Breast Lift With Implants

Before And After Photos

This is a 32 year old female, mother of three, 5’8″ and 150 pounds who was interested in a breast enhancement. Her breasts are deflated and saggy, and her skin and breast tissue are of very poor quality. Most certainly she will benefit from a breast lift with implants. The simple idea is to add an implant that will “rebuild” her new breast upwards and give it shape, and reduce the poor quality skin and tissue that does not add any “value” to the reconstruction. I can’t just “suture up” the saggy tissue. It has to go.

She is seen here after a breast augmentation with 325 cc moderate profile smooth silicone implants beneath the muscle, and a “lift” and reduction through a vertical approach. The final scar is lollipop shaped. I had to remove some skin excess beneath her left breast about six months after the initial procedure as it didn’t retract well enough. This made for a small scar in the breast crease that you actually can’t see.

Lessons to learn:

  1. She is maximally deflated. Only a “lift” procedure will help her out. An implant alone will not solve this problem.
  2. She had uncommonly shaped ribs beneath her breasts and there was a depression of the breast bone that needed to be recognized and dealt with in terms of implant selection. Most patients don’t have symmetrical breasts or underlying ribs. Your surgeon may have to make some adjustments to accommodate these differences and even “work” or “mold” your breasts after your enhancement to obtain the best shape.
  3. The most common “issues” after these more complicated BAR procedures are getting symmetry just right, dealing with the potential for skin excess at the bottom of the breast and making sure the implants sit on the chest wall just right. I can’t achieve this all just at the time of the procedure. Follow up in my practice is to make some “adjustments” with molding and massage particularly in the first few months after the BAR to make sure we get the best outcome. A great bra, as always, is a large part of the key to our success.