This mother is 5’6″ and 130 pounds and has had a previous breast “lift” performed by another surgeon. She says that initially her breasts looked good but after five months they began to sag. Her pictures reveal “bottoming out”. This happens when the breast tissue that was elevated initially fell victim to gravity. The nipple areola complexes ride high as the tissue sags below.
She is seen here after a breast lift with implants – here the variant I call the Breast Reduction with Augmentation (BRA). She was enhanced with 200cc smooth walled silicone implants placed beneath the muscle. A horizontal wedge resection of tissue was removed on the lower part of the breast (tissue that hangs). A new inframammary crease was designed.
Photo number 1 is her initial picture. Photo 2 was taken at 4 months and photo 3 was taken at 26 months post operative. Note the dramatic shape improvement with less hang and more superior fullness. The shape even improved after four months as the swelling subsided over time. Her breasts are more rounded and perky. Also note the excellent bra that has helped to mold her breasts as well as support them so they are less likely to fall in the future.
A mastopexy or breast lift alone (without an implant) works well in selected cases, especially when the breasts are small and the skin and tissue is of good quality. Most plastic surgeons believe that recurrence of the sagging is inevitable. It will also provide little superior breast fullness. This is why the use of an implant as well as a lift or reduction is popular because it’s the best method to build a perky more youthful breast. It’s also what patients are demanding from their surgeons. A note of caution however is that an augmentation/mastopexy or breast augmentation reduction is inherently a more complex procedure with a greater potential for complications and a higher revision rate. The complications typically are minor and the increased tendency for revisions usually involve implant adjustments or skin manipulation. An expert surgeon is mandatory.
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