35-44 year old woman treated with AlloDerm

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This 42 year-old patient wanted breast revisionary surgery. The patient previously had breast augmentation surgery, performed by another surgeon but the patient was unhappy with the scar tissue formation and wanted breast augmentation revision surgery. The patient reviewed many of Dr. Pousti’s before and after pictures and decided to meet with Dr. Pousti. Dr. Pousti met with the patient and after examination determined the patient had encapsulation present in the left breast. Encapsulation, also called capsular contracture occurs when an excessive amount of scar tissue forms around the breast implant creating a capsule resulting in hard and painful breasts. Dr. Pousti recommended the patient have an implant exchange and capsulectomy procedure performed. After breast augmentation with breast implants, excessive scar tissue may form around the breast implant which causes the breast implants to harden (similar to what a contracted muscle feels like). The cause of capsular contracture is not known but it is the most common complication with breast augmentation surgery. There are different grades of capsular contracture from mild to severe. The rate of capsular contracture has decreased from 20-30 years ago when all breast implants were placed above the muscle (sub-glandular). By placing the breast implants below the muscle (sub-muscular), the rate of capsular contracture has significantly decreased. Also, it is said the massage helps decrease the chance of capsular contracture. After the incision was made on the patient’s areola to remove her left breast implant there was purulent fluid (pus) present that needed to be removed. Due to the unexpected findings breast implant removal of both sides was performed. Dr. Pousti felt that it was best not to proceed with re-augmentation until she is completely healed and infection free. 7 months later, the patient returned with interest of having breast re-augmentation performed to achieve her goals. Dr. Pousti and the patient proceeded with surgery. She is currently 3 weeks post surgery.

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