Breast Lift With Implants

Before And After Photos

This is a 27 year old patient 5’7″ and 166 pounds who presented for a breast enhancement. She wanted larger, more attractive breasts. On examination, she has high breasts on her chest wall, she has very large chest muscles, her breasts are ptotic and they are also asymmetrical. I knew from the outset that this would not be an easy case.

She is seen here after a bilateral version of the breast lift with implants procedure I call the Breast Augmentation and Reduction (BAR). I placed 475cc high profile round silicone implants beneath the muscle and I removed 99 grams of tissue on the right and 48 grams on the left. She is seen here about seven months after her original procedure and she complains to me that she thinks her left breasts looks a little “weird” because it is sitting off the side more than the right breast.

On examination her breast are soft and very attractive. She has scarred very well for a woman of color. Her left breast implant is certainly more lateral than the right but this is really quite “normal”. She absolutely loves her results overall. Take a careful look at the picture with her bra on as this reveals a lot.

Learning points:

  1. I am proud to say she is a “woman of color” because I get a lot of complaints that I don’t have enough of them on my website!
  2. Although her breasts are not perfectly symmetrical, compared to what we started with, and the relative complexity of her case, and considering the obstacles that she offered me because of her anatomy, I couldn’t be happier with her results.
  3. However, the bra she is wearing is terrible. It does not keep her implants “up and in” and the cup is way too large. I dare say that if she had worn a proper fitting bra after her procedure that her implant on the right would not have moved off to the side like it has. This is why I am so adamant about seeing my patients after their procedure to make sure that they are wearing the right fitting bra. Anyone knows that larger breasted women have breasts that hang low and to the side. This is no different that someone who is augmented to a larger size. The only way to minimize this movement is to wear support to keep them where they need to be.
  4. The natural shape of a woman’s rib cage is not rectangular. It is round or sloped. They don’t have sharp edges where the ribs go from the front to the side to the back. Breasts will move downhill with gravity just like anything else in nature. To keep them where they need to be you need to provide some external support – enough said! Just for the sake of it, you may ask if it is possible to move the right implant more to the middle? It’s possible, but it would be a futile attempt as her implants are quite large and her ribs are very sloped. It simply wouldn’t be worth the risk of creating problems that don’t exist. There are cases, however, where I can adjust the location of implants that are not in the most favorable position. This is a very large part of my breast revision work.