Lee Seng Khoo, Francesco Mazzarone and Luiggi Fayad
We report a case of a 51 year old woman who underwent a no vertical scar breast reduction with augmentation mastopexy 15 years ago and presented with breast distortion, gross asymmetry with medialized nipples and Baker’s Grade III capsular contracture. This report details the surgical steps undertaken to correct the deformity and the postoperative results. Secondary augmentation mastopexy presents a unique challenge due to the limited amount of tissue to work with and decreased blood supply to the flaps.