Background

An increasing number of patients present today with volume-depleted breasts from large saline or silicone gel–filled implants most commonly placed under the pectoral muscle. Revisionary (secondary or tertiary) surgeries are performed for late complications of breast augmentation, such as implant extrusion, gel bleed, rupture with extravasation of the gel, saline implant deflation, capsular contracture, palpability, rippling, “double- bubble,” “Snoopy breast,” symmastia, and implant malposition. Because most patients undergoing revisionary surgery in the past decade presented with subglandular implants, little has been published regarding the treatment of revisionary surgery in patients with subpectoral implants.

Objective