Dr. Stuart Linder is a Beverly Hills board certified plastic surgeon, specializing in body sculpting and reconstructive procedures including breast augmentation, reduction, lift, liposuction and tummy tuck » Continue Reading
The patient presented is 28 years old and was looking to revise a previous breast augmentation. During her examination, I could see that her right breast had a downward elevation of the nipple-areola and a lower inframammary fold due to bottoming out. The left breast had scar tissue, also known as capsular contracture, which had formed around the implant. After listening to her expectations and agreeing on her goals to regain her breast appearance, we scheduled a surgery date.
During her surgery, I removed the old implants, repaired the breast pockets, and placed 425 cc saline high profile breast implants. I overfilled the 425 cc to 500 cc in both implants to create fullness and performed a Benelli Lift technique to raise the nipple slightly on the right side.
As you can see by the patient photo to the right, she is now four weeks post-surgery, and she has balanced symmetry and nice volume in both breasts.
The female patient presented is 26 years old and was looking to improve her breast appearance by increasing her breast volume and position. However, her thoughts about having a breast lift were concerning because of the potential scarring. During her examination, she showed a mild degree of breast sagging, and based on her expectations, a lift would be needed. After examining and listening to her goals, we agreed to schedule a primary augmentation and lift.
During her surgery, I placed 400 cc saline high profile breast implants. I overfilled the right implant to 440 cc and the left side to 455 cc to create fullness and symmetry. Because the implant alone would not elevate the breast enough and knowing her concern about scarring, I performed an incision type called the Benelli Lift to raise the nipples slightly.
As you can see, the patient is only four weeks post-surgery, but she has nice volume and symmetry, and she has a more youthful appearance.
To schedule your consultation with Dr. Linder and learn more about breast augmentation or breast lift call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.
The female patient presented was looking to have her breast implants removed and wanting to improve her breast appearance without placing new implants. During her examination, she expressed she was hoping to have a breast lift and reduction. After discussing her expectations, we agreed to perform an explantation (implant removal), mammoplasty (reduction), and mastopexy (breast lift).
The video below shows the pre-op marking where I go over the implant removal, breast reduction, and a full breast lift (mastopexy) using a wise pattern anchor approach.
During her surgery, I removed the high placed breast implants and performed a breast reduction (removing some tissue and skin to reshape and reduce the size of the breast) and a lift to bring the breasts to a higher and more youthful position.
The post-op (day one) photo shows a drain placed to help decompress the space around the pedicle that was created as well as wearing a Linder Bra to provide support after surgery. The patient is happy, and she has achieved a nice shape and symmetrical balance.
To schedule your consultation with Dr. Linder and learn more about breast implant removal, breast reduction, or breast lift, call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.
The female patient presented is 32-years-old looking to remove her over 10-year implants and improve her breast appearance. During her examination, she expressed she was looking to have a lift as well as have an increase in volume. After discussing her expectation, we agreed to replace the old implants and perform a mastopexy (breast lift).
During her surgery, I removed the implants, replaced them with high profile saline 550cc, and overfilled to 640cc. I provided a supportive sling for the implant by maintaining the inframammary (under the breast) fold to preserve a natural breast shape. For the right breast, I performed a Benelli lift or donut mastopexy to raise the nipple slightly.
As you can see, the patient is only a few days post-op, but she has achieved nice volume and symmetrical balance.
To schedule your consultation with Dr. Linder and learn more about breast revision or breast lift call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.
Patients present to my office weekly requiring total mommy makeovers at a much earlier age. This is associated with pregnancy and history of breastfeeding. The case below is a patient who is only 25 years old, who presents with bilateral breast dysphoria, involutional upper pole atrophy, and loss of upper fullness of her breast. She is an excellent candidate for augmentation mammoplasty procedure using a high profile saline implant under the muscle in the dual plane technique in order to obtain upper pole fullness. Her lower abdominal area shows skin laxity with some lipodystrophy at the muffin-top regions.
The patient underwent bilateral augmentation using high profile saline 425 cc Natrelle Allergan implants through the periareolar approach, dual plane and a full abdominoplasty through a tightening of the rectus sheath and liposuctioning of the hips. The frontal view shows slight asymmetry with the right breast slightly smaller than the left and 10 cc more volume was added. It also shows rectus diastasis in the lower abdominal area with the muscles pulled out and a pouching of the lower abdominal region. The side view shows the skin laxity of the abdomen and nicely shows complete flattening of the upper pole of her breast. Her postoperative oblique view shows excellent upper pole fullness with tapering of the implant along the lateral inframammary fold. Her oblique view of the tummy tuck shows nice softening of the hips, well-healed scars around the lower abdominal area and the umbilicus and makes tightening of the rectus sheath in the midline.
Patients under 35, including this 25-year-old, do well with high profile saline implants to enhance the upper pole loss of fullness due to involutional atrophy associated with breastfeeding at a young age and full tummy tucks are excellent procedures for patients who no longer desire to have children in the future.
Breast asymmetry can be associated with normally congenital, developmental or even traumatic or associated with breast cancer which may require breast reconstructive surgery causing breast asymmetry. Breast asymmetry is associated with one breast looking larger or smaller than the other. It can also be associated with one breast being saggier or having more ptosis than the other side. Correcting breast asymmetry can be very difficult, if not impossible. The correction of breast asymmetry may require creative thought, which may include different surgical procedures on one or both breasts in order to create similarities.
