- Breast Lift with Implants
This patient is a 35-year-old female from the Gilbert, Arizona area who came to my Scottsdale, Arizona area medical practice with complaints of heavy, unnatural appearing breasts after a prior breast augmentation. The patient had undergone breast augmentation by another surgeon who placed large saline implants over the chest muscles.
From the very beginning, after her original surgery, this patient felt she was too large and found her breasts to be physically uncomfortable. Over time, things worsened as the implants thinned and stretched the skin, causing the areola to enlarge significantly.
When I saw this patient, she was interested in having smaller, more natural appearing breasts. I recommended several maneuvers to improve her appearance. First, I felt we needed to downsize her implants and change from saline to cohesive silicone gel implants for a softer, more natural result. Second, I recommended switching the implant position from over to under the muscle to better blend the implant into her chest and to correct the upper breast "shelf" appearance. Third, I felt I would need to tighten the internal breast pocket so the implants would not fall off to the sides when the patient was lying down (see the close-up photos). Finally, I recommended significant tightening of the loose breast skin using an anchor scar lift pattern AND a circumareolar mastopexy (areola tightening) to create a perkier breast appearance and reduce the areola size.
I performed all of these maneuvers during this complex surgery and used Mentor smooth, round, moderate-plus profile cohesive silicone gel implants. I reduced the patient's implant size by 100 cc on each side, but by changing the implant shape and material, I was still able to achieve improved cleavage.
After surgery, this patient noted an immediate improvement in her comfort, as her breasts were softer, smaller, perkier, and fit her body properly. She was extremely happy with her new appearance and her increased comfort.
Provider: Dr. Cohen
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