This patient had a 5 cm benign mass in each breast that was causing discomfort. We discussed that removal would potentially cause asymmetry and breast distortion. Options for augmentation were discussed, and she elected to proceed with implant reconstruction. Her benign tumors were removed through an inframammary incision, and breast volume was replaced with a 240 cc moderate profile, Sientra highly cohesive gel implants, placed in a dual plane approach.

A natural breast augmentation was achieved with 525 cc, moderate profile Sientra highly cohesive gel implants utilizing a subfascial approach.

A small benign mass was excised with the final incision residing in the temporal hairline.

This patient had a submuscular, 420 cc silicone breast augmentation performed by another surgeon 3 months prior to our visit. She was dissatisfied with her nipple position and desired to be smaller. We discussed a need for breast lift to reposition her nipple and breast tissue over a smaller implant. A 350 cc Sientra, moderate profile highly cohesive silicone gel implant was placed in a modified dual plane pocket.

This patient had previous submuscular 380 cc saline implants placed by another surgeon with a desire to be smaller and lifted without any scars on her breast. Her saline implants were deflated in office (result depicted in preoperative photo) to evaluate her native breast tissue and nipple position. We discussed the surgery required to reposition her breast tissue and nipple in a more optimal position; however, she declined. Liposuction was performed to the lower back, flank, and abdomen, and this fat was grafted to her breasts (200 cc) and hip (250 cc). An abdominoplasty was performed with a rectus plication.