Before & Afters - Breast Implants (Augmentation)

 

This is a healthy lady who had a prior augmentation mastopexy with saline implants.  At that time, her nipple areolar complexes were large and I was not able to get all the areola pigment out of the mastopexy. There was some areola pigment left on the midline scar associated with the mastopexy.  She wished her breasts rounded and the pigment removed from the breast skin.  She also was participating in a fitness competition and wanted to minimize the animation seen with submuscular implants.  She had children and had some loose skin on her abdomen.  All of her muscles were tight.  At the time of the redo aug/mastopexy with conversion to a subglandular plane, she had an abdominoplasty.  The scar was placed low where it could be hidden within intimate clothing.  This resulted in an elevated, flattened, and triangular mons.  The suctioning gave some contour to the midline of the abdomen and at the junction between the rectus abdominis muscles and the external obliques.  She has gotten a very nice result.  The scars are only 2 months out and they will continue to fade over time.

 

Photos submitted by Dr. Owen

This is a very slender, statuesque female who weighs about 100lbs.  Her preoperative breast size was a 32A.  She had never been pregnant and her breasts have always been the present size since adolescence.  She wanted to be a C with moderate upper pole fullness.  She tried numerous trial implants in the office and ultimately settled on a 300cc implant.  This size nicely corresponded with the width of her breasts and ultimately 295cc implants were used in the operating room.  This gave her nice projection and the upper pole fill that she desired. Her breasts remain sensate and the implants were soft and mobile.  The creases are sharp and symmetry was excellent.  She got a very nice result and looks about as you could ask for with implant surgery.

 

Photos submitted by Dr. Owen

This is a young lady that wished some improvement in her breasts.  She is 5’7” tall and weighs 130lbs.  She is a 36A.  Her breasts did not really change with pregnancies.  She wished some moderate upper pole fullness in the upper poles. In the office she liked the 360cc trials.  She had some mild asymmetry basically secondary to a pectus deformity of the chest wall.  The left breast was a little smaller and a little higher on the chest wall compared to the right.  She underwent ultimately an augmentation with a 360cc silicone gel implant on the right, a 375cc silicone gel implant on the left through an inframammary crease incision. Shown are her 2 month post op photographs.  She has very nicely shaped breasts with good symmetry and the moderate upper pole fullness that she desired.

 

Photos submitted by Dr. Owen

This is a lady that had breast implants as a young woman.  These were saline implants through a periareolar incision.  She has had several children and has developed some droopiness of the breasts.  The breasts are now down on her abdomen and her nipple areolar complexes are down pointing. She wished to be a larger size with a hint of upper pole fullness.  She underwent revision breast augmentation with mastopexy with a conversion to gel implants.  She is maybe a ½ cup size bigger than she was and has a nice upper and lower pole contour. The nipple areolar complexes are now pointing straight ahead.  Her scars are flat and soft and non-tender.  They should lighten up over time.  

This is a young lady who is 5’6” tall and weighs 135lbs.  She is a C cup.  She had larger breasts at one time when she weighed more.  She wished her breasts enlarged and wished significant upper pole fullness shy of being able to see the outline of the implant.  In the pre-op evaluation we determined that it would take about 400cc implants to obtain that goal.  She underwent an augmentation through and inframammary approach. I put 405cc gel implant in on the left side and 375cc on the right.  She has a nice shape with upper pole fullness post operatively.  Projection is good as is symmetry.  The nipple areolar complexes have remained sensate.  She measures for a D cup now.  She has gotten a very nice result and she and her husband are quite pleased.  

This is a 50YO lady that had old breast implants.  She had started developing some drooping of the breasts as well as capsule contractures. This made the breasts appear too full superiorly with the nipples drooping.  She was a little larger than she wanted to be.  She underwent removal of the old implants with a capsulectomy. She also had a mastopexy which lifted the nipple areolar complexes.  I replaced her old implants with smaller implants.  Now her breasts have a much more aesthetic look and she feels much better with the smaller, better shaped breasts.  

 

She also had some excessive fat in the lateral breast and chest area and I liposuctioned these areas.

 

Photos submitted by Dr. Feagin

These are before and 2 month after photographs of a lady that wished improvement in her breasts. She wished enlargement and her breasts back up on her chest.  She underwent an augmentation/mastopexy.  She liked the appearance of the 400cc trials in the office prior to the surgery.  In the operating room I used 405cc implants with bilateral mastopexies to recentralize the breasts over the implants. She has gotten a very nice result with nice symmetry, sharp creases, and good upper pole fullness.  The breasts are now appropriate for her frame and size.

 

Photos submitted by Dr. Owen

This is a young female that has lost a considerable amount of weight following childbirth.  She got as large as a D cup with her pregnancy. At present she is a B cup and wishes to be in a C range with moderate upper pole fullness (cleavage).  In the office, measurements of the breast diameter put an implant in the 400-460cc range for the results she liked.  She tried the various trials and like the 460cc implant. In the operating room numerous trials were used to obtain the upper pole contour that she desired and ultimately 445cc smooth surface silicone gel implants were used.  Her bra size is a D cup.  She has maintained nipple sensation.  The implants are soft and displace well.  The creases are sharp.  She has gotten a very nice result from this operation.  She is well pleased.

