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Breast Augmentation Revision: Patient 31

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This lovely patient of mine originaly had surgery 13 years ago with saline breast implants.  Unfortunately over the years her implants have settled wide and low which is often described as bottoming out.  The problem is often high riding nipples as shown here.  Her revision included tightening of her pockets with internal bra suturing as well as placing a new silicone gel gummy implant 450cc more towards the center of her chest wall and higher.  This is reinforced with off-label use of galaflex mesh, a synthetic mesh used for hernia type reinforcement to help to prevent recurrence of the positional issues.  She is shown here before and 6 weeks after revision.