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