At 56 years old, a lean frame and with lower pole fullness, this is a good example of what can be done through the underarm, with the breast endoscope and a Keller funnel. The scope allows you to exit the muscle sooner when making a pocket, which allows more filling of the lower pole. Using the Keller funnel, I placed 457 moderate profile Allergen gel implants. She went from a B to a D.
SERVING SCOTTSDALE, PHOENIX, GILBERT, MESA, CHANDLER AND TEMPE, ARIZONA
This 25 year old was looking to be a full C-small D cup. At pre-op her photos show a real challenge with very lateral positioned nipples. I think she is a great example though of picking an implant-the width you need-rather than just matching the patient's natural breast width. Her breasts were 12cm wide but to help avoid a big space "the east/west breast", I picked an Allergan 405cc SRM implant, 13.25 cm wide, giving her cleavage and a great result.
This is a 31 year old woman with what can be a little challenging in that she is pretty lean and has lower pole breast tissue. By placing 371cc moderate profile Allergen gel implants just a bit lower on the chest, you can get a very natural tear drop shape, even through the underarm.
This 5'7 30 year old presented for breast augmentation, wanting a full B/small C cup, but with very thin skin and breast tissue. We decided on the Allergan Style 410 anatomic gummy implant, 320cc. With her lean build, this is a great example of when I think the tear drop Allergan implant really makes a noticeable difference.
This patient presented with a fairly unusual presentation. Sixteen years prior she had saline 425 cc implants placed under the muscle. Six years laters, she changed to silicone 550cc but had a post op complication of bleeding and infection, requiring a removal of her right implant, as well a some tissue and muscle. A year later, she had reconstruction with Alloderm and new 375cc gel implants. She then came to me 9 years later, wanting to be back to her larger size, which she missed. In addition to feeling too small, she felt her breasts had an odd shape with too much at the top. At surgery, I found a gel rupture on the left side and after revising the capsules and using a sizer, I placed Allergan 410 anatomic 595cc-Style FF bilaterally, giving her a bigger size and better shape.
This young woman is 5' 10. She presented with a 34A cup and was hoping for a full C-small D. She did our rice test and kept inching up to a larger size, finally settling on close to 500cc. We placed a 492 cc Allergan Style 15 silicone gel implant through the underarm using a Keller funnel. She really shows a dramatic change and with her height, she felt it gave her much more balance and proportion.
This is a 34 year old female who found us on RealSelf. She is a good example of how implants can even out a size difference and help fill out loose tissue. She wanted to go from a full B cupt to a small D cup. I placed 445cc on the right and 485 on the left using the new Allergan Inspira gel implants. She now has much better shape and symmetry.
I include this patient because there is a temptation by some surgeons to overuse high profile implants. This patient wanted a good size and was only 12cm wide at her breast diameter, so it may be tempting to use a high-profile implant but looking at her pre op, I saw a slightly larger cleavage space and I felt a moderate profile would be a better choice to get cleavage. So, we placed an Allergan SRM 405cc Moderate Profile standard silicone gel implants with, I think, a great result.