation revision in a 59-year-old woman. Her submuscular implants sat too high on her chest, and her animation deformity was causing her to avoid exercise due to tightness, muscle spasms and feeling self-conscious about her muscle flexion looking obvious to others.
This breast revision involved reopening her scar in the inframammary fold, removal of the old saline-filled breast implants, replacing her pectoralis major muscles back to the chest wall and reconstructing their attachments to the ribs and sternum, and inserting new smooth round silicone gel breast implants on top of the muscle, in the subglandular position.
The last image in this series shows an intraoperative view after one breast has been corrected. You can clearly see that implants that sit on top of the muscle look more natural than submuscular implants. In subglandular augmentation, the implant is seated behind the nipple, rather than up high, which is what the muscle does – it pulls up and out chronically, following the pull of the muscle vector.
Follow up photos are shown 1 month after surgery. She is ready to resume exercise (she is excited to do so without her breasts jumping and her muscles spasming!).
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
