 Hi everyone, Dr. Sal here in Beverly Hills. We have our patient here beautiful young lady Give you a little history about her. She had She's had had tummy tuck and breast augmentation with saline implant at this time She wants to take out the saline implant and she wants to do if that Transfer instead of implants to her breast Since her breasts are saline this kid this cannot be done with silicone because it's saline What I'm going to do for her is do a deflation of her implants Very simple procedure in office will take like about 10 minutes What we're going to do is we're going to take out the saline implants just to just a fluid not the implant Just deflate it suction out the fluid let the skin close up and It'll give her an idea of how much breast tissue she has and what she's looking to get into So we're going to do this pre-surgery and then on surgery date You guys will see her and see how she looked before so let's turn around you see She has nice fullness on this side nice fullness on this side She had a little bit of capsule contracture because you could see the empty the lower part of her breast is empty the implant is stuck and Contour to the chest up top on this side so we've numbed the patient we cleaned that off we put numbing We're going to put the needle in I'm just squeezing the implant to make sure all the saline is out there It is all of it is off So that's her actual breasts. You could see the comparison. How many cc's of fluid did we get off? So her implants are about somewhere around 300 cc So you could see the area has been clean cleaned off numbing has it been applied. I'm just going to go in go inside and then Take this off and turn on the suction And there we are Okay, that procedure just took us few minutes. You can see with the implant gone She's deflated up all the way up here. Everything is deflated here She is from the side this she does have a little bit of breast tissue down here But the implant gave her this look the fullness now We're going to fill this area with fat when we do her fat transfer and you could see again You can see how much the implant was helping to give her that fullness up top now. It's all gone She does have some breast tissue down here. This is breast tissue So our goal with the fat transfer will be to put it up here and she doesn't want big breasts You want as I say, it's going to go about half a cup to one and a half cup larger than what she is right now I think these are like a B cup. So she'll be a B plus C. That's that's what you get with fat You can't put too much in there because of the surface area. Not all the fat will live That's why we go in with a smaller amount of fat Stay tuned and we'll show her your reason. We'll show you guys her results after we're done If you if you remember a few days ago We had her actually last week come in and we deflated her implants We did that for a couple of reasons one. We wanted the skin to contract To we wanted her to see what her breast looks like without the implants So what are we going to do today is we're going to go through the areola and actually take out the Sack of the implants. So we're going to take out the implant the outer layer the inner layer It was same means so we just sucked it out. So this is actually her own breast and She has the implant in there all the tissue down here in the lower pole is her own That so I'm going to cinch in her waistline if you see right now her waist and her hips are even I'm going to cinch it in all the way She measures today around her belly button at 36 inches. So I'm thinking Five inches you guys take a guess at home. I think afterwards. I'm going to be at least five inches We're going to take out the love handles. We're going to take out the upper back put your arms down We're going to try to take out the rolls Remember these rolls are calm are caused by Adhesions just like the adhesions. I'm holding you person because we're going to take her back and Put it in her breast. There are a couple advantages over that number one. It's hundred percent organic hundred percent vegan hundred percent natural It's her own fat number two is that she doesn't have to change every 10 years with implants after every 10 12 years You're going to get a cap So they're going to become hard and you have to change them this way She's not going to have to change them number three They're going to look very natural and very modest. She wants a nice Refreshing look and that's what it's going to give her. That's what she wants. So that's what we're going to give her Going to go up about a cup size Remember half a cup to a cup maybe a cup and a half, but that's the most but she wants and to get the implant out I'm going to go right around the areola and take out the old implant in there Stay tuned as we start the case. Okay. So as we talked about in pre-op the patient has The implant in there although the implant is deflated We're going to go in and we're going to take out the implant And the capsule that's around it So we're going to go through the same scar that they put it in right through there And uh, we're going to find the implant Let's see where it is So we went through the skin through superficial fat. We went through the breast tissue There's the pectoralis You can see me zapping it and it contracts So this is this implant was placed underneath the muscle So in order to get to the implant we need to go underneath the muscle too And there we are. We're underneath the muscle now There it is And There is the capsule. I already see the capsule I'm just taking off the muscle right off the top of the capsule. You could see that little hole right there That's the capsule where the implant it is in there So here's the anterior aspect of the Capsule you could see I'm taking it off very thin capsule But I'm taking all of it out for her as I promised her she wanted everything out And I'm taking it all out for her There's the capsule and here's the implant See it all deflated away. There it is It was a saline implant. So it's salt water. So if any of it is in there, it'll just she'll just absorb it It was a 350 cc's allergen implant. And here's the capsule that was on top of it So this is the rib. Look at that. You hear it That's rib. That's intercostal muscles intercostal muscles The higher rib we took out the capsule as much as possible We cleaned the whole area out And then we're going to put some fat in there That's it. And here's the deflated implant from this side. There it is So if there's nothing wrong with poking a hole and taking out the salt water because it's nothing dangerous The shell is intact. All we did was remove the salt water. So it would contract better So now we're just going to clean up the rest of the capsule So this is her rib cage. Her rib cage ends right here. So we emphasize the curvature right here You can see she's very thin here. I made her very thin right where the ribs end So it comes contours in and gives her that waistline