This patient is a 39 year old woman who came to my practice with complaints of deflated appearing breasts after childbirth. The patient wanted to have fuller, perkier breasts and was very concerned with maintaining a natural look.
I recommended a combination of silicone cohesive gel implants placed under the muscle with a circumareolar mastopexy (around the areola tightening) in order to achieve the most aesthetic, natural appearing breasts.
In the operating room, I tried a number of different shapes and sizes and felt that moderate-plus profile implants gave her the best shape. She also had a mild size asymmetry. I found that the best size match was a 375cc implant on the left and a 400cc implant on the right. These were placed through the areola to minimize scarring. I also tightened the breast tissue and raised the areolas by performing a circumareolar mastopexy.
Following her surgery, the patient did very well and was very happy with her perky, natural appearing breasts.