Dr. Alejandro Nogueira's Case #J8L34F83

One may deem the breasts as droopy, and actually they are, making the case candidate to a breast lift, likely a Lejour's principle lollipop breast lift mastopexy with only vertical scar, should the surgeon have experience in it; a good choice.

Others may consider them slightly oversized and therefore associate the Lejour's principle to a certain grade of breast reduction; another suitable option if wished so.

It is also true the upper pole is empty and the cleavage too; to fill these areas up the use of breast implants is required, regardless the patient might want to keep similar breast size or larger; this an interesting thing to consider as well.

Finally, few observers may deem the breasts imperfect but absolutely nice, making difficult to understand any surgery is necessary; why not, they are not especially dissatisfying or deformed breasts.

In such crossroad situations the patient has to receive accurate, realistic and trustworthy information from the surgeon, the surgeon should be technically versatile and able to execute any reasonable and indicated patient's request and, needless to say, carry ahead an excellent informing task so that the decision making process is unbiased to the patient.

In this depicted case the patient expressed her reluctance to accept scars and her acceptance to the evident breast droopiness, actually the fact the breasts were low was not a concern for her and neither the reason for seeking surgery; well, as respectable and wise as could have been the contrary position.

The patient deeply wished to fill up the breasts with minimal scarring plus achieving a plenty cleavage and a very large breast size; no one surgeon should deny such or any other petition as long as they are technically feasible with reasonable safety, not harmful for patient's health and anatomically and psychologically proportionate and justified.

The former was accomplished with modern anatomical shaped implants filled with cohesive gel, which is the golden standard nowadays, placed in the minimally invasive and non aggressive safe subfascial pocket, the technique of choice to prevent complications and bad results. This is feasible even with large implants like in this case in which the patient sought an extra large size for her new boobs.

The remarkable breast asymmetry was managed using different bases, heights and projections in the nominal reference dimensions of the mammary prostheses.

Breast droopiness, as can be seen in the images, remains the same, no worse no better, just like patient wanted; should she change her mind in the future a breast lift mastopexy would be a feasible option at any suitable moment.

So far the patient is extremely happy with the new, very large, droopy and nicely shaped breasts, expressing no regrets at all.