A woman in her late 30’s with volume loss and drooping of her breasts after 2 pregnancies. She is also bothered by an area of fat accumulation along her anterior axilla.
She is 5’ 5-1/2” and 130 lbs and is shown before and again, 3 ½ months after bilateral augmentation mastopexy combined with power assisted liposuction of the axilla using the S.A.F.E. technique. Textured, round, high profile 350 cc silicone gel implants were placed in a dual plane position. Her scars will typically continue to fade for the next 2 years. She already is thrilled with her improvement. High profile was used to try and restore some upper pole fullness-in a “tight” breast from someone who has never lost weight or been pregnant a high profile can cause too much stretching and atrophy of the breast tissue, but in a woman who has lost upper breast volume it can work well. The idea is to fill the breast but not overly stretch the breast. Texture was chosen to decrease the tendency of the implants to fall to the side or drop with time, which is more likely with a “’stretchy” breast after pregnancy. “Dual plane” position has the implant below the muscle in the upper breast and above the muscle in the lower breast- this allows the implant to settle with the breast but still have the benefits of being covered with the muscle in the upper breast- (less capsular contracture, easier to do a mammogram, and the breast ‘ages’ better) A vertical mastopexy was used (“lollipop incision”)
Cosmetic & Plastic Surgery Specialist
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