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This is a 40 year old female fitness trainer from the Yuma, Arizona area who came to my Scottsdale medical practice to discuss having a breast augmentation (enhancement). This patient was different than the average breast augmentation patient because she had very well developed chest muscles. In her case, she had low body fat and only a small amount of breast tissue, so her upper body appeared unbalanced with her lower body. In addition to this, the patient had drooping of her natural breast tissue off of the lower part of her pectoralis (chest) muscles, causing an unflattering appearance to her breasts.

Given the combination of underdeveloped and drooping breasts, I recommended a breast augmentation of a modest size to improve her proportions and a breast lift to raise her nipple and areola up to a higher position. Because she did not need a major lift, I offered a "crescent mastopexy" which is a lift performed by removing a crescent shaped area of skin above the areola.

In this way, I would be able to place the implant in through this incision and lift the breasts, leaving a scar well hidden along the upper edge of the areola. I also recommended using a submuscular (under the muscle) placement of the implant to provide the most natural appearance. This patient's main goals were to maintain a natural and proportionate appearance, and be able to perform her training without having much interference from her implants.

I performed a submuscular, periareolar breast augmentation with Mentor smooth round moderate profile silicone gel implants. She was a candidate for silicone because of the simultaneous lift with the augmentation. The implants were approximately 275cc, and the areolas were raised by 1.5cm on each side. She was extremely happy with her results, and the postoperative picture seen here was taken less than two weeks after surgery. The incision appearance, which already blends in nicely, continues to improve significantly over time.


Provider: Dr. Cohen

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!