This case depicts a 29 year old woman who wished to have a larger and fuller bust. She underwent breast augmentation with smooth, round 350 cc saline implants.The implants were placed beneath her pectoralis muscles through an incision in the lower fold of the breast.

The post-operative photographs depict her at approximately 3 months after surgery. The infra mammary incision is a good option for women whose areolas are too small to undergo breast augmentation. Other options for such an individual include placing an incision in the axilla.

These photographs depict a 41 year old woman whose goals after surgery were to have more shapely but not overly large breasts, as her frame was small. She underwent breast augmentation with 158 cc smooth, round, silicone implants.

The implants were placed beneath her pectoralis muscles through an incision in the lower fold of the breast. The post-operative photographs depict her at just under 2 months after surgery. She wears a small B cup bra after surgery.

This 35 year old woman reached her plateau weight after losing 56 pounds following bariatric surgery.  She had breast lift or mastopexy using a short scar technique which leaves behind scars in the shape of a “lollipop.”  Some breast lifts or mastopexies are performed using a technique that results in scars that look like an “anchor,” but I prefer to use this shorter scar technique because scars are never visible in the cleavage nor on the side of the body beneath the arm.  This makes swimsuit selection much easier. 

This woman has a history of poor scar healing.  It is relatively easy to see dark and thickened scars on her abdomen from her bariatric procedure.  I feel that it is especially advantageous to avoid the “anchor” shaped scar in individuals whose scars do not heal well.

When performing a breast lift or mastopexy, very little breast tissue is removed.  Instead, the existing breast tissue is rearranged so that the new breast shape is typically shorter and rounder than it was previously. 

Performing a breast lift in an individual who has lost a great deal of weight is often very challenging.  They tend to have an extreme amount of skin excess and relatively little breast tissue.  As such, a great deal of skin must be removed while significant effort is made to preserve every bit of breast tissue possible to achieve a natural looking breast.