This 57-year-old patient came to Dr. Petti for a consultation because she had noticed significant changes in the appearance of her breasts. She is status post bilateral axillary subpectoral saline breast augmentation in 2003. She complained breast pain and asymmetry. Overtime she noted loss of cleavage, a downward, outward shift of her left breast implant, and hardening and upward migration of her right breast implant . As a result, her breasts no longer appeared symmetrical and balanced.
Dr. Petti examined her, took breast measurements and reviewed the available surgical options.
Together, they developed a personalized surgical plan focused on restoring breast symmetry and enhancing cleavage. Her saline breast implants were removed and replaced with Allergan Natrelle® INSPIRA™ SCM round, smooth silicone gel implants, 405 cc, placed in the subpectoral (beneath the chest muscle) pocket. The breast pocket was completely remodeled by Dr. Petti. She created an internal bra using her unique surgical technique, providing support to the outer breast and lower breast. This internal bra permits, improved upper pole fullness, natural cleavage, and an aesthetically pleasing curve to the outer pole of the breast.
At 1 month after surgery, the patient is pleased with her results.



