Goals: Restore lost breast volume, projection, and upper-pole fullness while improving overall breast shape and proportion. She particularly wanted to fill out tops and clothing better.
Procedure: Breast augmentation with silicone implants combined with a breast lift to reshape and elevate the breasts while restoring volume and projection. The location and extent of the lift scars were discussed carefully and were an integral part of the decision-making process, particularly given considerations regarding scar formation in ethnic skin.
Outcome: Improved breast shape, projection, and upper-pole fullness with proportions that better complement her figure. She is very happy with her result and particularly pleased with how she now fills out tops and clothing.
Key Principle: Augmentation and breast lift address different components of breast aging: the implant restores volume and projection, while the lift reshapes and repositions the breast. Choosing a combined procedure requires balancing the desired improvement in shape with the location and extent of the necessary scars—an especially important discussion in patients whose skin may be more prone to visible or pigmented scarring.
My Dermal Shelf Technique : Using Your Own Tissue for Internal Support During a Breast Lift