This is a female who wishes breast enlargement. She has lost a good bit of volume and upper pole fullness following her multiple pregnancies. She had some asymmetry in the breasts with the left breast being smaller and lower on her chest wall. She is broad-shouldered and curvy with a well defined waist and hips. In spite of her having measurements that would accommodate a larger implant, her breast tissue was quite stretchy, and we opted for a little smaller implant. She likes to run and is an athlete and her tissue is stretchier. She underwent an augmentation through an inframammary crease incision with submuscular placement of 445cc implant on the left and 405cc on the right. She has gotten a very nice result with improved symmetry, good projection, and moderate upper pole fill. The breasts look proportional to her shape. Her nipples have remained sensate.
This is a white female who wishes breast enlargement. She is 120lbs. and a C cup. She got as large as a DD with her single pregnancy and wished enlargement back in the D range with some upper pole fullness. She is broad-shouldered and curvy with a defined waist. Her breasts are nicely shaped with some nice round contour in the lower poles but some lack of fullness in the upper poles. The nipple areolar complexes were well positioned. In the office she tried numerous breast sizes to get an idea of what the implant sizes would do for her in clothing. I told her that her breast envelope would have accommodated a much larger implant. She wanted a more naturally shaped breast and did not wish to be much larger than a D cup. She underwent augmentation with silicone gel implants, 445cc on the left side and 405cc on the right. We did this through an inframammary incision. Photographs are shown about 2 months after her surgery. She has gotten a very nice result. She has maintained nipple sensation. The scars are flat and soft. The redness tends to dissipate with time. The implants are soft and displace nicely. She has very good symmetry. She is looking forward to the spring and summer with her new contour.
This is a young female who wished enlargement to a large C/small D. She wished mild to moderate upper pole fullness. Preoperatively, she went through the various implant trials to decide upon an implant that closely matched what she wanted to see. She measured for an implant in the 400cc range. In the operating room, various trials introduced in the implant pocket to come up with a size that gave her the projection, cup size, and upper pole fullness that she desired. Ultimately, we used 375cc silicone gel implants. Post operatively, she has maintained nipple sensation. She is a large C in almost all bra lines. The implants are soft and displace nicely. Her breasts are now nicely proportional to the other features of her torso.
This is a middle aged female who some years ago had an abdominoplasty. She had gotten a very nice result with that and now wanted her breasts resized and reshaped to a more feminine truncal contour. She wished to be in D cup, up from her present B cup range. She wanted slight upper pole fullness. In the office she had the opportunity to try out numerous sizes that would give her an approximate idea of the projection with certain sized implants. She opted for an implant in the 500cc range. In the operating room she actually required a little larger implant to get the upper pole full she desired. Ultimately we ended up putting in 550cc implants in both sides. She is a D cup and has maintained nipple sesnsation. The upper pole fill is compatible with her wishes. The scars are a little red as would be expected 2 months post operatively. The implants have remained soft.
This is a healthy lady that has had a pregnancy. She was a 32C prior to her pregnancy and got as large as a DD with her pregnancy. She wishes to be back in the D range with moderate upper pole fullness. She had opted for saline implants. In the office, she tried out the various trials and ultimately decided on an implant in the 300cc range. She had a slight amount of asymmetry. The right breast was a little larger than the left. She underwent augmentation with Natrelle saline implants. She had 300cc placed on the right and 320cc on the left. She is shown 2 ½ months afterwards. She is extremely pleased with her results. The breasts are nicely shaped. She has bilateral sensation. She is in a D cup in almost all bra lines.
This is a young lady that has had multiple pregnancies and lost the volume and projection in her breasts. She is slightly built with a 34B bra size. She got as large as a DD with her pregnancies. She wished a C cup with slight upper pole fullness. She was seen in the office where she was given the opportunity to “try out” various size implants. She was given some guidance as far as what certain size implants would to do her breast contour and ultimately we compromised on the implant size. She underwent augmentation in the submuscular position through an inframammary crease incision. The left breast was smaller, the same size implant, 300cc, gave very similar results in the upper pole fill. She is 2 months out in her post operative photographs. She is in a D cup size in Victoria’s Secret bras. The breasts are soft and displace easily. The creases remain sharp. Her nipple sensation has remained unchanged.
This is a young lady that wished some improvement in her breasts. She is 5’4” tall and weighs 115lbs. She is small B in most bra lines and got as large as a C cup with her pregnancies. She wished to be in the C/small D range with mild upper pole fullness. She liked the 460cc trials in the office and in fact that size implant gave her the projection and upper pole contour that she wished. The implants were placed through an inframammary crease incision. She has maintained nipple sensation. The breasts are symmetrical and the creases are sharp. The implants displace like a normal breast. She has gotten a very nice result and is quite pleased.
