Augmentation Mastopexy in Raleigh, North Carolina*

This 44-year-old woman noticed loss of volume and drooping of her breasts after pregnancy's. She desired restoration of her breast volume and reshaping of her breasts. She underwent bilateral augmentation mastopexy using a vertical technique with placement of 300 cc moderate plus smooth walled silicone gel breast implants. The implants are placed in the submuscular position. Submuscular positioning has several advantages with less potential for capsular contracture, more soft tissue to cover the implant to decrease palpability as well as providing better mammograms. Disadvantages include potential for animation deformity and limitation of development of cleavage. Submuscular positioning the came popular when silicone gel implants were taken off the market in 1992. At that point, saline implants for the only device available in the US and with their more palpable implant characteristics, saline implants were found to be better placed under the pectoralis major muscle. With the return of silicone gel implants to the market in 2006, many plastic surgeons found that the subcutaneous muscular position offered many advantages over prepectoral or on top of muscle technique. The patient was very pleased with the fuller, lifted appearance of her breasts. Augmentation mastopexy is performed when patient's desire improved volume of her breasts as well as reshaping and lifting of the nipple positions.