This is an 18 year old who presented to my office complaining to me that her breasts never quite developed normally. She thought it was because she didn’t wear a bra.
You can clearly see that she has uneven saggy breasts with enlarged areolas. She is seen here after a bilateral version of the breast lift with implants procedure I call the Breast Reduction with Augmentation (BRA). I removed 377 grams of tissue on the right and 259 grams on the left side. I placed 350cc moderate profile smooth walled round silicone implants beneath the muscle on each side. This was all performed with a vertical incision and a final lollipop shaped scar.
There is a remarkable improvement with very nice symmetry. She has soft, natural looking breasts. She still doesn’t wear a bra which isn’t going to help her at all (support equals a better long term shape).
This is a challenging procedure in general, but in this case more so because of the breast unevenness, the size of the reduction needed, and the expanse of her areolas.
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