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Case #12267

Breast Augmentation

Details

Height: 5'6"
Age: 22
Gender: Female
Ethnicity: Caucasian
Weight: 114

Description

Breast Implant Surgery

Predictable Results in breast surgery can be reached only via standardized pre-operative breast augmentation planning and preparation to include a comprehensive understanding of the available devices, precise step analysis and adherence to the recommended postoperative routine.

Breast lift, known as a mastopexy may be combined with breast implant placement. Sometimes, breast augmentation planning necessitates staging the procedures; doing them separately for safety reasons. The degree of desired enlargement may be limited to a certain size when combined with a breast lift. This is because of the larger incisions used and the greater stress on the incisions due to the implants stretching the overlying and skin combined with the fact that some of this skin had been removed.

Nothing is more important in breast augmentation planning then patient input. Desired size and shape has to be taken into consideration and matched to the patient’s anatomy. Most of the time, the two can be married without a problem. Sometimes, however, a patient’s expectation cannot be met due to constraints imposed by her body habitus. Breast implants come in many shapes and sizes and breast augmentation planning has to take into account how a chosen device will fit a patient. For example, placing too wide of an implant into a patient with a narrow chest in an attempt to achieve exaggerated “side boob” or a “shelfy, done” look may achieve the desired result but at the expense of eventual palpability of the breast implants and potentially lateral and inferior contour irregularity with passing time.

Many patients will present with asymmetry. This may be uneven breast size, difference in the position of the nipples, excess skin on one side, or a general difference in the shape of the breast. Addressing asymmetry is of paramount importance in breast augmentation planning. This may be achieved through placement of different size implants, removal of tissue or skin from one side, or the adjustment of areola position. In any case, patients need to be aware that the addition of symmetry procedures may result in additional scars that are themselves asymmetric and contriubute to longer operative times and cost s in many cases.