TEENAGE SEVERE SKIN LAXITY BREAST
BEVERLY HILLS BREAST LIFT
This patient is an 18-year-old female presenting with severe skin laxity after losing approximately 25 pounds. Notice the patient has what is referred to as “grade 3 skin laxity, grade 3 ptosis.” The nipples are well over 8 cm below the fold. Anything below 3 cm below the inframammary fold is considered grade 3 ptosis. She has ample breast tissue volume and there is an excellent candidate for a straight breast lift without the use of an implant. Herpostoperative results show three-week after surgical healing. Notice the positions of the nipple areolar complex are both at approximately 5 cm from the bottom of the 6 o’clock nipple areolar complex to the inframammary fold and are symmetric. The right breast was slightly wider laterally preoperatively which is why you can still see a little bit of lateral fullness on the right side. In any case, she is feeling well and symmetry is excellent.
Patient’s in their later teenage years who have very severe skin laxity may be excellent candidates for breast lifts using the Wise-pattern inferior pedicle formal breast lift. The side view shows complete loss of upper pole fullness of her breast with flattening of the left breast, complete upper pole involutional atrophy. Because of her age, she declined at this time to have an implant rather than a straight formal lift which now on her postoperative lateral view it shows the nipplespointing straight out with complete loss of skin along the fold. This is a typical result for a breast lift mastopexy. Often patients in their teenage years should consider waiting to undergocosmetic surgery of the breast. In this case, however, with this degree of severe skin laxity as well as the emotional physiological and psychological negativity to her chest, she was an excellent candidate and has an excellent result.