1. Understanding Breast Shape and How to Make Breasts Beautiful Joel A. Aronowitz, MD Chief, Division of Plastic Surgery Cedars Sinai Medical Center
2.
3.
4.
5.
6.
7.
8. Severe Tubular Deformity Note medial tightness, large areola typical of tubular breast. 17 yo treated with 500 cc silicone gel prosthesis and keyhole pattern mastopexy
9.
10. The Breast Skin Stretches in a Predictable Pattern Over Time In the breast the largest diameter is in the lower pole therefore the skin below the nipple typically is under greater strain and stretches the most. The nipple decends with the breast.
11.
12.
13.
14. Patient 18 Augmentation with Mastopexy Nancy M., lift/aug
36. Ptosis due to relative paucity of breast volume Volume restored with prosthesis, skin envelope unchanged Pt 3; Restoration of Skin:Volume Proportion with Prosthesis
45. Augmentation with 350 cc saline and Keyhole Mastopexy Post-partum breast atrophy, sagging due to lack of breast volume relative to skin envelope Rx; Reduction of skin envelope and addition of volume; ie, augmentation mastopexy
46. Patient 4: PB., Lift/Aug. Mastopexy before and after retropectoral augmentation with 400 cc saline