Breast Lift / Mastopexy: Case 3 (10225)

Description

This 18 year old woman was referred by her Gynecologist to Dr. Graham for correction of a developmental breast deformity. She wanted symmetric, normal appearing breasts. She was otherwise healthy and developing normally. Each breast had a different problem. The right breast had little breast tissue, a narrow elongated shape, a protruding enlarged areola (advanced tubular breast deformity). The left breast was size 36 C cup. It had advanced droop and downward slant, unusual for such a young woman. The areola was wide. The lower pole was tight (another variant of tubular breast deformity). A two-staged reconstruction was proposed. First, the left breast would be corrected by vertical-pattern breast lift (mastopexy), without changing its size. The right breast would be corrected by placing a tissue expander to create a better shape and relax the lower pole skin envelope. The areola protrusion would be improved by periareolar mastopexy. Several months later, during the second stage the right expander would be removed and a saline implant placed, plus the left could be revised to improve symmetry. The result was similar 38 B-C cup sized breasts, and she could wear bathing suits and ordinary clothes easily. This represents a surgical challenge. She was pleased as were we.

Patient Profile

Age

18 years

Weight

165

Height

5' 9"

Previous Cup Size

38 C

Current Cup Size

38 B or C

Gender

Female

Surgical Technique

R-areolar mastopexy and implant, L-vertical mastopexy