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This case illustrates a technique that sadly is not taught anymore in training programs. It is a “scarless” technique that produces results that are stable for 20 years or more.  Most silicone implants done by conventional means are done by 10-12 years and need replacement. Many, but not all, patients are candidates for this technique.  Our practice offers this for those interested but we also do silicone implants either above or below the muscle, including Motiva implants, the current rage. We fit the technique to the patient, based on both their anatomy and preferences. 

Special shout-out to Meghan (of “Sam and Meg” fame) for the elegant production of this post.

#breastaugmentations #elegant #plasticsurgeon #surgery #beforeandaftersurgery

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Breast augmentation is conceptually simple but there are nuances that must be considered in order to get the best results.  Chest wall “foundation” issues are not common but sometimes are quite subtle and easy to miss.  There are other skeletal issues like scoliosis that can also be impactful by making the breast position look uneven if not taken into account. 

For the surgeons: The description of implant characteristics was a bit murky in the video. To clarify, having the same implant diameter was important but at the same time more projection on the low side was needed. A Mentor Moderate 225 implant was selected for the “high” side and a 300 cc Moderate-Plus implant for the “low” side was chosen.  Both have the same diameter. Saline was used so that the volumes could be fine tuned for closest symmetry (240 cc right, 350 cc left). Finally, a periareolar incision was chosen because precise siting of an inframammary incision beforehand would have been problematic. 

#breast #implant #chest

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