Breast Augmentation Before & After Case 992

This 24-year-old asked Dr Parker to improve the appearance of her breasts and abdomen after having lost 115 pounds after having had gastric sleeve surgery 1 1/2 years ago. The patient is 5'6" tall, weighs 185 pounds and wears a 36 B cup bra. She said her weight is now stable, had one child and would like more children going forward. The patient reports her breasts deflated and sagged following her weight loss. She would like them fuller but wants to avoid any scars around the areola and a "lifting" procedure. In addition, the patient would like to have her abdomen flatter, but wants to avoid rectus abdominus muscle plication since she wants more children.Dr Parker explained her low nipple position on the breast is classified as Grade 2 Ptosis. Recommended treatment for this amount of sagging is a peri areolar augmentation mastopexy, that is, inserting breast implants and lifting the areolas higher on the breast. The patient remained insistent that she did not want scarring around the areola and asked that her implants be inserted through inframammary incisions. Dr Parker explained an alternative procedure he's performed in similar patients. Using an inframammary incision, the breast tissue is lifted from the underlying pectoralis major muscle and the implant inserted. In this way, the patient achieves a mild breast lift (not to the same degree as a peri areolar mastopexy), avoiding scarring around the areola. Perfect symmetry with this procedure can be difficult. This technique is called as a Dual plane 2 breast augmentation; the patient selected this. During her Sizing Session, the patient chose 500 cc silicone implants. 

Dr Parker also explained an alternative procedure to improve her abdomen, that is, an abdominoplasty without plicating the rectus abdominus muscles; the favorable status of her muscles make her a candidate for that procedure. 

Several weeks later, Dr Parker performed both procedures exactly as described to the patient. She was delighted with her pain free and rapid recovery. The patient thanked Dr Parker's willingness to modify these procedures to meet her goals.  She said he did a great job and loves the appearance of her breasts and abdomen.