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Case 77: Pseudoptosis and Asymmetry

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Cosmetic Breast Cases

Abstract

This 33-year-old patient had breast augmentation in 2007 with round, high-profile, smooth silicone gel implants placed in partial subpectoral pockets. Eight months postoperatively, there was breast asymmetry with right breast higher than the left.

The plan was to place the implants into subglandular pockets. The Group discussed the asymmetry and possible ultrasound to detect seroma, place implants in subglandular pockets, insert smaller implants, consider vertical breast lift and lower the inframammary fold. There was a discussion on the use of medications for capsule contracture. Revision surgery was performed and the left implant had obvious silicone gel adherent to the outside of the shell with a small hole visible on compressing the implant. Slightly larger implants were placed in subglandular pockets.

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References

  1. Gancedo M, Ruiz-Corro L, Salazar-Montes A, Rincón AR, Armendáriz-Borunda J (2008) Pirfenidone prevents capsular contracture after mammary implantation. Aesthetic Plast Surg 32(1):32–40

    Article  PubMed  Google Scholar 

  2. Zimman OA, Toblli J, Stella I, Ferder M, Ferder L, Inserra F (2007) The effects of angiotensin-converting-enzyme inhibitors on the fibrous envelope around mammary implants. Plast Reconstr Surg 120(7):2025–2033

    Article  CAS  PubMed  Google Scholar 

  3. D’Andrea F, Nicoletti GF, Grella E, Grella R, Siniscalco D, Fuccio C, Rossi F, Maione S, De Novellis V (2007) Modification of cysteinyl leukotriene receptor expression in capsular contracture: preliminary results. Ann Plast Surg 58(2):212–214

    Article  PubMed  Google Scholar 

  4. Scuderi N, Mazzocchi M, Fioramonti P, Bistoni G (2006) The effects of zafirlukast on capsular contracture: preliminary report. Aesthetic Plast Surg 30(5):513–520

    Article  PubMed  Google Scholar 

  5. Cárdenas-Camarena L, Paillet JC, Briseño R (2005) Electrostimulation: uses and applications for periprosthetic capsular contracture: experimental model. Aesthetic Plast Surg 29(5):410–414

    Article  PubMed  Google Scholar 

  6. Ajmal N, Riordan CL, Cardwell N, Nanney LB, Shack RB (2003) The effectiveness of sodium 2-mercaptoethane sulfonate (mesna) in reducing capsular formation around implants in a rabbit model. Plast Reconstr Surg 112(5):1455–1461

    Article  PubMed  Google Scholar 

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Correspondence to Peter Kim M.B.B.S. .

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Higgs, M.J. et al. (2016). Case 77: Pseudoptosis and Asymmetry. In: Higgs, M., Shiffman, M. (eds) Cosmetic Breast Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-27714-1_15

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  • DOI: https://doi.org/10.1007/978-3-319-27714-1_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27712-7

  • Online ISBN: 978-3-319-27714-1

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