





42-year-old female who presented with painful, deformed, hard, and asymmetrical breasts, along with deep wrinkles and folds in the lower breast area—more pronounced on the left side. She requested breast implant removal and replacement.
The patient is status post (S/P) bilateral breast augmentation in 2011 with subpectoral saline breast implants placed by another plastic surgeon.
Nearly two months ago, she underwent revision surgery with Dr. Petti, who spent several hours removing scar tissue, extracting the old implants, modifying the breast pockets, and inserting new Allergan Natrelle Inspira “gummy bear” silicone gel implants—650 cc bilaterally—in the subpectoral pocket.
Dr. Petti reconstructed the breast pocket using her internal bra technique, suturing and recreating a natural fold along the outer aspect of the breast near the anterior axillary line.
She also provided internal support and a lift to the lower portion of the breast along the inframammary fold, eliminating most of the wrinkles and folds that had previously been present in this important area.
This internal bra suture technique lifts the breast, centers it naturally on the chest wall, restores cleavage and upper pole fullness, and results in a natural-looking, aesthetically pleasing breast contour.
But Dr. Petti wasn’t done yet.
She continued to work meticulously, releasing the constricting bands of scar tissue in the lower breasts—particularly on the left side, which had appeared significantly more deformed prior to surgery.
The patient, her husband, Dr. Petti, and her staff are all thrilled with her two-month result!