Case Details
Not all patients presenting for breast augmentation have the same anatomy and this is a great example of how we adjust for that. This patient already presented with natural breast tissue but her nipple and areola were a little on the lower side. I felt that going through the underarm would not allow the lower pole of her breast to expand out, where it is needed. Without modification in technique she would run the risk of having very high riding implants and an empty lower pole. Instead I made an incision under the areola and created the implant pocket half under the muscle above and half above the muscle below, by elevating her breast tissue off her muscle and then splitting the fibers mediately and laterally. This then allowed the implant to fully expand the lower pole without being held back by the muscle. We used Allergan 440cc style SSLP silicone gel implants.
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