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This patient is a 41-year-old female who had previously undergone a breast augmentation surgery by another surgeon with saline implant via areolar incisions. The patient had an unnatural breast appearance with the right breast having a superior malposition and the left having a mild amount of glandular ptosis. The patient also had size asymmetry.

I felt this patient would benefit from implant exchange from saline to silicone with upsizing to larger implants that better fit her base width. I also recommended circumareolar mastopexies and a Neo-subpectoral pocket in order to improve the position of the implant relative to the overlying skin. With regards to her abdomen and lower extremities I felt a full abdominoplasty with fascial plication and power-assisted liposuction of the lateral chest, flanks, medial and lateral thighs would give her the best overall results.

Implants were both Sientra textured round moderate profile cohesive silicone gel implants. On the left side, the implant was 385 cc and on the right side, the implant was 435 cc. After the other breast adjustments were made, I completed a full abdominoplasty with muscle tightening and liposuction of the flanks.  She recovered well after surgery and was very happy with her improved appearance.

Provider: Dr. Cohen

Age: 41
Gender: Female

Practice Policy Update Regarding COVID-19 View Update


Dr. Cohen and his staff strongly believes that your health and safety are of the utmost importance. Additionally, Dr. Cohen feels it is his duty to do everything possible to help reduce the strain on the medical system while the coronavirus issue is present.

To that end, we are temporarily closing our office and postponing surgeries as well as in-person visits until further notice. The coronavirus escalation occurred just as Dr. Cohen was transitioning to the office of Dr. Ben Talei, the world renowned facial plastic surgeon, so once in-person examinations begin again, this is where consultations will take place (www.beverlyhillscenter.com).

In the meantime, the office will remain available for any email, telephone, or video inquiries. Additionally, due to cancelling all surgery and in-person appointments, Dr. Cohen has increased availability for virtual consultations. Feel free to schedule a virtual consultation today to explore your future aesthetic surgery options and receive expert recommendations from Dr. Cohen. Please note that 100% of all consultation fees will be donated to the Disaster Philanthropy in order to help those less fortunate during these difficult times (www.DisasterPhilanthropy.org). Stay safe and healthy and Dr. Cohen looks forward to seeing you virtually, and hopefully soon in person!