This patient is a woman in her mid-thirties who presented to Dr Lanzer with the goal to feel more comfortable with herself. After having three children, she has been left with sagging breasts and a loose, wrinkly stomach. She also had a lot of fat in areas that she could not remove.
Her initial concern was her hip area; no matter how much weight she lost this area was always 1-2 sizes bigger than her top. This made it difficult for her to buy clothes that fitted her shape. She underwent Liposuction in 2011 to her hips and thighs.
In late 2013 she returned to us to have a Breast Augmentation procedure and Lipo-Abdominoplasty.
Following 3 children her breasts were sagging and a size 14 B. Dr Lanzer chose the implant via the submammary fold. He did this to give a very natural looking result. Initially the implants sit high but each week they lower into place.
Clothes, hairstyle and makeup can all enhance cosmetic surgery as well as losing weight and living a healthy lifestyle.
WHAT ARE THE DIFFERENT FORMS OF BREAST IMPLANTS?
There are many different types of breast implants and surgeons tend to favor different types. They differ in that the polyurethane is a foam coated implant which originated in Brazil. This Brazilian implant is said to have the advantage in that the surrounding skin interacts with the foam. Over the ensuing months, the foam slowly dissolves and the implant is locked in place. Some people describe this implant as like using velcros because the implant does not tend to move and tends to be fixed immediately once it is placed under the breast. Some surgeons believe that the polyurethane will have a less risk of capsular contraction.
HOW DOES ONE DECIDE WHICH SIZE IMPLANT SHOULD BE USED?
There are many different ways to consider implant. One is to look at the potential increase in breast sizes. Generally speaking, approximately 200 mL volume would increase the breast by one size. This is not extremely accurate but gives patients a rough idea of the sort of enlargement that can be obtained. Others use rice placed in a stocking that is put inside the bra, approximately 200 mL of rice enlargement would be equivalent to a 250 mL implant in size. Another method is to actually take an implant and put the implant in a pressure bra or under a crop top and thereby decide which size is the most appropriate.
WHAT ARE THE OTHER FACTORS THAT ONE MUST CONSIDER WHEN LOOKING AT IMPLANTS?
One must look at how loose the skin is. If the skin is drooping, which is called ptosis, then a patient may require a breast surgical lift. Many patients try to avoid the lift because of the risk of scarring and often the need to redo the surgery. Breast lift surgery can be performed at the same time as an implant but is often performed as a second stage of therapy. Many patients find that the implant also gives them a lift and they can get away without actually having the surgery.
The surgeon will also assess for asymmetry as sometimes different sizes of implants are required on each side.
ARE THERE DIFFERENT TYPES OF ANESTHESIA?
Yes. Some doctors perform this procedure under a full general anesthetic and others under a light sedation. Sometimes a light sedation really is a low form of general anesthetic. Dr. Lanzer also uses the tumescent local anesthetic fluid which helps numb the area and therefore the procedure can be performed under an extremely light sedation or while awake.
DO ALL IMPLANTS START OFF HIGH AND THEN MOVE DOWN?
Most implants initially are placed high and gradually move down into position over the ensuing months. The polyurethane implant does not do that since it does not move. It is therefore very important that the surgeon place it in the exact position that he wishes it to stay.
She had both procedures done at the same time. View the Breast Augmentation Before and After photos.
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Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by Dr Lanzer. It is a good idea to understand your surgical procedure well, and to obtain further advice from another Specialist Cosmetic surgeon such as a Dermatologist like Dr Lanzer.
All photographs represent one person's experience, and results may vary for each patient. All photographs are of actual patients of Dr Lanzer. The visible change in these photographs has occurred as a result of the procedure/s undertaken.
Some before and after photos shown are not exact, in that they vary in light, contrast, clothing, background, distance from camera, hairstyle and make-up.