This is a young lady that is 5’4” tall and 122lbs. She is interested in breast enlargement. She is a 34B and had one pregnancy with moderate enlargement during her pregnancy. She wishes to be a full C/small D with moderate upper pole fullness. She is broad-shouldered and curvy. She had tight skin sleeves and subareolar breast herniation with some mild asymmetry in breast size and positioning on the chest wall. She is seen 2 months post operatively. She had a style 40 Natrelle silicone gel implants place, 320cc on the left side and 300cc on the right. Her breasts are symmetrical and the creases are sharp. The scars are flat and soft. The coloration is improving. She has maintained nipple sensation. The subareolar breast herniation is still present, but much improved.
This is a 45YO lady who desires some cosmetic improvement of her breasts. She does have some drooping of the breasts. I was trying to avoid doing a breast lift on her. I was able to do just a breast augmentation on her with some special manipulation of the tissue. This now has the implant sitting underneath the nipple areolar complex and it gives the appearance the nipple areolar complex has been elevated without doing a mastopexy.
She was happy that she was able to avoid having to have a breast lift because this results in more scarring with further out of pocket expense.
This young woman has had 4 children and lost breast volume as a result of her pregnancies. She got as large as a C cup with her pregnancies. She wished to be in a C cup with mild upper pole fullness. In the office, she tried and liked the 400cc implants. She underwent augmentation via inframammary route and the 400cc silicone gel implants did give her the projection and upper pole fill that she desired. She has gotten a very nice result. Her nipples have remained sensate. The breasts are symmetrical and soft.
This is a 45YO lady that desires some cosmetic improvement of her breasts. She desired more superior fullness as well as volume. The nipples were also lowered than desirable. We were able to give her superior fullness of the breasts, correct the size of the breasts, and elevate the nipple areolar complex without having to do a mastopexy.
Post operatively she is happy with the fullness that she has and also the improved shape of the breasts. We did this alone with silicone implants.
This is a 30YO who desired some cosmetic improvement of the breasts. She has post partum involution of the breasts since child bearing. The breasts have started sagging some. I was able to do a breast augmentation without having to do a breast lift on her. Her nipples are now pointing forward and she has some fullness of the breasts.
This is a young lady who lost a good bit of volume in her breasts associated with her pregnancies and wished surgery to reposition her breasts back up on her chest. She wanted restoration of her size. After discussion on the various means to get to this goal, she decided to do the mastopexy (lift) first, and then come back at a later date to place the implants. The mastopexy elevated the breasts back on her chest and gave her a slight amount of upper pole fullness. The after pictures show the same breasts after the addition of 500cc implants. The implants provided the increased projection (cup size) and a slight amount of improvement in the upper poles. The post operative bra size is now a 36DD. Her scars have remained quite faint and nearly imperceptible from her prior mastopexy.
This is a middle-aged female who has had 4 children. She is presently a C cup and got as large as a small D with her pregnancies. She wished to be back in a D range with some moderate upper pole fullness. She has some mild ptosis of the left nipple areolar complex. She measured for and actually liked implants in the 400cc range. I told her that I would go up or down on the implant size she chose depending on what size would give her the upper pole fullness that she desired. She was carried to the operating room and underwent breast augmentation with Natrelle SR silicone gel implants. In the operating room various sizers were used to ascertain what size implant that would give her the upper pole fullness that she desired. Ultimately, 405cc implants were used on each side. A superior crescent mastopexy was done on the left side to move the nipple areola complex up. Photographs post operatively are shown two months out. Her nipples have remained sensate. She is a large D/small DD. The scars are flat and soft and not raised. The implants displace nicely and symmetry is excellent.
This is a 32YO lady from Enterprise, Alabama. She desired some improvement in the appearance of her breasts. When I examine her, she has asymmetrical breasts. The left breast is droopier than the right breast and points more toward the side. She has no superior fullness to the breasts and really no shape.
The pictures above show her appearance after a submuscular breast augmentation with silicone gel implants. She now has a much more symmetrical chest with good shape to the breasts and upper pole fullness.
This is a 21YO young lady that was seen for consideration for a breast augmentation. She was a B cup. She got as large as a DD with her pregnancies. She wished to be a D cup with mild to moderate upper pole fullness. She was seen in the office and given the opportunity to try out several implants. She wished something in the 360cc range which was very close to what she measured for. She underwent bilateral breast augmentation with submuscular placement of silicone gel implants. There are 360cc on each side. She is a 36D. Her nipples are sensate. The creases are sharp. She has upper pole fullness. Photographs are taken 2 months post operatively. The scars are a little red but they are flat and soft. They are non-tender. The color should improve with time.
This is a lady that I saw for breast enlargement. She is a thin lady about 120lbs. Her bra size is an A cup. She was a C cup before her pregnancies and got as large as a D cup with her pregnancies. She wished to be in a D range with moderate upper pole fullness. The day of her consultation, measurements and photographs were taken. She had the opportunity to try various trials to give her an approximation of what she would look like after the augmentation. She liked implants in the 340-360cc range. She underwent an augmentation via inframammary crease approach. I placed Natrelle Inspira SRN smooth surface gel implants, 330cc on the right side, and 345cc on the left. She maintained nipple sensation. The breasts are nicely shaped. They are soft and displace well. The creases are sharp and the breasts are symmetrical. Bra size depending on the brand is around a large C/small D.
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.