Removal of Breast Implants Followed by Mastopexy

Abstract

Augmentation mastoplasty is a useful procedure for improving body contouring, but when the operation is not well planned, several patients seek to have the implant removed. The operation must be well-evaluated and requires a good understanding between patient and surgeon, as it is a repair of a previous aesthetic procedure. Patient complaints about the unaesthetic appearance due to ptosis of the breasts are caused by the excessive weight of the implant. The main reason for removing the implant is because of the imbalance between its size and the internal volume of the breasts. When the container is too wide or the implant is not big enough to achieve a good balance, the patient feels uncomfortable with two balls on her chest. The operation is to remove the implant followed by mastopexy to remodel the new beasts. I created a dermal–adipose–glandular flap with a superior pedicle to be rotated upward and backward that is sutured onto the posterior aspect of the Pitanguy’s “third pedicle.” The second operation must evaluate the remaining mammary gland with accurate clinical examination and by using mammography or magnetic resonance imaging.