Before and after bilateral explantation and mastopexy in a 27-year-old woman. She previously had a breast augmentation and peri-areolar mastopexy (also called a “donut mastopexy” or Benelli mastopexy), which caused her areolas to stretch and end up being bigger than before.
Her implants were under the muscle, as evidenced by her animation deformity when she flexed her chest muscles. The incisions used for her original breast augmentation were around the bottom edge of her areolas. When she flexed her chest muscles, a crease formed in the areola which contributed to the overall deformity.
She wanted to rid herself of anything foreign in her body and to have more natural looking breasts. A new incision was made in the fold of her breasts to remove the implants. The capsule (scar tissue around the breast implant) was left alone since she did not have capsular contracture or any other reason to perform a capsulectomy. Capsulectomy is not required for most explantation procedures.
A breast lift moved her own breast tissue into a new space on top of the muscle, using the “auto-augmentation” technique. Her areola diameter was reduced, and her nipples were lifted to a higher position on the breast mound.
A lollipop incision replaced the old donut incision around her areolas, and the vertical incision prevented the areolas from stretching out again. Liposuction was performed to remove excess fat from her armpit regions.
Long-term follow up photos are shown 3 years after surgery. She has maintained a lifted, perky result and is very happy with her decision to have her breast implants removed.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
