This is a 60YO lady that has had a previous mastopexy with implants. With time, her breasts have grown and also become droopy. Her breasts are now large enough that she does not need implants. I removed her implants and did a mastopexy. She now has breasts that are in good position and shaped nicely with the nipples pointing forward rather than downward.
This is a young lady who lost a good bit of volume in her breasts associated with her pregnancies and wished surgery to reposition her breasts back up on her chest. She wanted restoration of her size. After discussion on the various means to get to this goal, she decided to do the mastopexy (lift) first, and then come back at a later date to place the implants. Showing her pre and post op photographs demonstrates elevation of the breasts off her abdomen and back up on her chest. She got very mild improvement with the fullness in the upper pole.
*See PATIENT 59-A under Breast Augmentation for post op pictures of second stage procedure.
This is a 69-year-old lady who was complaining of drooping of her breasts. She also had excessive fat in the lateral chest area and the axillary area. She underwent a mastopexy and liposuction of fat in the lateral chest area and axillary area. We took this fat and grafted fat in the upper poles of her breasts from the fat grafts.
This is a 35-year-old lady from Pensacola, Florida, who desires cosmetic improvement of her breasts. Her breasts are very droopy and she has lost all of the superior fullness to the breasts even though she has moderate-sized breasts. She underwent a mastopexy. Also, I removed some fat from her flanks and injected fat in the upper poles of the breasts to give more superior fullness of the breasts. Mastopexies alone will not maintain a lot of superior fullness because gravity tends to stretch these out and they tend to fall. You can either put fat grafts in this area or implants. Thus, she got her waist shaped up as well as the breasts made more full superiorly.
This patient is a 30-year-old who lost a large part of her breast volume following her pregnancies. The breasts droop on her upper abdomen, and she has no fullness in the upper poles of the breasts. She was happy with her size, but just wanted her breasts back up on her chest. She underwent a mastopexy through outpatient surgery. Postop photographs were taken at 2 months. Postoperatively, her nipples are sensate. The scars are flat, soft, and inconspicuous. Size, shape and symmetry is better. The improved projection and fullness in the upper breasts looks much better in clothing. She is quite pleased with the improved appearance of her breasts.
This is a 40-year-old white female from the Dothan area with signficantly asymmetric breasts prior to her pregnancy. It became more so and droopy after the two pregnancies. She liked the size of her breasts but wanted the back up on her chest and more symmetrical in size and shape. She underwent a superior medial mastopexy with internal rearrangement of the breast parenchyma to provide the upper pole fullness. She has maintained sensation in her nipples and is very pleased with the improved contour and symmetry.
This is a 38-year-old woman, presently a D cup, who lost around 50lbs. with diet and exercise. She wanted to maintain her size, not be any larger, but wanted her breasts back up on her chest with more projection. She underwent a superior medial mastopexy with augmentation of the upper half of the breast with some of the inferior breast tissue. This has given her nicely shaped breasts that are repositioned on her chest with some fullness on the upper poles and without the use of an implant.
This is a 40-year-old woman from the Dothan area who wishes some improvement in her breasts following the birth of her children and weight loss. She was otherwise happy with the size of her breasts. She had extremely poor skin tone to the skin with striations from her pregnancy over the surface of the breast skin. She underwent a superior medial mastopexy with internal rearrangement of the breast tissue to provide for fullness in the upper pole of the breast and surgical needling of the breast skin to improve the skin tone. She is very happy with the new shape and projection of her breasts, which has opened up a wide array of new clothing options for her.
This is a 42-year-old woman from the Dothan area that has lost volume and tone in the breasts over time. She likes the size of her breasts but wishes them to be back up on her chest with some fullness in the upper poles. She was happy with her size and did not wish to have implants. She underwent a mastopexy using the superior medial technique, which transposes some the inferior breast tissue superiorly to create upper pole fullness. She is happy with the results of her breasts, which are now much fuller and more projecting.
This is a 60-year-old lady from Montgomery, AL who complains of excessive drooping in her breasts. She has also lost a lot of superior fullness in the breasts as well. The mastopexy has uplifted and reshaped the breasts. I was able to combine the skin excision of the lateral chest with the breast and arm area and now the lateral chest is quite tight.
This is a young woman who is a 34C. She was a DD prior to her pregnancies and got as large as an F with her pregnancies. She wished an augmentation and a lift. Her skin tone on the breasts was extremely poor. We decided instead to do the mastopexy alone and see if she would be happy with the results of the mastopexy without implants. Because of the poor skin tone of her skin, I did not feel that she would handle implants well over the long term. Her post operative pictures are 2 months following her mastopexy alone. The shape of the breasts is very nice. The upper poles have some improved contour from repositioning of the breast parenchyma internally. She has gotten a nice result. She is pleased with the surgery and has opted not to pursue breast implants.