-JPD
| CASE 1 | 
|
This lady had had the history of having had both breasts removed for cancer with tissue expander type reconstructions. Her surgical history spanned a decade as both mastectomies were not performed at the same time. She returned to her original surgeon asking about improvement of her right lower breast fold. Her surgeon told her to live with it feeling that she had a good result and would not benefit by further surgery. She then found her way to me for a second opinion. Surgery to raise the lower breast fold is straight-forward. The question is really whether or not the problem will recurr. It can. The lady was willing to take the risk feeling restricted in her choice of clothing by the differences in the breasts. At left she is pre-op and at the right nine months later. The result is stable to this point.
| CASE 2 | 
|
This woman had many years previously had silicone gel breast implants placed in the "Over the Muscle" position for cosmetic reasons. A recent mammogram revealed that her right implant had ruptured. She was unhappy with the discrepancy between the breasts in the position of the breast mound, the areola and the relative large size of her right areola. She desired that only the right implant be removed and exchanged for a saline filled model. This was placed in a submuscular position. At the same time, we performed a right modified breast lift to improve the position and size (reduction) of the nipple/areolar complex. At the right she is seen two months out from surgery happy with the improvement.
