Details for Case #6122
This 30-year-old woman is a mother of two children and a nurse at a prominent Los Angeles university medical center. She had undergone three previous breast implant surgeries by other surgeons with suboptimal results which she desired to improve. She also had substantial stretching and droopiness of her left nipple from breast feeding, and she desired a shorter nipple that better matched her other side.
Thirteen years earlier the patient underwent her first breast operation by another surgeon, the placement of 350cc saline implants on top of the pectoralis major muscle. Three years later the patient elected to exchange her implants for larger 450cc saline implants also placed on top of the muscle. Three years after that she underwent her third breast operation (also by another surgeon) to remove her saline implants and replace them with 570cc high profile silicone gel implants placed under the muscle. The large implants caused the skin between the breasts separated from the sternum creating a deformity called synmastia (one breast rather than two). She also was bothered by implant ripples.
She consulted with a surgeon at Marina Plastic Surgery because of their credentials and expertise with corrective breast implant surgery. Her surgeon performed a difficult operation where her implants were removed and her breast capsules were divided and then sutured to her ribs to recreate the normal space between the breasts. He replaced the 570cc implants with 450cc Siltex textured moderate plus profile silicone gel implants in the pocket under the pectoralis major muscle.
At the patient’s request, her surgeon also performed a left nipple reduction. The skin around the base of the nipple was removed and sutured to the areola. The nipple projection was successfully decreased by more than 50%, and it closely matched her other side.
She is shown before and six months after her surgery for breast implant correction and nipple reduction.
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