49-year old with goals of significantly lifting and reshaping breasts and removing excess skin and fat from the sides of her chest. This patient is 5’ 10” and currently 208 lbs; She has lost over 80 lbs in the past year with diet and exercise alone. This massive weight loss has left her with excess skin primarily on the sides of her chest, which will not go away with any additional weight loss. She also has ptotic, sagging breasts and loss of volume in the upper poles. The patient also wanted her very closely positioned nipples and areolae elevated and moved to a more normal, lateral position.
She underwent a breast reduction and lift via anchor mastopexy with 300cc saline implants placed under the pectoralis muscle. Exactly one week later she had a planned second stage procedure to remove the excess skin of the lateral chest and touch up her lower breast shape. She is shown pre-operatively and about 6 weeks post-operatively, well before scarring maturation had occurred and her implants had fully “dropped down.”
This case was particularly challenging in the amount of lifting and reduction necessary to achieve a favorable result and also the amount of loose, excess skin to be removed from the breasts and lateral chest wall. She recovered quickly and uneventfully, in part due to breaking up this procedure into two sessions, which avoided an excessively long single operation. We frequently perform multiple type procedures broken up into closely spaced sessions to reduce risks and make recovery easier for the patient and caretaker. All of this surgery was done as an outpatient, i.e. she was operated on at the Advanced Cosmetic Surgery Center of Kentucky and discharged home the same day.
*Other patients’ results may differ from those explained in the text and accompanying photos.