Before and after bilateral breast revision in a 64 year old breast cancer survivor. After her nipple sparing mastectomies and implant reconstructions several years ago, she had developed capsular contracture and breast asymmetry. The scars around her nipples had stretched and were obviously paler than the rest of her skin. She wanted to keep a natural look and improve upon her outcome.
Both implants were removed and replaced with more highly cohesive silicone gel breast implants. We always use smooth implants rather than implants with a textured surface for the very best cosmetic outcome and the highest degree of safety.
Scar tissue was removed from around each implant to open up the space around the implant, known as a “pocket” or the “capsule”. Liposuction of the axillary rolls and the “side boob” or back fat/bra roll area complimented the procedure.
Lastly, her areolas and nipples were brightened with medical tattoo. It is amazing how a simple procedure like nipple and areola tattoo can complete a breast reconstruction. The stretched out and faded scars are now overshadowed by a brighter and more natural size and shape of her areolas.
Long term follow up photos are shown three years after her revision surgery. The tattoo will gradually fade over time and can always be redone, but we have seen good color and intensity last for over 15 years in many of our patients!
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
