Breast Asymmetry / Revision
22 yr old, 5'6" 125lbs - 14months after Reducing the Left Breast Size & Lifting
Then inserting Saline Implants 275cc - Left side 375cc - Right side
Bra size changed to a 34D from a 34A on the left & 34C on the right
This patient was unhappy with the look of her breasts. She came to me with a desire to have more fullness and to bring her implants closer together. When she laid down her implants fell to the side.
I removed her saline implants which were filled to 425 on one side and 450cc on the other. I replaced them with 550cc and 600cc respectively and corrected her widely spaced implants.
She is 5'4" 113 pounds. Before and 5 weeks after
This 26 year old, 5'9", 150 lb. female was unhappy with the shape of her breasts. She felt the implants appeared too high. I replaced her 500cc saline implant on the right side with a 450cc silicone implant and her 480cc saline implant on the left with a 425cc silicone implant. I also closed the upper portion of the implant pocket to give her a more natural shape. The photos are before and 3 months after.
Asymmetry Correction - Before and After
24 yr old, 5'2" 117lbs - 7months after Reducing & Lifting the Right Breast
At the same time inserting a Saline Implant - 275cc Right side - 350cc Left side
This woman had a previous Breast Lift with Implants. She came to me requesting a better shape and a more even nipple position.
Left side photos (before) - Here are the problems I see.
(1) The nipples were improperly aligned and positioned too low.
(2) She has flattening of the bottom of her left breast
(3) Both breasts implants are too high & too narrow for the width of her chest.
(4) Areolas were left too large
Right sided photos (after) I did the following during surgery:
(1) Repositioned and realigned her nipples, while reducing her areola size.
(2) Expand the implant pocket on both sides
(3) Exchange her 350cc implants with wider 500cc Silicone implants.
(4) Place the new implants in a lower position
30 yrs. 5ft 6in 120lbs - Unhappy after a Doughnut (Benelli) Lift and
a ruptured Saline implant which left her with flat looking breasts.
I did a Breast Lift & a exchange for Silicone 400cc left side, 350cc right side / Before and 11 months later
46 yrs. 5ft 8in 140lbs - Unhappy about her size and shape from another doctor
She had a previous Lift and 325cc submuscular implants
New 457cc implants removed from under muscle and placed on top/ Results 4mons later
In this person with marked asymmetry, the right breast was reduced, reshaped, lifted, and both breasts were enlarged with an implant.
A 275cc implant was placed on the right side after reducing the breast volume and repositioning the nipple higher. A 425cc implant was inserted on the left side.
She declined Lifting her left nipple position to the same height as the right side.
Her accessory nipple under the left breast is now hidden from view by the enlarged breast.
Many times I will use Liposuction to reduce the fat in the breasts, which tends to make the breasts sag and then enlarged them with an implant.
This maneuver combines the shaping of the Breast Lift, with the reduction of non-supportive fat, while using the implant to provide projection or perkiness, as well as firmness.
35 year old who had 375cc saline implants filled to 375cc placed in 2009. She had a right sided deflation. I exchanged her implants for new 375cc saline implants and filled them to 475cc after she requested more fullness.
Before and 5 months after surgery
64 year old female who had silicone implants for 35 years. These were ruptured and became calcified with a Baker IV hardness and distortion.
Treatment: Removal of ruptured silicone implants that were on top the muscle along with the firm capsules surrounding the implants. New Memory gel 400cc HP silicone implants were then placed in a submuscular pocket. A Crescent lift was also performed on both sides.
Sagging Left breast and normal appearing right breast - Corrected by Internal Breast Release
33 yrs old 5'7" 135 lbs -Transaxillary incision - Submuscular Silicone Implants
350cc on both sides Cup size 34A to 34C cup / 4 months later
67 year old white female who had a ruptured left silicone implant with a sharp edge poking at the skin. Bilateral capsular contracture and some mild sagging of the breasts.
I performed bilateral capsulectomies, Crescent nipple lifts, removed her old implants and replaced them with Mentor Xtra-fill silicone implants.
Photos are before and 3 months after surgery
In this person with marked asymmetry, the right breast was reduced, reshaped and lifted, while the left breast was lifted to match the other side. Finally both breasts were enlarged with an 350cc implant.
60 year old female with ruptured saline implant on the right side and rippling present on the side view. 1 month after reshaping and removal of the ruptured and intact saline implant and exchange for silicone. Her saline implants were 350cc overfilled and were replaced with Mentor Moderate Plus 400cc silicone implants. Her deflation and rippling were corrected with internal reconstruction
Previous 480cc Implants with a improperly positioned implant and left capsular contracture
3 weeks after correction by proper positioning and enlarging implants to 600cc
Left Saline Breast Implant Deflation, Lack of Cleavage and too Small of Implants for her body
Months later after replacement of her 300cc Saline Implants to 425cc and correction of the wide separation between her Breast Implants
This patient had 360cc saline implants placed many years ago and overtime her breasts began to loose upper breast fullness and the skin became loose.
To correct this I removed her saline implants and enlarged her breasts with 600cc Mentor High Profile silicone implants
Before and 2 months after surgery
31 year 5'8" 145lbs who wanted more fullness at the upper pole of her breasts. To achieve this I removed her 480cc saline implants and replaced them with 600cc high profile silicone implants and tightened her surrounding capsule. I left them in a submuscular postion.
Pectus Excavatum (sunken chest) Made less noticable with Implants
26 yrs old 5'2" 115 lbs -Periareolar incision - Submuscular Silicone Implants / 4 months later
450cc on the right side and 500cc on the left side - Cup size 34B to small 34D cup
67 year old with distorted breasts who had a fold in her implant creating a sharp edge on the inside left breast which you could see and feel. Both breasts had capsular contracture and the left breast also had a ruptured implant upon entering the implant pocket.
3 weeks after total removal of capsules, replacement of implants with 270 cc Mentor Moderate Plus X-tra fill implants and Crescent nipple lifts. Breasts are soft and natural looking.
Most noticeable on the side views are the changes this woman desired.
Prior to coming to me she had a Breast Lift and tiny 150cc implants placed submuscular.
She was very unhappy with the unnatural look and continued sagginess and high implant position.
Her previous surgeon had made the mistake of using implants that were way too small to have any impact on her shape and compounded his mistake by placing the implants under the muscle, a common mistake I see.
Because the woman had a wide breast, she should have had a larger implant to fill in the width of the breast.
Placing it under muscle meant the implant was positioned too high which allowed her natural breast to roll off the implant and continue to sag.
To correct this I removed her tiny 150cc implants from under the muscle (submuscular) and replaced them with 401c textured silicone implants on top of the muscle (subglandular).
By placing the implants in a subglandular position I was able to push her large breasts upward for a more pleasing appearance. Also, this realigned her nipples which were uneven.