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Before and after bilateral breast implant revision in a 67-year-old woman with submuscular implants that sat too high on her chest, creating the “waterfall deformity” or “Snoopy deformity”. She only wore high-necked shirts as she was embarrassed at how high her implants were.

Her revision involved replacing her pectoralis major muscle to the chest wall and creation of a new pocket for an implant on top of the muscle, in the subglandular position. This procedure requires a brief general anesthetic and drains for a week or less after surgery.

New smooth round silicone gel breast implants were placed on top of the muscle. She took two weeks off work and resumed unrestricted exercise at 4 weeks. Follow up photos are shown one year after surgery. She feels her breasts look more natural now and she no longer needs to hide her cleavage!

It is never too late and patients are never too old to want to look and feel their best. As long as they are healthy enough to undergo surgery and they are fully informed about the related risks and benefits, alternatives to surgery, potential risks and complications and expected downtime, it is reasonable to plan a surgical revision.

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*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.

Dr Karen Horton