Breast Gallery

A mother of 1 who has gained and lost 90 lbs with her pregnancy. She does not feel feminine because of her flat chest “ like a 14 year old boy” and wants to have a fuller but natural look. She describes herself as a 32 iA but was a 36 C cup before pregnancy. She is 5’6” and 135 lbs. She is shown before and again, 18 months after Sientra, round, 385 cc High Profile silicone gel textured implants. They were placed in a dual plane position through an inframammary ( at the breast fold) incision. The High profile implant was selected to help add some fullness to the upper part of the deflated breast. The goal is to fill but not overly stretch the breast, and her breast was deflated after pregnancy and weight loss. Texture is chosen to decrease the tendency of a smooth implant to drop and/or slip to the side with time. A ”dual plane” allows the implant to be under the muscle in the upper breast and under the breast in the lower breast. This helps when the breast is starting to droop to allow the implant to settle more with the breast and decrease the tendency to a “waterfall” effect where the breast drops off the implant. At 18 months she has maintained a stable and natural looking result.

A mother of one in her late 40’s who wanted a breast lift. She described herself as a 40D and wished to be a little smaller as well. She is 5 feet tall and 120 lbs and is shown before and again, 6 months after a bilateral reduction mastopexy ( lift and reduction) with the removal of around 220 gms of tissue (about ½ lb) from each breast. Scars will typically continue to fade and improve over the next 18 months. She is already thrilled with her result. A superior pedicle/Inverted T scar was used in her case.

A 13 year followup on a patient with saline breast implants. Her case was made more complicated by having a history of Von Willebrand’s disease, which can increase the risk of bleeding. Clearance was obtained from her cardiologist she was given DDAVP ( STIMATE) just before and after her surgery. She had 325 cc smooth round saline implants placed through an inframmary incision and above the muscle (sub-glandular). She did not have any problems with bleeding after her surgery and is still doing well 13 years later. She was back for a routine check, One advantage of saline implants is that it is easy to tell if they have leaked ( the saline is absorbed and they go flat) so they are easy to evaluate without obtaining an MRI or ultrasound.