Technique #1: Using implants of different sizes to create symmetric breasts. This is most often associated with breast when the nipple areolar complex is above the fold and there is no degree of sagginess (ptosis).
Technique #2: Performing a breast reduction on a larger breast and simply a breast lift on the contralateral breast if both show sagginess, but one breast is significantly larger than the other.
Technique #3: Placing an implant on one breast and/or an implant and a lift on the other breast if the contralateral breast has a degree of sagginess or ptosis.
Technique #4: A breast reduction or lift on one breast alone to even it out with the left breast if the left breast shows no degree of sagginess and similar sizes in volumes can be created with a lift and implant on contralateral side.
Technique #5: A culmination of these multople procedures including breast lifts on both sides with different size implants if there is asymmetry of volume and/or both breasts show a significant degree of sagginess with a nipple areolar complex which may be below the inframammary fold grade III ptoris.
I evaluated this 27-year-old female who requested to have a primary augmentation. During her examination, she mentioned that, after having two children, she was ready to get her pre-pregnancy shape back.
To the left, you can see her pre-op photo that shows severe skin laxity with a loss of upper-pole fullness of the breast. During her pre-op consultation, we also discussed her dark skin and her increased risk for hypopigmentation (loss of skin color). After discussing her options, we agreed on 420 cc saline high profile breast implants and performing a full mastopexy (breast lift). The mastopexy involves repositioning the breast and nipple/areola to a more youthful position and addresses the ptosis or sagging of the breasts.
The post-op photo is two weeks out, and she is very happy that she has regained her youthful shape. She will continue to follow my post-op instruction, which includes a compression bra and one-inch Steri-strips used at two-week intervals for a total of six weeks to reduce spreading of the scars.
To schedule your consultation with Dr. Linder or learn more about primary breast augmentation or breast lift surgery, call our office at 310-275-4513 or fill out our online contact form today.
These examples show patients who have had significant fluctuation in their weight associated with pregnancy, breastfeeding and massive weight loss. As a result, they have undergone augmentation with breast lifts or augmentation with tummy tucks and breast lifts. These patients are excellent examples how patients can regain their life and self-image by having tightening procedures of both the breast and abdominal areas to pre-pregnancy status. Patients often present after breastfeeding with significant fluctuation of skin laxity of the breast causing involutional upper pole loss of fullness and atrophy as well as severe skin laxity where the nipple may be greater than 3 cm below the fold, referred to as grade 3 ptosis. These patients will require a combination of implants (saline or silicone) placed under the muscle and a formal mastopexy concurrently with the complete scar of a Wise-pattern. The first example shows a patient who has undergone an augmentation mammoplasty procedure as well as a formal breast lift, a full abdominoplasty and sculpting of the muffin top hip areas.
The next patient shows specifically loss of upper pole fullness without skin laxity and abdominal wall laxity with rectus diastasis. Excellent candidate for straight saline augmentation in the dual plane technique and a full abdominoplasty with plication of midline rectus sheath. Both of these are excellent examples of when patients are placed under general anesthesia with a Board Certified Anesthesiologist and full medical clearance can undergo successfully, in an ambulatory facility, full body contouring and mommy makeover procedures without incident.
The female patient presented was looking to improve her overall breast appearance as well as reduce her areolas. During her consultation, she expressed that she wanted to increase the volume of her breasts as well as give them a slight lift. She also was concerned about the size of her areolas and wanted to see if they could be reduced a little. After discussing her expectation, we agreed to an augmentation, mastopexy, and slight reduction to the areolas.
During her surgery, I performed a round or “donut” mastopexy, which requires two incisions around the areola. The first incision is much like it is for a normal breast augmentation, and the other incision is made a little wider around the first. The skin between the two circles is then removed and the resized areola is stitched into a higher position on the breast. The larger circle is gathered into the areola in a”purse-string.” During the procedure, I placed 435cc high-profile saline breast implants and filled the right breast implant to 450cc and filled the left breast implant to 470cc.
As you can see from the six-week post-op photo, she has achieved nice volume, symmetrical balance, and a reduced areola.
To schedule your consultation with Dr. Linder and learn more about breast augmentation, breast lift, or areolar reduction, call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.
This patient came to me about 16 months ago with a ruptured silicone breast implant. At that time we performed an explantation with an inframammary incision made and implants where explanted and removed. During the surgery we addressed the scar tissue and the infected seroma. The pocket was irrigated with antibiotic irritant solution and 7 mm JP drain was placed throughout the inframammary incision. Drains where removed the next week and the patient was instructed to maintain wearing a compressive bra for the next 6 months in order to allow tightening.
The patient scheduled a consultation a few weeks ago where she expressed her desirer to have an breast augmentation. After discussing her expectation we decided to place SRX 400 cc gel breast implants and also perform a breast lift. After 12 weeks, the post-op photo shows a natural and symmetrical look, and most importantly she is happy.
For more information regarding implant removal, breast revision or augmentation procedures, or to schedule a consultation, please call (310) 275-4513 or contact us via email.