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SUBJECT 756

Before (1979)	Before (1979)
After 1st surgery (1992)	After 1st surgery (1992)
After 2nd surgery (1994)
After	After

It is helpful to see different sized implants in the same patient

Top: 1979 pre-op. Age 28, 5' 4", 110 lbs. Note: Minimal breast volume Left nipple - areolar area is lower

Upper Middle: #1 Surgery - 200cc Gel Above Muscle 1992- 13 years post-op age 41. Incision - lower areolar. Note: Left lower areolar has an overhanging scar as a result of breast mass removal done elsewhere 3 years after her 1979 surgery.

Lower Middle: #2 Surgery - 275 cc inflatable below muscle. 1994 - 12 days post-op. Age 43, 130 lbs. No 3/4 view available.

Bottom: #3 Surgery - 410 cc inflatable below muscle.   1998 - 8 months post-op, Age 47. 

Additional Surgery:
(1) Left breast lift (scar left superior areolar area).
(2) Revision of scar left lower areola.
(3) Lowering of both breast folds to accommodate larger implants.

Additional Notes:

(1) I have stopped using the lower areolar incision because of the increased potential for capsular contracture due to contamination when cutting through the breast ducts.

(2) Often one shoulder is higher than the other creating asymmetry of the breasts. This is often due to a handbag or pack carried on one side only. The weight should be shifted during the day to avoid stresses on the neck and spine which can cause chronic discomfort.

Photos courtesy of Peter T. Pacik, Manchester, New Hampshire

Please note that "cup" sizes are approximate.

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Last Updated: 05/28/08 03:16 PM