Before and after bilateral breast implant revision in a 34-year-old woman. Her previously placed saline breast implants had rippling that was visible through her breast skin, they sat low and far apart on her chest due to their submuscular position. Her goals were to be around the same size, but perkier with a rounder shape and nicer looking cleavage.
Her revision involved conversion of her submuscular implants to subglandular, separating the pectoralis major muscle from the undersurface of the breast tissue and returning it to the chest wall, reconstructing its attachment to the ribs.
A breast lift raised the position of her nipples and removed excess lower pole baggy skin from her breasts, creating a new lollipop scar on her breast. Unfortunately, there is no other way to lift the nipple but to create new incisions on the breast – like putting a dart into a dress so it better contours the chest area.
She chose to have a labiaplasty procedure at the same time, since she was already asleep. If a labiaplasty was her only procedure, it would have been offered to her under local anesthesia with inhaled laughing gas and an oral anti-anxiety medication.
Follow up photos are shown 3 months after surgery. Her scars are pink, as expected. They will gradually fade and flatten over the next year, as her body naturally converts immature collagen to mature collagen.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
