Nipple sparing bilateral mastectomy is still a total mastectomy where all tissue under the skin is completely removed. Potentially disfiguring, it can be reconstructed to yield a lovely breast. Look at how I did it here using a staged approach with tissue expanders and then implants.
This patient presented to me with a common problem: an incomplete (or failed attempt) at correction of tuberous or constricted breast hypoplasia.
Her implants were originally placed (by someone else) over the muscle and she still showed the double bubble of constricted breast fold, and hallmark pointy, triangular, cone shaped breasts.
I removed the implants, created a new pocket under the muscle, and added allograft support.I also did a circumareola lift and release of constriction and lastly placed new implants.
Now a beautifully attractive full D cup outcome.
This young woman suffered from back, neck, and shoulder pains due to her extremely large breasts. She is shown after breast reduction from a HH cup to a small D cup. Months later, scars are barely visible. She has a great result and a new breast size and shape that fits her body well.
This patient presented years after her initial breast reconstruction done with another surgeon. She was unhappy with the poor camouflage of the mastectomy and the poor shaping of the reconstructed breast and the implant in the opposite breast. I removed and replaced both implants, reshaped both breasts, added a tissue graft (alloderm) to the right breast, did a lift and then finally 3d tattooing and fat grafting. A fine result.
An amazing transformation using my combined approach to “natural face” facial rejuvenation, which includes fat grafting to multiple sites on the face where volume is lost over time (cheek, jaw line, corners of the mouth, lips), an upper and lower blepharoplasty and fat transposition (moving the lower eyelid bags down below the eye socket rim), lateral cheek lift to lift the cheek over thin fat, and SMAS Composite Face and Neck lift (combining muscle and skin tissue lift) in one procedure. Shown only 8 weeks post surgery. Amazing and beautiful transformation.
This is a great example of a fairly common problem. Uneven small breasts with sagging of one side requires (in this case) a breast lift (periareolar mastopexy) on her left and bilateral silicone implants under the muscle. A beautiful outcome!
Correction of large sagging breasts with previous implants placed in the subglandular space is a common request. previous attempts by other surgeons to “fill” loose saggy breasts just with subglandular implants rarely ever yield satisfactory results. It usually leads to breasts which appear matronly . I simultaneously lifted her, created a new submuscular space, and replaced implants with ADM to secure the implant under the muscle. An amazing transformation!
A fascinating use of fillers is shown here. I used fillers to create an attractive earlobe shape in a woman who disliked her small flat earlobes.
This patient underwent combination liposuction of circumferential torso and breast lift, reduction, and implant augmentation. The liposuction reduces her frame size from a 12 to a 6, improves her shape, and transforms her waist. All are complimented by, her (now) high, round and full breasts. An amazing transformation!