Case Details

This 58 year-old woman had undergone breast augmentation 21 years ago.  The implants had been placed in front of her pectoralis muscle through an incision around her belly button.  Both of the implants had become hard (capsular contracture), and her breasts were larger than she wanted them to be.  She visited with Dr. Kunkel in his plastic surgery office in the Fort Worth Medical District to learn about options.  She decided to have the scar tissue that had developed internally around the implants removed (“capsulectomies”) and to have smaller implants placed.   Since smaller implants would result in more droopy skin, she also elected to undergo breast lifts (mastopexies).  To help minimize her risk of capsular contracture developing again, soft tissue support matrix material (“internal bra”) was used, and the new implants were placed behind the pectoralis major muscle.  Dr. Kunkel performed the surgery in a Fort Worth hospital, replacing the 450 ml saline implants with 320 ml silicone gel breast implants.  Her ‘after’ photographs are shown 4 months later.  She loves the soft feeling of her breasts and the new, smaller size!  *Keep in mind that each person is unique, and individual results will very.

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