This is a middle aged female that is 125lbs. She is a 32B. She had three pregnancies and got as large as a D with her pregnancies. She wished her breasts enlarged and back up on her chest. The nipple areolar complexes were just at or below the inframammary crease. She tried and like the mid 30cc range implants. She underwent an augmentation/mastopexy with a 345cc implant on the larger right breast and 360cc implant on the left. The mastopexy was the inverted T, anchor wise pattern incision. She has maintained full nipple sensation. Her breasts are symmetrical and nicely shaped with good upper pole fill. The scars are flat and soft and the redness is improving and will continue to do so.
This is a 40YO lady from Panama City, Florida that I am seeing about her breasts. She had very large implants put in the breasts and they had stretched the breasts. The nipples were pointing inferiorly. Her breasts were too large for her body frame. She decided she wanted the breasts smaller and the nipples uplifted. She wished to have a better shape to the breasts. I removed her old implants and did a mastopexy. I then put in smaller implants. We have helped her neck and shoulders significantly and her clothes fit her much better now.
These are before and after photographs of augmentation breast surgery with a mastopexy on the left side. This is a broad-shouldered and statuesque young lady who is 5’4” tall. She was a 34B. She had gotten as large as a D with her pregnancies. She wanted her breasts back to the size that she was during her pregnancies. Her left breast was larger and the crease lower compared to the right side. She tried various implants and like something in the mid 400cc range. The left side would require a mastopexy to center the nipple areolar complex over the breast mound. She underwent breast surgery with bilateral breast implants using Natrelle SRM, Inspira smooth surface gel implants. We put in 445cc on the right side and 405cc on the left. I also did a left-sided mastopexy. She had an uneventful recovery. She has nice symmetry and good projection. Her scars are flat and soft. The nipple areolar complex is better positioned on the left side. She is a D cup in most bra lines and DD in some. She has gotten a nice result and is very pleased.
This is a 30YO lady who has had post partum involution of the breasts. The breasts are droopy and she desires to have more fullness and the breasts uplifted and reshaped.
She underwent a mastopexy with an augmentation. This has allowed her to have more superior fullness and a better shape to the breasts. Now the breasts are pointing anteriorly and in a proper position.
This is a young female that is 5’3” tall and weighs 145lbs. She is a 36A. She has had two pregnancies. She had breasts with a somewhat tight inframammary crease and a deflated skin sleeve with ptotic nipple areolar complexes. She underwent a superior crescent augmentation/mastopexy. A small crescent of redundant skin was removed around the circumference of the areola and facilitated moving the nipple up and centering it on her breast implants. She got significant improvement in her upper contour with breasts that match her body contour and defined waistline. She is a DD and has been extremely pleased with the results.
This is a 30ish female that I am seeing for consideration for a breast augmentation. After the birth of her child, she had lost some fullness in the upper poles of the breasts. Her issues were to get her breasts back up on her chest and off her abdomen as well as gain some projection and symmetry. The left breast was considerably larger than her right breast. She underwent an augmentation/mastopexy with saline implants using a 450cc implant on the right side and 400cc on the left. Her post operative pictures are 2 months out. Her nipples have remained sensate. The breasts are more symmetrical on her chest. She is a 36D. She has gotten a very nice result. She is quite pleased with the results.
This is a 65YO lady who wished her breasts enlarged and back up on her chest. She specifically wanted a significant amount of upper pole fullness. She has several medical problems that were managed with medications. She is 5'2" tall and weighs 165lbs. She is a 38D. Her mammograms were normal. She had very stretchy tissue and decided to downsize her expectation in hopes of maintaining her appearance for a longer time. She ultimately underwent an augmentation/mastopexy with saline implants filled to 450cc. In addition, we excised her prominent lateral chest wall folds. The nipple areolar complex was pedicled and healed without difficulty. She got a nice result with much improved projection and fullness of the breasts. She now has a more attractive shape.
