This is a middle-aged lady that had implants placed almost 20 years ago. She had children in the interim and presented with capsules on both breasts without any associated trauma. She had a great deal of loose skin with very little breast tissue. It was basically skin on top of implant. Her intact implants were removed. A neo-pocket was created between the anterior capsule and posterior surface of the pectoralis major muscle. This is an expeditious way to deal with capsular contracture. We were able to place 240cc gel implants. She is seen here about 2 month’s s/p surgery. She has maintained nipple sensation. She is a D cup. The breasts are symmetrical. The creases are sharp. The implants displace well.
Photos submitted by Dr. Owen