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Figure 2: (a-c) Preoperative views of a 29-year old patient with grade B ptosis; (d-f) six months' postoperative views showing results following periareolar
augmentation mastopexy with 400 mL high profile textured round cohesive gel silicone implants

Figure 3: (a-c) Preoperative views of a 20-year old patient with severe grade C ptosis; (d-f) one year's postoperative views showing results following wise
pattern augmentation mastopexy using 225 mL moderate profile textured round cohesive gel silicone implants
not more than a cup size and her main concern was the surgery. Her breast cup size was measured 36 B along with
droopy looking breasts [Figure 1a-c]. A vertical scar cat’s Class B ptosis. Her preoperative SN to NAC measurements
tail modification was selected for the NAC mobilization was 23 cm and nipple to IMC distance was measured 8 cm
and envelope reduction and muscle splitting pocket was respectively. She used to be 36 DD prior to her pregnancies
selected to place 250 mL Mentor Siltex Cohesive II Moderate and was interested in regaining similar breast volume and
profile implants. Her new NAC was marked 20 cm using IMC cup size. To achieve desired cup size, 400 mL round extra
as the reference. Excised breast tissue weighed 63 g on her high profile Allergan Natrelle INSPIRA TRX textured cohesive
right and 69 g on her left side. Her one-year postoperative silicone implant were selected. Her grade B class ptosis
measurements showed a breast cup size of 34 DD and sternal with an adequate skin envelope and a reasonable nipple to
notch to NAC and NAC to IMC distance of 19.5 cm and 10
cm respectively. Patient did develop bilateral hypertrophic inframammary crease position did not require skin envelope
scarring of NAC for which she was initially treated with reduction; a moderate nipple elevation using periareolar
silicone gel application and later with intra-lesional steroids markings was considered reasonable [Figure 2a-c]. Her new
injections [Figure 1d-f]. NAC was marked at 20.5 cm using IMC as the reference
for an adequate new NAC position and projection. She
Case 2 had her breast implants placed in muscle splitting biplane
submuscular pocket. Her one year postoperative cup size
A 29-year-old beautician and a mother of two children aged was 36 DD with sternal notch to NAC distance of 22 cm and
12 and 7, booked a consultation for breast remodeling NAC to IMC distance of 11 cm [Figure 2d-f].
Plast Aesthet Res || Vol 3 || Issue 1 || Jan 15, 2016 23