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Breast Augmentation

Before & After Gallery | Patient 1

Patient 01 - More Volume Please


Patient Details

Case 1 – Bilateral Breast Augmentation with Nipple Inversion Correction

Reason for consulting with OC Breast Surgery specialist:
This 25 year old patient from Orange County, California came to the OC Breast Surgery center to improve the appearance of her small breasts. In general, she was happy with the shape of her breasts, but wanted to be a 34C cup after augmentation surgery. Her concern was that she did not like the look of “fake breasts” and wanted her breasts to look natural. Additionally, this patient had bilateral inverted nipples that were to be surgically corrected.

Surgical Plan – Bilateral Breast Augmentation with Bilateral Nipple Inversion Correction

Pre-Op: Sizing
The patient was instructed to follow the Breast Implant Sizing Guide at home before her pre-op sizing appointment in our Newport Beach office. This home exercise involves buying a few different sized bras with no padding or push up and then filling them with flax seed placed in a cutoff nylon stocking with a twist tie. This allows the patient to experience what she considers to be too little volume, too much volume, and just the right amount of volume.

On the day of the pre-op sizing appointment, the patient is instructed to bring a bra and a tight garment like a simple t-shirt. Our Clinical Coordinator assists the patient in placing tapered gel sizers into a bra to find a range of implant sizes. It’s good to know that implants come in about 22 different sizes from 150cc to 800cc. In the lower two-thirds of this range, the difference between one implant size and the next is about two tablespoons, which is a relatively minor change when one considers the volume of the overall breast.

This patient decided on a range between 350cc and 400cc. Patients are instructed not to focus too much on the number as one’s anatomy will affect the way the implants will project after placement. To further ensure meeting the patient’s expectations, she was asked to bring in photos of naked breasts in a neutral position from our site or another plastic surgeon’s website to depict her ideal sized breasts along with breasts she considers too small and too big.

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Pre-Op Labs
Bloood Test
All breast surgery patients are required to have had a Mammogram or Ultrasound within 1 year of the surgery date. All patients must have a CBC and Basic Metabolic blood test to be cleared for surgery. Patients over the age of 50 must have had an EKG within 1 year of the surgery date.

Day of Surgery
Breast Augmentations are done under General Anesthesia. Surgical time is 2 hrs.

Prior to surgery, skin marks were placed with the patient in the sitting position. A 3.5 cm incision was made along the inframammary fold of each breast. Dissection was carried down to the muscle and the muscle was divided and a generous submuscular pocket was created for implant placement (under the muscle). Various internal sizers were tried within the size range agreed upon before surgery. The patient was sat up multiple times throughout the case to adjust the volumes and shapes until the optimal submuscular space, volume and shape was achieved based on her preoperative desires. The surgeon placed 330 cc Natrelle smooth moderate profile Inspira cohesive implants in each breast through a sterile Keller Funnel. Even though 330cc was smaller than her designated pre-op sizing range, when the surgeon sat her upright in surgery, 330cc achieved the patient’s desired outcome.

Post Op
The patient’s breasts were wrapped with an ace bandage then secured in a post-surgical support bra with surgical tape placed on the sutures to minimize scars and improve the healing time. The ace bandage was removed the next day at her post-op appointment. Patient was instructed to follow the Breast Implant Moving Exercises several times a day for the first two weeks. Post-op photos were taken 2 months after surgery. Patient is extremely happy with the size of her breasts and how natural they look.