More frequently, I am seeing patients in my office who have had large implants for quite some time and now want their implants exchanged for smaller implants and would also like their breasts lifted. These operations are typically challenging.
As one reduces the size of the breast or changes the shape of the breast, it is important to respect the blood supply of the nipple areola complex. For example, this patient had a prior mastopexy augmentation via a superior crescent incision in the submuscular position. Therefore, one needs to be cognizant of the remaining blood supply when attempting to raise the nipple areola complex.
This patient underwent bilateral capsulectomy, bilateral removal of saline implants for Mentor smooth round high profile silicone gel implants, and mastopexy via an oblique pattern. I have found that the vertical, oblique, pattern provide excellent projection while removing excess skin. I have found that many women appreciate the breast projection that these patterns in combination with the high profile implant provide.
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