A woman in her mid 20’s who is interested in having fuller breasts. She is 5’ 3 ½” and 138 lbs. Her breasts are a different shape and size. Nipple position is close enough that it does not make sense to place a scar around the nipple with a mastopexy (breast lift). A good rule of thumb is to consider a mastopexy if the difference between the sternal notch to nipple distance is more than 1 ½ cm.
Different size implants can be used. The issue here is that the smaller breast is relatively “tighter” and will bulge more if a significantly larger implant is used. She is shown 3 years after surgery with round smooth moderate profile plus cohesive silicone gel implants placed in a “dual plane” position below the pectoralis muscle through an infra mammary ( at the breast fold) incision. A 350 cc implant was placed on her left breast and a 375 cc implant was placed on her right breast. The 375 cc implant was the largest implant that could be used on her right breast without an “implant look”. A larger implant may look overly round or bulge in the upper part of the breast. Of course her breasts are still “sisters and not twins” and remain different but are now closer in 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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