This patient presents with pseudoptosis with involutional upper pole atrophy, loss of fullness of her breast and increased skin laxity. This patient is an excellent candidate for augmentation mammoplasty procedure using the dual plane technique through a periareolar approach without a formal lift. She does not desire to have scars throughout her breasts for a breast lift and understands that high profile saline implants will give her some fullness and projection and still some natural upper pole sloping without the scars that would be necessary with a full breast lift. Although we cannot get the nipple areolar complex completely centralized using a high profile saline implant, it does give some increased upper pole fullness with still nice natural sloping. Her before photograph shows skin laxity with the nipple just above the inframammary fold, left side a little better than the right.
Recommendation is augmentation mammoplasty procedure using high profile saline implants, dual plane technique in order to create excellent result from a pseudoptotic patient.