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replacement of saline implant, pocket adjustment, vertical mastopexy 350 cc

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This parient presented to me with ahistory of previous overly agressive breast reduction which was corrected with a submuscular plaement of saline implants. She wanted a change. The size was not right. She was hyperdynamic. We also detected a volume difference. So, we entered through an inframammary incision as we were uncertain how her reduction was performed. we found 240 cc saline implants filled to 275 cc. We also found total muscle coverage which was the cause of her exessive implant movement. She wanted to be about 200 cc bigger and her right breast was about 50 cc bigger than her left breast. After transforming th pocket to a biplanar pocket, we placed Mentor high profile gel implants, 375 cc on the right and 425 cc on the left. We also lifted the nipple areolar complex and altered the contour of her breasts with a vertical mastopexy. her post-operative course was uneventful and she was pleased.