This patient in her 40s was 5’7” tall, weighed 116lb and wore a 34C bra preoperatively. She had a breast reduction 20 years previously, and had since lost upper breast fullness. There was only mild sagging (stage I ptosis) and minimal asymmetry of nipple position, the left side being slightly lower, so she did not wish to have mastopexy surgery. We discussed the pros and cons of having implants in front of the pectoralis muscle (subfascial / subglandular pocket) or behind the muscle (subpectoral / dual plane pocket). Either a subfascial or dual plane pocket was felt to be a reasonable option in her case. Since there was ample breast tissue to cover the breast implants in a subfascial pocket, she chose this option to avoid the risk of abnormal movement of the pectoralis muscle (“window shading”). The BBA postoperative photos were taken one year later.
Breast implants: 415cc smooth round full profile highly cohesive silicone gel.
Scar location: inframammary
Implant pocket: subpectoral
Breast base width: 13cm
Disclaimer: Similar results cannot be guaranteed since outcomes vary among patients