 

Photos submitted by Dr. Owen

This is a middle aged lady who is a B cup.  She has had several children and got as large as a C cup with her pregnancies.  On exam, she is broad-shouldered and statuesque with a well defined waist.  The breasts were nicely shaped and equal in size.  She did have some fullness overlying the anterior axillary fold which is excess breast tissue that could be removed later with liposuction.  She wished implants in the D range.  She liked the 400cc trials in the office preoperatively.  In the operating room, after the pockets were dissected, trials and sizers were placed to ascertain the appearance of the breasts prior to the permanent implant being placed.  The 405cc gel implants gave her the projection and upper pole fullness that she desired.  She had an unremarkable post operative course and remained with sensate nipples.  The breasts are soft, symmetrical, and displace nicely.  She has gotten a very nice result and is well pleased.

 

Photos submitted by Dr. Owen

This is a 25YO young female from the Florida area.  She desired some cosmetic improvement of her breasts.  She has some drooping of the nipple areola complex with asymmetry of the position of the breasts on the chest wall.  Also she does not have any fullness in the lower pole of her breasts.

 

These type breasts are very difficult to do an augmentation and maintain good results.  A surgeon must have years of experience in order to understood the pitfalls in trying to enlarge these type breasts.

 

Post operative views show significant improvement of these breasts.  Now the breasts have a normal shape and the nipples are in good position relative to the breast tissue.

 

Photos submitted by Dr. Feagin

This is a lady who had prior breast implants and complained that the implants were sliding off her chest and developed a double bubble in the lower poles bilaterally.  This was worse on the left side.  The implants were dissecting out over the upper abdomen and lateral chest.  She wished to have larger breasts and more upper pole fullness.  She was carried to the operating room where the disrupted inframammary crease was repaired and reinforced with Seri silk.  I placed 580cc gel implants in her.  She has gotten a very nice result.  The breasts are nicely rounded with a mature, pleasing lower pole contour.  She has some cleavage in the upper pole and more narrow cleft between the breasts in the midline.  She gained a cup and a half in her size and her nipples have remained sensate.  Prior to surgery she was basically skin on top of implant with really no subcutaneous breast tissue.  Almost 95% of her breast mound is implant.  This is a really very good result for the problem that she had.

 

Photos submitted by Dr. Owen

This is a young lady that is 5’3” tall and weighs 130lbs who is presently about a C cup.  She has had several pregnancies and got as large as a D cup.  She wished to be larger, proportional to her frame, but did not wish much cleavage. She is broad-shouldered and statuesque and the breasts were nicely formed with some fullness in the lower pole. There was some slight asymmetry in the location of the breasts on the chest wall as well as in the size of the breasts.  In the office she tried various implant trials to help her decide on the size she wished to be.  She liked implants in the 300-360cc range.  She underwent augmentation.  We put 310cc in on the left side and 275cc on the right side.  She has maintained nipple sensation.  She is a D cup.  The breasts are symmetrical and displace nicely.  The scars are flat and soft.  She has gotten a very nice result and is happy with things.  Her post op photographs are taken two months following her original surgery.

 

Photos submitted by Dr. Owen

This is a 35YO lady that desires some cosmetic improvement of her breasts.  She had around B size breasts and wanted more superior fullness of the breasts and also more fullness laterally.  Also she wanted to improve her cleavage some.  

 

She underwent a bilateral breast augmentation with silicone implants.  Her right breast was initially smaller than the left breast and I put in a larger implant on that side.  Now she is much more symmetrical in size, shape, and position.  

 

Photos submitted by Dr.Feagin

This is a younger, slightly built female who has lost a good bit of breast volume with her pregnancies.  She is 115lbs.  Her breast size pre-operatively is a 34B.  She got as large as a D with her pregnancies.  Her breasts are stretchy and she has glandular breast tissue beneath the inframammary crease.   The nipple areolar complexes were in good position.  She wished some upper pole fullness but did not wish to be much larger than the 400cc trials that she tried in the office.  She underwent augmentation through an inframammary approach.  She has 405cc silicone gel implants.  She has gotten a very nice result.  She has moderate upper pole fullness and good projection.  The breasts filled out the skin redundancy in the lower pole.  She is a D cup with nipple sensation bilaterally.  The breasts remain soft and naturally feeling.  This is an excellent result.  She is more than happy with her results.

 

Photos submitted by Dr. Owen-54415

These are before and after photographs on a 50ishYO female who wished an increase in her breast size with greater projection and more fullness of the upper poles.  She tried and liked in the office the 400cc trials.  She underwent augmentation/mastopexy with Natrelle 405cc silicone gel implants and wise pattern mastopexy to improve the shape and contour location of the breast on the chest wall.  She has gotten a nice result from her surgery with improved projection and a more rounded contour.  She has gotten nice upper pole fullness.  She has maintained nipple sensation.  Her scars are flat, soft, and fading.

 

Photos submitted by Dr. Owen-54270

This is a 35YO lady from Panama City Florida that desires some more fullness in the upper pole of her breasts.  She has breast tissue but it has fallen inferiorly.  The nipples are lower than she desires and she does not have any superior fullness.  Whenever she wears bras or swimsuits, she has no breast tissue in the upper pole of her breasts.  In order to correct this we put in a small implant and uplifted breast tissue and the nipples.  Now the nipples are pointing more inferiorly and she has superior upper pole fullness in the breasts.  She underwent a mastopexy with implants.  This was done as an outpatient procedure.  Usually you can return to work within 3 days.

 

Photos submitted by Dr. Feagin-54483

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