Implant replacement, conversion dual plane to subfascial with muscle reattachment
After 7 previous operations, this patient had Allergan style 410 (textured) implants, malposition, and animation deformity. Smooth round cohesive implants were placed along with conversion from dual plane to subfascial with reattachment of the pectoral muscles, and a Galaflex mesh internal bra.
Breast Revision With Plane Change and Soft Touch Implants
This patient requested downsizing her implants, improvement of rippling, revising her previous breast lift, and correction of asymmetry. She was converted from above muscle to split muscle, exchange to full profile Soft Touch cohesive gel implants, and revision of the breast lift.
Breast Implant Revision with Strattice
Patient presents with submuscular 375 cc saline implants, with windowshading animation deformity, rippling, and wide space between breasts; she also requests increase in size. Corrected by conversion to split muscle plane, Strattice grafts, and exchange to 450 cc silicone gel implants.
Breast Implant Revision Capsular Contracture Alloderm
Previous bilateral mastectomy and reconstruction with saline implants, 360 cc filled to 380 cc, dual plane subpectoral technique; she presents with grade 4 capsular contractures, asymmetry, and pain. Corrected by capsulectomy, Alloderm internal bra, and exchange to Sientra form-stable (“gummy bear”) 370 cc cohesive gel implants.
SERI Breast Implant Revision
Animation deformity persisting after implant removal. This patient presented after multiple attempts at correcting animation deformity and finally decided to remove her implants, but the pectoral muscle was not re-attached so the problem persisted. Corrected by conversion to the split muscle plane to re-attach the lower portion of the muscle, and internal bra for support and coverage with new smooth round silicone gel implants.
Internal Bra for Correction of Traction Ripples
This patient of Dr. Baxter had traction ripples in the upper part of the breast from saline implants above the muscle. They were exchanged to 304 cc Style 15 Natrelle silicone gel implants under the muscle using the split muscle technique, and an internal bra for support. VECTRA 3D images are shown with one-year follow up.