Revisionary Breast Augmentation Correction of Implant Mal-Position
| This 41 year old patient flew in from Kentucky to have Dr. Pousti perform her revisionary breast surgery. She previously had 2 other breast surgeries but was not happy with her results. She searched the internet for the “best plastic surgeon for symmastia correction” and found Dr. Pousti in La Jolla, California. After sending pictures via email and speaking with Dr. Pousti on the phone, she scheduled her surgery.
Notice that the mal-position of the breast implants cause the nipple-areola complexes to be displaced to the side. Also notice the “double bubble” on the lower part of her breast pocket. She met with Dr. Pousti the day before surgery to discuss the surgical procedure of removal of her current implants, replacement with high profile silicone gel breast implants, and correction of the mal-position of the implants. Markings were performed the night before surgery. The “red” markings show the mal-position of the implants. The arrows show where the patient wants more fullness in her breasts.
In the operating room, care was taken to achieve as much symmetry as possible. At first, the markings were checked. You can see that when Dr. Pousti puts pressure on the breasts from the side, they communicate in the middle (symmastia). This was a concern for the patient.
The patient’s current implants were removed. During the removal of the implants, the right silicone gel breast implant was found to be ruptured.
After placement of the new, high profile silicone gel breast implants and correction of the implant mal-position with the internal suturing technique, the patients breasts show a great improvement in size, shape and position.
The patient is now 4 days out from revisionary breast surgery and very pleased with her results. She will wear the supportive bra as well as tape to support the area that was internally sutured.
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