Reoperation rates in breast augmentation is rather high, reaching 24% at 5 years and 36% at 10 years (ref. FDA, March 2015; Roxo et al. 2016, PRS). One of the main causes is related to changes in breast volume and contour deformities (Choudry et al.). Sub muscular breast augmentation (behind the muscle) reduces contour deformities, decreasing implant visibility, rippling, and risks of contracture. However, submuscular breast augmentations showed a volumetric reduction of the muscle of almost 50% at one year (Roxo, 2016). Subglandular breast augmentations showed a volumetric reduction of the breast gland of 23% at one year.
IMPACT OF IMPLANTS
THE IMPACT OF BREAST IMPLANTS
This patient had several operations as a result of complications related to an implant-based breast augmentation. It is obviously that both breasts are deformed and have no natural contours. Both implants were removed as well as the scar tissue or capsule. Fat grafting was performed to compensate for the volume loss. Lipofilling of the cleavage area resulted in a very natural and smooth cleavage area.