Breast Revision Gallery
Breast Revision 01a
Breast Revision 03a
Patient happy with size C+ but after two childbirths had atrophied to A+. She underwent surgery with another doctor: breast augmentation with limited breast lift. Saline implants were placed under pectoralis muscle R 250 cc and L 300 cc.
Only 2.5 years later she presented to Dr. Pertsch noting the implants seemed too high and her breast tissue seemed to be sliding off the implants. She had undergone only a limited “circumareolar” or so called “donut” mastopexy by the other surgeon and the breast drooping had reoccurred quickly.
Exam consistent with 5’5 ½” 130 lb. 34C size now age 39 yrs. Pre-op photos reveal breast tissue sagging off of implants that were relatively high on the chest.
Dr Pertsch performed a complete breast lift on both. A small amount of breast tissue was removed to during glandular reshaping to give a longer lasting result. 36 gms of tissue were removed from R and 57 gms removed from the L. The R breast seemed slightly larger before this surgery so 25 cc of saline was added to L breast implant to improve symmetry. Original implants (only 2 years old) were placed in a slightly lower position on the chest wall (an inferior capsulectomy allowed implants to settle). Photos taken 2 years and 4 months after Dr. Pertsch’s surgery. 5’5 ½” 135 lb. 36C (almost D) but happier with improved shape. Breast felt very soft as implants remained very mobile within their pocket.
Breast Revision 02a
Breast augmentation revision: 4’11” 120 lb. 34C lady after augmentation elsewhere 9 years prior. Breast augmentation sub muscular with saline PIP breast implants.
L side was noted to be deflating in the shower after going for a run days prior to consultation. (“PIP” pre-filled saline implants from France or Poly Implant Prosthesis implant shells were high temperature vulcanized that made them softer but more abrasive. They are now are known to deflate much more frequently. The FDA took them off the US market May 2000. Current saline manufacturing uses room temperature vulcanization techniques so the shell lasts much longer.)
She wished a little smaller breast volume than the 325 cc originally placed on each side. A natural look was desired so no breast lift was performed. Silicone implants were selected. Intermediate profile was chosen consistent with her breast measurements. Her original breast tissue was palpated to be larger on the now deflated L side. 225 cc smooth gel implant was selected for the slightly smaller R breast and 200 cc gel for the slightly larger L.
Post op photos taken 3 months after her surgery. She “loved it” and is “really happy” with her smaller size and ongoing “natural” appearance. She could still wear many of her 34C brassieres although some 34C now too loose. She noticed her nipple sensitivity had increased.