45-54 year old woman treated with AlloDerm

This 45 year old patient has been interested in revisionary breast surgery to improve the position of her breast implants. She wanted them "more perky" with "more fullness" on top. After discussing revisionary breast surgery with him as well as her goals, he suggested the use of biosynthetic mesh for additional support as well as the an internal bra procedure to improve her bottoming out. Bottoming Out involves inferior migration of the implants. This causes the nipple areola complex to appear too high on the breasts. Also, the distance from the areola to the inframammary fold is too great. This is corrected by “raising” the inframammary fold using internal sutures. This is performed after careful measurements are made from the areola to the “new” inframammary fold. The internal bra or capsulorrhaphy procedure, also known as pocket correction or use of internal sutures/bra, involves closing a portion of the breast pocket to correct displacement of the implant. She agreed and they decided to proceed to the operating room soon thereafter. She went from 455cc to 800cc smooth round high profile implants produced by the Mentor corporation.