Case Details
The patient is a woman who had breast augmentation approximately 20 years ago. She had early upward displacement of the implant. She recently had a right side deflation and presented for repair. She had the left side deflated in the office under local anesthesia to allow the breast tissue to recoil and be more symmetric to the right side. I have used this approach often and it is supported in the Plastic Surgery Literature. Optimal deflation time was found to be about one month before surgery, but there is benefit from two weeks before operation. Note the left upper chest depression – this is due to long term compression of soft tissue leading to volume loss. The patient then had bilateral capsulectomy and implant exchange for silicone to minimize rippling.
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