Before & After Photos, Case #283

Procedures Performed: Tummy Tuck, Breast Augmentation (Corrective), Breast Lift (Mastopexy)

Before After


Before After

View 1 of 4

Before After

View 2 of 4

Before After

View 3 of 4

Before After

View 4 of 4

This patient is a 40 year old female who presented to my plastic surgery practice with interest in revision breast augmentation surgery. The patient was noted to have a severe right breast deformity as well as medial malposition, asymmetry, and drooping of the left breast.

This patient had undergone multiple prior surgeries by other physicians, with the most recent surgery being performed by a non-plastic surgeon who released her right chest muscle from its natural attachments causing the flexion deformity and severe malposition noted in the photos. The patient was also interested in an abdominoplasty.

With regards to the breasts, I recommended an implant exchange from saline to silicone, removal of old scar tissue, and pocket reconstruction with resuturing of the pectoralis muscle to its original insertions. I also recommended using Strattice (an acellular dermal matrix) to reinforce the central repairs, and to also act as a lower breast sling (internal bra) to support the implants. Finally, I recommended a tightening around the areolas to improve the areolar positions, size and symmetry.

For the abdominoplasty, a modified procedure was needed due to a large upper abdominal scar from a childhood surgery. I recommended a limited central dissection with an umbilical float to improve the abdominal appearance.

During surgery, I performed the above-mentioned procedures, and used a full piece of Strattice Contour 3 on each side, with the pieces divided into two parts to reinforce the midline correction and to also act as a pectoralis extension.

After surgery, the patient could not have been happier with the dramatic improvement in her breast appearance, and she was quite happy with the improvement in her abdominal appearance as well.

Provider: Dr. Cohen

Age: 40
Gender: Female
Request a Consultation

Dr. Robert Cohen

Certified by the American Board of Plastic Surgery

Dr. Cohen is a leader in the field of aesthetic plastic surgery whose expertise is highly regarded by both patients interested in improving their appearance, and plastic surgeons seeking to improve their techniques by attending his lectures. Dr. Cohen's goal is to understand your specific concerns, evaluate your anatomy in detail, and create a customized plan to help you achieve the best results possible based on the most modern techniques and materials available. Let him put his experience and aesthetic insight to work for you.

Meet Dr. CohenRequest a Consultation

Dr. Cohen's Associations

Newsletter Sign-Up:

Copyright © 2019 Dr. Robert Cohen. All rights reserved.