Case of the Month - May 2010 - Breast Augmentation
The patient is a young woman with good breast size, but volume loss and ptosis (droop) post pregnancy. Breast Augmentation fills the “empty bag” and provides superior fullness to make attractive cleavage in a bra. For this approach to work without a mastopexy (lift) with its accompanying scars, two things are necessary. First, the patient must accept that she will be relatively large as there must be adequate implant weight to get the device to the bottom of the breast (bag). Second, a bi-planar technique is used. This keeps the upper part of the implant covered with muscle while allowing the extra breast tissue to distribute over the implant surface. In patients with good breast volume, saline implants are usually well hidden by this technique as well. Third, the patient should have downward pressure on the implant with a bandeau (an elastic strap) for at least several weeks. The implant usually reaches a good position. Even if the implant position is not all the way at the bottom of the breast, it nonetheless looks very good and need for a mastopexy is usually avoided.
Pre op anterior view
Post op anterior view
Pre op oblique view
Post op oblique view
After graduating medical school, Dr. Wigod completed eight years of formal General Surgery Residency and Plastic Surgery Fellowship training. His 16 years of higher education allows him to perform both Cosmetic and Reconstructive Plastic Surgery and to treat the whole patient without being limited to one body part or technique. Broad surgical training, large volume practice experience, and continuing education assist Dr. Wigod in his efforts to provide optimal care for his patients. Dr. Wigod has experience in all aspects of Plastic Surgery, but now specializes in Cosmetic Surgery of the Breast, Body and Face, as well as Breast Cancer Reconstruction.