This lady came to our office wishing her breast appearance returned to her pre-pregnancy size and shape. She has had two pregnancies and was a 34D before her pregnancies and is now smaller than a C cup with breast that has fallen off her chest. She had extremely stretchy skin which will often not hold up well over time with implants that are too large. Ultimately, we decided on a little smaller implant than she originally desired in hopes that her breasts would maintain a better shape for a longer period of time. Post operative pictures are 2 months after her surgery. Her breast size is a small D. She has maintained nipple sensation. The symmetry is good. She has slight upper pole fullness that is easily accentuated with clothing.
This is a 37YO lady from Destin, Florida. She was interested in some cosmetic improvement of her breasts. When you look at her pre-op pictures, the breasts are somewhat ptotic and the nipples are well below the inframammary fold. If we just did implants on her, they would be full superiorly but she would still have some drooping to the breast tissue. She underwent a silicone breast augmentation with implants placed in the submuscular position. She also underwent a mastopexy. In the post op pictures, you can see the nipples are in the appropriate position pointing anteriorly. We have nice fullness in the upper portion of the breasts as well as the lower pole of the breasts. This procedure is done as an outpatient procedure. People can usually return to work in 2-3 days after surgery.
This is a 30YO lady from Defuniak Springs, Florida. She is seeing me concerning her drooping breasts with loss of fullness in the upper pole of the breasts. The nipples are pointing inferiorly and she is complaining about the large nipple areolar complexes. In order to get the nipples up in position and reshape the breasts, she will need a mastopexy. To give her more superior fullness in the breasts as well as more projection, I will need to put in small, silicone breast implants. The pre-op and post-op pictures are shown and you can see post operatively that the nipples are now pointing anteriorly with good fullness in the breasts. She now has a good shape to the breasts. This procedure is done as an outpatient procedure at the hospital.
This is a lady that had a previous gastric banding and lost almost 100lbs. As a result of the weight loss she also lost a good bit of volume in the breasts. At her presentation, she was a large B/small C and wished to be in the D range. She wanted her breasts back up on her chest and off her abdomen. She wanted moderate fullness in the upper poles of the breasts. Her breasts were ptotic in the 3rd degree. The nipple areolar complexes were below the inframammary crease. There was some asymmetry in size. Her lower poles were extremely tight and there was very little side to side redundancy. She underwent augmentation/mastopexy with silicone gel implants. I put in 405cc on the right and 333cc on the left. Photographs are shown several months post operatively. She has gotten a very nice result with good projection, upper pole fullness, and symmetry. She has maintained sensation in both her nipples. Her bra size is a D/DD.
This is a 70YO lady that desired some cosmetic improvement of her breasts. She is very active and has a lot of pride in her looks. Even with her age, she wanted her breasts to look nice. The pre-op photos show breasts that have lost fullness superiorly with drooping. Post-op photos show her with a mastopexy with silicone implants. This is done as an outpatient procedure at the hospital.
This is a middle aged lady who wished some improvement in her chest. She is small and weighs less than 120lbs. She initially was here and thinking that she wished only to have a mastopexy. She had seen a “cosmetic surgeon” that had recommended very large implants. The implants would not have addressed the problems and the size that was recommended was out of line for her small frame. In the consultation it was determined that she did wish more projection i.e. an implant and did want some more fullness in the upper poles. She also wished some improvement in the asymmetry. In addition to some asymmetry in the breasts themselves, she had some body asymmetry on the whole left side of her body. It is higher than the right i.e. the shoulder, inframammary crease, and the hip. I did ultimately operate on her and did a wise pattern mastopexy with a 195cc on the right and a perioareolar lift on the left with a 255cc implant. This got her breasts more symmetrical. It gave her the upper pole fullness that she desired. Her breast size is appropriate for her small frame. She has maintained sensation in both nipple areolar complexes. Her scars are flat and soft and will continue to fade with time. Post operative photos are two months out. She has gotten a very nice result and is very pleased with the outcome.