Again, one of the biggest challenges in mastopexy augmentation is how to keep the implant uphill and give the patient fullness in the upper pole. Almost all patients seeking a lift have lost that and really would like to get it back and it is the implant that does so. This is why in almost all cases of mastopexy augmentation I keep the implant completely covered by muscle. It acts as an internal bra and holds the implant high. And it doesn’t take much implant to achieve this. We placed a 295cc Allergan style SRM implant under the muscle completely covered and then did a Brazilian lift on top of that with the results showing good upper fullness nine months later
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