Endomorphic Build with Breast Asymmetry
The below patient presents with severe breast endomorphic build, notice the thick chest wall muscle as well as the pectus excavatum with the slight asymmetry and droop after massive weight loss. The patient presents to the operating room where we reconstructed her with 450 cc style 45 extra high profile silicone gel implants in the dual plane technique through a periareolar approach. In order to obtain the results I received, the patient required meticulous dissection of the subpectoral muscle with parasternal muscle attachment release and decreased inframammary fold release on the left and the right. This actually helped to elevate the left nipple areolar complex without doing a mastopexy. Notice the inframammary folds appear to be quite even and the upper pole fullness is also symmetric. Also, the loss of upper pole fullness on the right superolateral breast with a concavity of appearance has been nicely filled with a narrow style 45 Allergen silicone gel implant. Patients who present with massive weight loss may still have endomorphic build with thick chest muscle. It is extraordinarily important to use a high profile implant when reconstructing these patients not only to regain symmetry to the midline as seen, but also to regain upper pole fullness.