BREAST AUGMENTATION IMPLANTS 133

This 24-years-old West Palm Beach patient came to our Ft. Lauderdale cosmetic surgery office for a consult about her small breasts. She wanted a “significant enlargement”.

Clinical evaluation in our cosmetic surgery center demonstrated small, underdeveloped breasts with only buds of breast tissue underneath widely spread areolas. Her bra size was 34A. We discussed breast augmentation with a silicone implants and limitations of breast implant size. Considering that this patient had very widely separated nipples placement of larger implants would, most likely, increase that separation and make areolas look even more separated. An aesthetical standard for   “normal breast” is that nipple and areola are positioned on the top and center of the breast mount. For that reason we decided to select a smaller breast implants than initially anticipated.

Her surgery was done in general anesthesia. A 300 ml smooth, moderate profile silicone gel implants were placed underneath the muscles in a submuscular pockets which were precisely created to center areolas on the top of the enlarged breasts. She was discharged home 1 hour after breast augmentation surgery.

Images on the left demonstrate patient front and profile view before breast enlargement surgery. Notice how widely spread her areolas are (2 cm from what is considered normal).

On the right patient is shown 1 year after breast augmentation with silicone implants. Notice that her breasts are still separated in the middle more than desired. This was done purposefully to maintain areola on the top and center of each breast. If larger implants were used or if implants were placed closer to each other areolas would be positioned on the side of the breast which is not considered attractive.

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