Before and after bilateral breast revision in a 45 year old breast cancer survivor. She had submuscular tissue expanders in place during chemotherapy and right sided chest wall and breast radiation.
The submuscular tissue expanders were tight and painful, limiting her from using her arms and making it impossible for her to exercise. Her right tissue expander had rotated ninety degrees, with the base pointing outwards and creating deformity in addition to discomfort. Her left inframammary fold had been obliterated by her past surgeries, resulting in the tissue expander resting against her ribs, accentuating her discomfort.
Her breast revision included reopening the incisions under her breasts, removing her tissue expanders and replacing her pectoralis major muscles to her chest wall. Interestingly, both shaped and textured implants had rotated ninety degrees, which contributed to the deformity and asymmetry.
The left inframammary fold was reconstructed via suture technique, where the fold is reinserted to the lining of the ribs, called the perichondrium. Liposuction of the axillary rolls removed excess fat from her armpit region. Follow up photos are shown 9 months after surgery. She is much more comfortable and is able to exercise without any pain or tightness.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
