Breast Augmentation Patient 97

A mother of 2 in her later 40s is bothered by the deflated appearance of her breast after children. She describes herself as a 34 B cup and would like to be fuller.  She is shown before and again, 4 months after bilateral sub glandular Sientra smooth round 350 ml High profile cohesive silicone gel implant placed through an inframammary incision.

Discussion:  Although a partial sub-pectoral placement of the implant is more common in my practice when a patient has some drooping and an increased stretch of the lower pole of the breast, a sub-glandular placement allows the implant to settle with the breast and gives a more natural appearance in this instance.  If the implant is placed under the muscle and the breast “drops off” the mound we call that a waterfall effect and it does not look as natural.