Dr. Linder's Blog
I evaluated a female who was looking to have a body contouring makeover. During the consultation, she stated she wanted to have her abdomen, hips inner and outer thighs shaped. During the examination we identified that her abdomen between the breast bone and the belly button was weakened. After confirming this with a general surgeon we set the expectations, and schedule to repair the hernia while we performed her body contouring.
During the surgery we concurrently perform the abdominal wall reconstruction with a board certified general surgeon, tummy tuck and liposuction procedures
The post-op photo is 3 months out. As you can see, her shape looks great, and most importantly she in very happy with her new and improved look.
The patient presents with severe scar tissue contracture of the entire collapse of the upper pole of her right breast causing lowering of the implant with the implant approximately 1.25 inches lower on the right than the left. Not only are her implants too large for her body, the technical error by a previous surgeon caused inferior displacement of the implant due to inadequate release of the superior pectoralis major muscle. The pressure has caused constant inferior creep of the implant down over the last three years. The photograph with markings in place show that the 397 low profile style 15 gels will be replaced with 350 cc high profile saline implants narrower and smaller. The superior upper portion capsulectomy was performed rendering complete muscle release up to the clavicle was maintained in the right breast. At this time you can see the photograph showing the muscle attached down to the intercostal space causing complete collapse of the upper pole.
The next photograph shows lifting of the capsule along the inframammary fold which is then released from the inframammary fold of approximately 2.2 cm or one inch.
The next photograph shows the capsule is now being sutured up using strong sutures in order to recreate a sling-like effect bringing the implant up and reducing the bottoming out. The next photograph shows the entire capsule has been completely sutured upward and reattached using a capsulorraphy. Finally, the wound has been closed with large sutures reapproximating the edges and postoperatively she now has a double fixation of the inframammary fold with not only capsulorraphy sling, but also with the skin excision tightening the skin as well as repositioning the nipple areolar complex into its symmetric position to the left side.
The patient to the right is a 26-year-old female who was looking to enhance her breast size and shape. As you can see by the pre-op photo, both breast are small in size but nicely balanced. During her consultation, she explained her desire to increase the fullness of her breast, but also wanted to look as natural as possible. After listening to her goals, we agreed to schedule a surgery date.
During her breast augmentation surgery, we selected 325 cc moderate plus saline implants. This style of implants are mid-range with a moderate width and moderate amount of projection. This implant is also excellent to use when one is looking for that natural appearance.
The post op photo is three months out she is very happy and she has a excellent look, very natural and balanced.
Stuart. A. Linder, M.D., F.A.C.S. is a Beverly Hills plastic and reconstructive surgeon specializing in breast augmentation, liposuction, tummy tuck, and more.
Dr. Linder is certified by the American Society of Plastic and Reconstructive Surgeons and is a diplomate of the American Board of Plastic Surgery (ABPS).