Second breast augmentation surgery with mastopexy and anatomical implants: before and after
Case fact sheet
- Patient: 35 year old woman
- Technique: "24h Recovery Laser" breast augmentation with 280 cc anatomical implants.
- Entry: 1 night
- Anesthesia: General type TIVA
- Duration: 2 hours long.
Breast operated on 8 years ago with round implants in subglandular position and sagging breast above the implants (image in “cascade”). It is necessary to perform mastopexy or breast lift to center the breast on the equator of the implant and also place new implants in subpectoral position. One of the implants was broken and was completely removed and replaced by a new one. Anatomical implants are indicated for greater naturalness.
Result: We obtain a natural and long-lasting result in this second breast operation, with breast lift.
Case operated on by Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
Popcorn capsulorrhaphy: closing the pocket without sutures
When an implant has shifted within its pocket—outward, downward, or toward the center—the problem is almost never the implant itself. It's the space that contains it, and that space needs to be closed where it's excess.
The classic methods involve capsular sutures, capsular flaps, or mesh. The technique I use is called popcorn surgery, developed by the Swedish surgeon Charles Randquist: instead of suturing, the capsule is coagulated in small, pointed sections using a protected forceps and an electrocautery knife. The capsule retracts upon itself—hence the name—and the pocket is closed where needed.
The practical advantage is significant: the pocket is adjusted without sutures, without traditional capsulorrhaphy, and without raising capsular flaps . This greatly simplifies revision surgery, which is why it is constantly used in implant replacements, displacement corrections, and explants.
Regarding its performance, there is a published series of 149 patients and 266 breasts. The indication was implant malposition in 61,3% of the breasts. Complications occurred in 14,7%, and 6% required some surgical revision. The authors conclude that the technique provides pocket control and stability with low complication and revision rates ( Calobrace MB et al. Aesthetic Surgery Journal. 2020;40(1):63-74 ).
It's not a straightforward technique, because no revision surgery is. It's a cost-control tool with reasonable costs for what's required.
If you're looking at this case for a specific reason.
This wasn't just one procedure: several interventions were planned simultaneously. You can find them explained separately in the sections on second breast surgery , mastopexy , and breast augmentation.
Do you want to know if this can be done in your case?
The first consultation is with Dr. Sordo, either at the Chamberí clinic or via video consultation. You'll leave knowing if you're a candidate, which technique is right for you, and how much it costs.
Dr. Gustavo Sordo · Member No. 282858125 · Plastic, Aesthetic and Reconstructive Surgery · Madrid