Before and after bilateral breast implant revision in a 43-year-old woman. Her textured saline breast implants that had been in place for over 20 years had developed asymmetry due to a partial deflation of her left breast implant.
She was nervous about keeping textured implants in her body, as she had learned about breast implant-associated anaplastic large cell lymphoma (bia-ALCL) that her saline textured breast implants might increase her risk of developing over time.
Her breast revision involved removal of her saline breast implants, removing scar tissue on the inside (capsulectomy) and implant exchange to new smooth-surfaced round silicone gel breast implants. Inspection of the internal pocket during surgery did not reveal any abnormalities, and she did not have any symptoms of ALCL such as late seroma development. To alleviate her fears, a sample of scar tissue on the inside was sent to Pathology and showed normal scar tissue without any evidence of ALCL.
Follow up photos are shown 1 year after surgery, with more symmetric and natural looking results. She is pleased that she kept breast implants and relieved that her current implants will not increase her risk of breast implant-associated lymphoma development.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
