Breast Augmentation also known as Augmentation Mammaplasty utilizes the insertion of an implant to help improve breast volume, symmetry, and appearance. Sometimes the patient requires an element of a breast lift in conjunction with the augmentation “volume enhancement” depending on the position of the nipple areolar complex in relation to the infra-mammary fold. The primary purpose of the lift would be the reposition the nipple and areola where they are preferably positioned in relation to the meridian of the breast and the infra-mammary fold.

Case: This patient is a 26 year old female who initially presented desiring aesthetic improvement of her breasts bilaterally. After a thorough evaluation and physical examination, it was my opinion that she presented with a grade II ptosis bilaterally with medially positioned nipple location. My surgical advice was to bilaterally utilize a short scar vertical breast lift. At this time the patient did not desire any increase in breast volume.

This patient represented approximately two years following her initial breast lift surgery desiring further aesthetic enhancement of her breast volume bilaterally. My surgical advice was to bilaterally place partial sub muscular, smooth wall, silicone gel implants to enhance appearance. The patient also stated at this time that with continued sun exposure, the original scar had hyperpigmented. I have elected to therefore revise the pigmented scar at the time of surgery. Silicone gel, smooth wall, high profile implants with a fill volume of 400 cc on the right side and 450 cc on the left side were utilized, as well as bilateral scar revision to the previous breast lift scar.