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Secondary mastopexy augmentation is when a mastopexy augmentation is performed in a previously augmented or operated breast. In these patients it is important to take significant attention to the previous plane of the implant and previous incisions to be able to discern the remaining blood supply to the breast. 

Brian Dickinson, MD Secondary Mastopexy Augmentation

In the secondary mastopexy augmentation it is quite common to perform a modification of the capsule to centralize the breast implant on the chest wall. Depending upon the position of the pectoralis major muscle to the implant, and degree of capsule formation, the degree of motion of the implant with contraction of the pectoralis major muscle can be affected.  The satisfaction rate is high after secondary mastopexy augmentation. 

Brian Dickinson, MD Secondary Mastopexy Augmentation