Breast Lift With Implants

Before And After Photos

This is a 51 year old mother of two who is 5’4″ and 122 pounds interested in a breast enhancement. She told me she wanted her breast lifted and really wasn’t interested in a breast implant. On examination, her breasts are asymmetrical and ptotic. She has lost superior breast fullness. They don’t appear particularly flattering.

We discussed options at length in terms of her goals. After this education and enhanced awareness provided by someone who has been here many, many times before, she came around to seeing the value of a breast implant and a small reduction/lift procedure as opposed to just a lift without an implant. She also has inverted nipples, a condition where the nipples never come out or they do on and off over time.

She is seen here about a year after a bilateral breast lift with implants. I augmented her with 200cc moderate profile silicone implants and put them beneath the muscle. I removed around 25 grams of tissue on each side, and I tightened her loose skin envelope and move her nipple-areola complexes up on her new breast implant foundation. I corrected her inverted nipples on a second procedure as I did not want to run the risk of wound healing problems with her nipple-areola complexes that could occur if I did “too much” in that area at one time.

Lessons to learn:

  1. Inverted nipple repair can be tricky. Some are far more complex than others. Cutting of the breast ducts is usually needed as they become scarred and shortened and they need to be completely released or the nipple can invert after the procedure.
  2. She told me that she has lost most sensation to her nipple-areola complexes. This is reasonable considering that I had to not only lift the nipples to a higher location on a pedicle of tissue, I also had to cut beneath the nipples to release and elevate them. The more you do, the more likely sensation will be affected.
  3. She complains of a flattening on the top of the left areola. This can be corrected with a minor procedure under local anesthesia.
  4. She educated me by telling me what happened when she didn’t wear a bra for a week. She told me that she felt that her breasts moved off to the side a bit. After much back and forth, I told her that I’m not sure they actually moved as opposed to her no longer getting the great support from her bra and that she was “feeling” like they were actually moving to the side. No doubt, those women who don’t support their breasts will find that they will locate down and to the side over time and this is simple a natural response to the force called GRAVITY. A good fitting bra is a gravity fighter!