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Breast Augmentation

Before & After Gallery | Patient 3

BEFOREAFTER(1)

Patient Details

Case 3 – Breast Augmentation with removal of raised pigmented papule (mole) of the right medial inferior breast skin

Reason for consulting with OC Breast Surgery specialist
After going off the birth control pill, this 28 year old patient from Newport Beach lost fifteen pounds. Her breasts shrank from a C cup to a small B. She consulted with an OC Breast Surgery specialist about a Breast Augmentation to increase the volume of her shrinking breasts. In addition to reclaiming lost volume, she also wanted her breasts to look proportional and natural with her small frame. She also asked the surgeon to remove a mole on her right breast.

Surgical Plan – Breast Augmentation with removal of raised pigmented papule (mole) of the right medial inferior breast skin.

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 purchasing one or several bras of your desired post surgery size and stuffing them with nylon, flax seed filled sacks. Patients are encouraged to fill the bra until reaching a desired volume then go bigger until reaching a volume considered too big. The patient’s desired range with the flax seed exercise was 200 cc-250 cc.

On the day of the pre-op sizing appointment, she brought her bra and a tight garment. With the help of our Clinical Coordinator, she placed several tapered gel sizers into her bra to find the proper range of implants then tried on her garment to see how the implants looked in clothes. This patient decided on a range between 250 cc and 300 cc. This information along with her photo selection of naked breasts from a plastic surgery site like OC Breast Surgery depicting breast sizes that were just right, too small, and too big, assisted the surgeon in selecting the right size implant in surgery. We advise patients not to focus too much on the number as one’s anatomy will affect the way the implants will project after placement.

Pre-Op Labs
Mammogram
Blood Test

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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 performed under General Anesthesia. Surgical time was 2 hrs and 15 minutes. Prior to surgery, skin marks were placed with the patient in the sitting position. Before starting the breast augmentation, the surgeon removed the pigmented lesion with a shaved biopsy technique. This was sent to Pathology for examination. A 4 cm incision was made along the inframammary fold of each breast. Dissection was carried down to the muscle. Tissue was removed off the inferior aspect of the muscle, and the muscle divided. A generous submuscular pocket was created for implant placement (under the muscle). The surgeon first tried a 275 cc internal sizer on each side, but after sitting her up on the OR table, found these made her look bigger than her desired photos. He tried a 255 cc internal sizer that looked optimal. Before placing the 255 cc Natrelle smooth moderate profile Inspira cohesive implants through a sterile Keller Funnel, the pockets were irrigated with a Triple Antibiotic solution.

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. At three months her implants were moving well and had settled into place. She was advised to wear a support bra at all times. Post-op photos were taken 3 months after surgery.