This patient is a 39-year-old Asian female presenting for a mommy makeover after having her second child through cesarian section. Her breasts show involutional upper pole atrophy, loss of fullness of her breasts with significant skin laxity and sagginess. Her left breast is significantly “saggier” than the right. The patient gave me permission to perform a breast lift on one or both breasts as necessary after placing implants if they did not settle in the appropriate position. She also will undergo a full abdominoplasty, tummy tuck, with plication of the muscle, tightening of the rectus sheath and lipo-sculpting of the muffin-top in order to give her a nice waist. The frontal view, before, shows loss of upper pole fullness, grade 2 ptosis on the right and between grade 2 and 3 on the left.
Her postop photo shows nice positioning of her 375 cc style 20 Natrelle Allergan silicone implants. Notice only a periareolar incision made. No lift was performed and the small amount of residual nipple ptosis on the left breast is acceptable to the patient. Her abdominoplasty scar is well hidden below her underwear and the contouring of her hips is nice, showing a reduced muffin-top and more contouring of hourglass figure. This is an excellent example of a mommy makeover on an Asian patient with an internal tightening/lift performed without external scars.