This 30 year old patient from Northern California was interested in breast revision surgery for several years after being left unsatisfied with her two previous breast augmentation surgeries performed by another surgeon. She was unhappy with the shape and placement of her breast implants and felt uncomfortable with the “uni-boob” appearance she had developed after her previous surgeries. She researched online for a board certified plastic surgeon and was impressed when she found double board certified plastic and reconstructive surgeon Dr. Pousti. She decided to fly to Southern California to meet with Dr. Pousti and discuss her options.
Dr. Pousti examined the patient and determined she had a mild case of symmastia often referred to as “uni-boob” or “breed-loafing“. Symmastia occurs when the breast implant pocket is over-dissected during surgery after overly aggressive attempts to achieve cleavage. Capsulorrhaphy is used to improve the placement of the implants and correct symmastia. During her visit, she was able to meet with some of Dr. Pousti’s previous breast revision patients to hear about their experience and see their results in person. After her consultation, she felt extrememly confident in Dr. Pousti’s ability to achieve her goals and decided to proceed with her surgery.
The patient flew into Southern California the day prior to surgery to meet with Dr. Pousti again and perform markings. The arrows represent where the patient would like to achieve more fullness. The red shaded area illustrates the location for the internal sutures that must be used to repair the breast pocket to prevent the implants from migrating towards the center of the chest.
Before Breast Revision
Once markings are completed a small incision is made along the areola and the patient’s previous breast implants are removed. Dr. Pousti then carefully reattaches the muscle to the chest wall using internal sutures.
The patient’s previous 500cc Silicone implants are sterilized and placed back into the patient’s breast pocket.
After Breast Revision
Before / After Breast Revision
The patient is very pleased with the results of her revisionary breast surgery with symmastia correction.