Breast Implant Revision Before & After Case 590

This 35 year old patient presented to Dr. Parker 5 years after the insertion of 385 cc textured PIP implants, inserted through periareolar incisions in South America. An ultrasound and MRI, obtained in response to the recent warnings regarding PIP implants leaking, in fact showed leakage of the right implant. In addition, the patient was concerned about the appearance of the lower aspect of herleft breast, which appeared contracted and different from that on the right. Both breasts felt firm to her and to Dr. Parker on examination. Dr. Parker discussed options with the patient during her initial consultation. He discussed performing bilateral capsulectomies, inserting new implants and acellular dermal matrix (ADM) because of the implant rupture and formation of capsular contracture in both breasts. During her Sizing Sessions, the patient elected to have 475 cc silicone implants inserted. At surgery, Dr. Parker found the right PIP implant shell disintegrated and the implant ruptured. He removed all of the shell and implant contents, performed a complete capsulectomy and inserted a sizer implant. On the left side, the PIP implant was intact but a capsular contracture was noted along the lower aspect of the breast. He removed the implant from the left side, performed a complete capsulectomy, then he inserted a sizer implant. With the patient sitting upright on the operating table, Dr. Parker determined optimal symmetry to be with a 475 cc implant on the right breast and 500 cc on the left. The patient recovered quickly after surgery. She is very happy with her much more symmetric, soft implants as well as the care and thought given to her by Dr. Parker and his team.