This female patient wanted “larger and fuller” breasts. She had a moderate tubular breast shape. They were widely separated on her chest wall. She had enlarged nipple-areola and narrow breasts. In addition, she had clumps of dense breast tissue immediately beneath the areola. The breasts were also shaped differently and were different sizes. She was reconstructed by inserting 350cc silicone implants in the submuscular position. The implants were placed through an incision around the areola–in order to make the areola smaller. Her breast tissue was also manipulated so that it would be less “bunched or clumpy”. She was seen frequently early post operative to massage her breasts–to allow the implant to reshape her breast and expand the chest wall tissues to mold fuller, more symmetrical breasts.
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