This 42-year-old is a classic example of a breast implant revision going from an above muscle breast augmentation years ago to an under the muscle implant exchange with a lift. Her original implants were 350 mL textured silicone implants above the muscle and over the years her skin and stretched quite a bit. She was now complaining of a hanging sensation as well as loss of volume in the upper pole. She really didn’t want to be much smaller, just more support and better cleavage. In surgery, I removed her old implants and opened the space under her muscle. I used part of her old capsule to support the implants which were 375cc Allergan SCM gummy bear implants. I then did a Brazilian superior pedicle lift on top of it all. Her photos are now 13 months postop with still very good support to her implants and breast tissue!
Breast Mastopexy
SERVING SCOTTSDALE, PHOENIX, GILBERT, MESA, CHANDLER AND TEMPE, ARIZONA
This 46-year-old patient shows how with a well-constructed lift, you can go with larger implants and still maintain the lift. I usually discourage patients from going with too large of an implant with a lift because of the difficulty in keeping it uphill and maintaining upper pole fullness. So, this patient went with a lift and 255cc implants at our first surgery. She then decided to be larger and by waiting almost one year we were then able to place 415cc Allergan SCF silicone implants and still showing a great lift up off her tummy, 18 months later.
This 35-year-old female had lost breast volume following breast-feeding. She now desired a C cup and very natural wanting to avoid that high riding breast look. Her rib cage showed an indentation at the lower sternum and flaring of her ribs on the lower left side. She was also slightly larger on the right than the left. I used a 300cc Allergan style SRLP silicone implant kept completely submuscular with a Brazilian lift on top of that. her results are shown one year later still holding a very full, natural look.
This 44-year-old woman felt her breasts just did not fit her body tight. She was a DD and felt very droopy. She wanted a smaller breast size and lift as well but not interested in an implant. A Brazilian type breast lift was performed and her results, eight months later show a much more athletic look, which was her goal!
This 41-year-old patient is a great illustration of a few principles. She had original augmentation surgery in 2004 with saline implants over the muscle. She felt too low and her saline implants were too slushy. She wanted to be lifted, more fullness in the upper pole and change to silicone. We decided to not only change her implants (Allergan 310cc) and do a lift but move them to under the muscle as well. By keeping the muscle completely intact and doing a Brazilian superior pedicle lift which eliminates droopy tissue at the bottom, she now has upper pole fullness and as her photos show almost 2 years later (too many “after lift” pictures are shown too soon after surgery..)they are still up off her tummy, passing the pencil test!
Textured implants have received much attention lately and deservedly so. Research continues but I thought I would post a reason as to why we use them. One thing they offer in many patients is an increased ability to stay where you put them. This 67-year-old female was unhappy with her drooping breasts and desired to be a good D to DD. Keeping implants and breast tissue uphill is always a challenge in mastopexy augmentation and even more so in this patient with loose skin. Therefore, we decided to use Allergan style TCM 445cc textured gummy implants, and a Brazilian type superior pedicle mastopexy. At one year later, she is still up where she wants with both implants and breast tissue!
This woman had her first breast augmentation at age 25 with 250cc saline implants over the muscle. Now 38 years old, three kids later and an active tennis player, she felt that her breasts had dropped and that she had lost upper pole fullness. At surgery, we removed her old implants, put 310cc Allergen silicone gel implants under the muscle with complete muscular coverage to prevent this implant from slipping too low or back to the previous space. This was followed by a Brazilian, superior pedicure full mastopexy and 16 months later her shape is great!
This patient had undergone a lift with implants three years prior. Unfortunately, she felt too large and that her implants, being high profile and 425 cc, were too big and she still felt too droopy. We went to surgery and changed her implants to 330 cc Allergan silicone gel and did a Brazilian type lift, which specifically removes much of the droopy tissue from the bottom of her breasts. She also has a naturally occurring indentation of her lower breast bone which is somewhat common. Her results now two years later, show her breasts still up off her tummy and passing the pencil test!
