Breast Augmentation Revision – Capsulectomy with Implant Exchange to Below Muscle

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The patient is a woman in her early 50’s who had breast augmentation with 500 cc low cohesive silicone implants in the above muscle position by another surgeon approximately 1.5 years prior to presentation for revision.  She was dissatisfied with her asymmetry and discomfort from right side high grade contracture.  It is well accepted that the above muscle position is associated with higher contracture rate.  She has capsulectomy (removal of scar tissue), suspension of her pectoralis muscle to cover the upper third of the implant, and exchange for cohesive moderate profile 645 cc implants. Note the improved superior contour.