Breast Implant Revision Before & After Case 612

This 45 year old patient had 450 cc saline implants inserted in a partial submuscular position by another surgeon previously. She noticed a gradual deflation of her right breast implant over the past 2 years. The patient asked Dr. Parker to exchange her implants for smaller silicone implants and lift her nipples using a periareolar mastopexy, an incision only around the areola. She and her husband did not want the vertical scarring associated with a vertical mastopexy, otherwise known as a “lollipop” lift. Dr. Parker counseled the patient and her husband on three separate occasions before surgery to discuss these options in detail. He explained that based on his extensive experience with both procedures, she would obtain more youthful, perkier breasts lifted higher on her chest with smaller implants using a lollipop lift; the periareolar lift (with an incision only around the areola) would not be able to deliver this same youthful, perky breast. The patient and her husband agreed. At surgery, Dr. Parker removed her existing 450 cc saline implants and replaced them with 300 cc silicone implants, then performed the lollipop lift. The patient recovered nicely with little pain. She and her husband thanked Dr. Parker profusely for his advice to give her the best result. She said she loves the markedly improved appearance of her breasts and her virtually inconspicuous scars.