This 37-year-old patient from Virginia Beach met with me for a consultation to discuss several issues with her breasts. Following childbirth, she was bothered by the lack of volume and fullness above, as well as a large amount of sag and asymmetry. Experienced plastic surgeons recognize the complexity of placing implants and performing a lift at the same time. The only predicable approach is one with extreme attention to detail. In this particular case, the breasts are quite different. The right breast is constricted and her right side also has more prominent ribs. For the best result, I had to lower the fold. On the left side, there is more breast tissue and therefore plans were made to remove more on that side. Implants will clearly give her the fullness she desires up above. Because she wanted a significant improvement in the sag of her breasts, I felt that she would not be happy with a purse string lift. I feel strongly that augmentation mastopexy done with purse strings have considerably less lift and less desirable shape. Therefore, I perform augmentation mastopexy with a true vertical wedge excision that gives the most dramatic lift. The vast majority of standard procedures in the United States done for augmentation mastopexy involve a scaled back version of lift. I find it leaves more skin on skin afterwards and less projection. For this carefully planned procedure, all of these techniques were brought together along with a type of sewing around the future nipple areola site that gives high quality scars. It takes more time in surgery but the results are more predictable. She is very happy with her augmentation mastopexy in which 54 grams were removed on the left and 20 grams removed on the right with 400 cc implants on both sides. In this post-operative photograph, she is six months after surgery.
Surgeon: Dr. Thomas Hubbard
Patient Age: 37
Patient Gender: Female
Implant Size Left: 400 cc
Implant Size Right: 400 cc
Tissue Removed Left: 54 grams
Tissue Removed Right: 20 grams
Case Number: 362
