Case of the Month Cases

This patient presented with uneven breasts, implant asymmetry, and nipple malposition after two previous breast surgeries done by others elsewhere.  I corrected her by doing a complete capsulectomy, placement of strattice graft internal bra, periareola breast lift, and reshaping.  An amazing result!

This patient presented with heavy eyelids, volume loss face, and low eyebrows with forehead lines.  I did coronal brow lift, nasal lift from brow lift entrance, upper and lower eyelid blepharoplasty, lower lid fat reposition, cheek lift, and filler augmentation of fat transfer cheek and jaw enhancement.  A stunning result!

This patient presented to me after having many failed attempts elsewhere at correcting a congenital breast anomaly which left her with uneven, malshapen and disfigured breasts. The solution included correction of the symmastia, relocation of the nipple and areola and create new implant shape and space. This required total anterior capsulectomy, closure of the symmastia defect, creation of a new implant space, use of strattice tissue graft internal bra sling, selection of new implant, relifting and internal release of all contracted breast to allow redraping of the breast over implant. The results are beautiful, transformative, and life altering!

A tummy tuck (abdominoplasty/flankplasty) combined with liposuction has dramatically transformed this woman.  My technique of “RETAF” restoration of tone across abdominal fascia as abdominal wall repair creates a shapely tight tummy!

Correction of symmastia can be very challenging. It is often so severe that it created additional malposition of the nipples along with implant malposition. The solution here required total anterior and partial posterior capsulectomy (removal of scar tissue) in order to set the foundation for a new implant footprint. Then strattice graft is used to help create the new implant space. A more appropriate implant is chosen, and the overlying breast tissues are rotated over the top to reposition and recentralize the breast. An outstanding outcome.

This patient presented with flat, wide breasts with sagging breast tissue down over the implants. In order to achieve the patient’s desired outcome of round, full, projecting breasts, I did total capsulectomy (removal of all implant related scar tissue), relifting and elimination of saggy breast tissue while placing a tissue graft sling (strattice) to hold the new implant position and enhance the roundness (like an internal bra). A great transformation.

This patient underwent liposuction of abdomen, flanks, and hips with great attention to detail in defining anatomy. It is important to treat the entire abdomen from chest to pubis and the flanks as well in order to obtain the best aesthetic outcome. This is a true 4 dimensional liposuction result!

DDD cup breast with sag have been magically transformed into a very nice C cup outcome with combination lift, excisional reduction, and perimeter shaping liposuction. A beautiful result!

This case highlights all of the amazing things I can achieve with “Enhanced Contour Tummy Tuck”. Skin removal, low scars, nice belly button, beautiful curves, enhanced muscles and linea alba, low scars and flat abdomen! What a beautiful transformation, especially when combined with hip liposuction.

This is a great example of non implant “auto augmentation” breast lift. I creatively use all breast tissue with re-directed internal flaps to simulate the look of a lift with implants. A great early result!