A mother of 2 in her early 40’s who is bothered by a deflated appearance of her breasts after pregnancy. She describes herself as a 34 B. She is 5 ft tall and 123 lbs . She was sized in the office and liked the 280 cc High profile round smooth Sientra high strength silicone gel implant. She is shown before and again, 6 weeks after placement of the implants through and inframammary incision in a subglandular space.
Discussion: her case is more challenging because of borderline ptosis with her nipples being located just at the level of the breast fold. A subpectoral placement without a lift would have led to a “waterfall” effect with the breasts dropping off of the implant mound. With a subglandular placement the implants drop with the breast. The size of the implant was selected to match the base width of her breasts.
Update: Our patient is now seen 11 months after surgery. The sub-glandular placement has allowed the implants to settle with the mildly ptotic ( drooping) breast and gives her a natural appearance.
Cosmetic & Plastic Surgery Specialist
"I treat my patients like I would treat
- Jonathan D. Hall, MD, FACSmembers of my own family."
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