This 60 year old lady had had silicone gel breast implants for thirty years. Over this time her breasts changed slowly and she barely noticed the progression to the rock hard things they had become (lower left of our image.) She came for consultation to have the hardened implants removed, but wondered if not replacing them would leave her more deformed.
Her pre-operative image (lower left) shows capsular contracture with high positioning of the implants forced by the scarring that had occurred over the many years they had been in place. Minimal correction in this case involved removing the implants without replacement and also carefully removing the scar capsules themselves so the breasts could appear more natural. Breast lifting could have been added but the patient did not desire it. She had plenty of normal breast tissue to fill in the area without leaving a deformity. She was quite happy afterward with softened normal looking breasts and no implants.
John Di Saia MD