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!
SERVING SCOTTSDALE, PHOENIX, GILBERT, MESA, CHANDLER AND TEMPE, ARIZONA
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!
39 Year old who 6 years before had 460cc saline implants placed aove the muscle. Since surgery, she always felt her breasts were too big and too heavy feeling. She wanted to be smaller and lifted. I removed her old implants, put new allergan style 15 silicone implant under the muscle, 250cc on the right and 300cc on the left and then did a Brazilian full mastopexy.
This patient is a 51 year old who breast fed...a lot! A total of 4 years, and now recently had a 40lb weight loss. She shows Grade II droop and desired a full breast list with implants. She underwent a brazilian lift with Allergan 330 style 10 gel implants under the muscle, with a much more youthful supported result.
She is a 39 year old and 5 c-sections later, felt it was time for a Mommy Makeover. She wanted to get back into a bikini and was hoping for a good D cup afterwards. She underwent 5 1/2 hours of surgery with a breast lift/reduction and 510 Gel implants, lipo of the hips, inner thighs and abdomen and also a tummy tuck.