This patient is an 29 year old female from Canada who presented to my practice due to concerns about her breasts. Specifically, she felt they were disproportionately small, and she did not like their pointy shape. On examination, I felt that this patient had tuberous breasts, with excess tightness of the lower breast causing a narrow, droopy appearance with excess protrusion of the areolas. I recommended a combination of breast augmentation with circumareolar mastopexy (tightening around the areolas) to both improve her size and "round out" the appearance of her breasts.
In surgery, I placed Sientra 505cc high-profile, textured, round, cohesive silicone gel implants through the areolas and under the chest muscles. After this, I performed a circumareolar mastopexy to improve the breast shape and to elevate the nipples into a higher position.
After surgery the patient healed well, and she was extremely happy with her results. Her new breast shape and size was a huge boost to her self confidence.