Before and after bilateral breast revision in a 66-year-old breast cancer survivor. Following bilateral mastectomies, tissue expander reconstruction and chemotherapy, her submuscular overfilled saline breast implants were painful and out of proportion to her small, athletic frame.
She wanted a more natural looking result, nicer cleavage, and the ability to resume tennis and golf. She felt constant tightness in her chest and right-sided pain that was due to the placement of her implants under her chest muscles.
Her breast revision involved removal of the old breast implants, replacement of her pectoralis major muscles to on top of the muscle, and creation of a more natural breast pocket. Smooth round silicone gel breast implants were placed on top of the muscle, the subglandular position.
Liposuction removed excess fat from her armpit regions and bra rolls. Over three cups of fat were removed! We always add liposuction as an aesthetic complement to any breast surgery, aesthetic and reconstructive.
Follow up photos are shown 6 months after surgery revision. She is either golfing or playing tennis three to five times a week now! Even though she dreaded the thought of another surgery so many years after her breast cancer, she is very happy with her decision to have a revision.
The first set of images also shows very early nipple reconstruction results, 6 weeks after nipples were reconstructed using the local flap technique – done in the office under local anesthesia. In another six months, she will be ready for medical tattoo to create natural looking areola circles and to pigment the nipple reconstructions.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
