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Patient Details
This is a mother of five who desired a breast enhancement. Her breasts have fallen (ptosis), they have lost superior fullness and they are wide (which makes her look matronly and overweight). Although I suggested a breast lift and an implant she was quite nervous about not looking too big because of her family life.
We elected to perform a bilateral breast augmentation with 375cc high profile silicone implants placed below the muscle through an incision beneath the breast. She also had liposuction of her lateral breast and under her arms. She is seen here at four months after her procedure. Note the overall improvement, but with continued sagging of the lower portion of the breast. She says she sees now the benefit of a Mastopexy or “breast lift”. She says she looks “perfect” when she wears her bra (see photo). She wished she had listened to me when I recommended a larger implant that would have provided for more “lift” since she didn’t want a Mastopexy.
This case illustrates the issue of the benefits of an augmentation alone when a breast lift would have improved the results. She has no regrets and absolutely loves her new breasts and admits that she chose to go in stages because she didn’t know what to expect.
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