Mommy Makeover 40

VK was a 23-year-old female from Palm Springs with a history of breast feeding over a period of five months. She was 5’ tall and weighed 100 lbs. Her husband was stationed in the military overseas, and she wished to surprise him for his homecoming by having her augmentation and breast lift surgery in the Los Angeles area. Dr. Mo Zakhireh of Cosmetic Surgery Institute performed the operation.

This is a 40-year-old female who comes in for breast augmentation.  She has 38 C cup bra size, and she is 5 feet 3 inches and 163 pounds.  She is Fitzpatrick skin type 4.  She has bilateral C cup breasts with pseudoptosis and an empty skin envelope. The patient has very dominant shoulders, and she was originally offered 450 cc implants during sizing; however, on the morning of surgery, she states that she may want to go bigger if the size fits and does not make her look top heavy.  She would not mind going up to 500 cc.

Breast augmentation with Sientra smooth gel high-profile 505 cc implant.

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This is a 35-year-old female who has a previous history of four children and one C-section, and she breastfed all four kids.  She reports currently being a 32 C cup.  She is 5 feet 8 inches and 143 pounds.

Breast augmentation with Sientra Smooth Gel High-Profile 440 cc implants.

This is a 23-year-old female with a 5-year old boy who she breastfed.  She currently has 34 small B cup breasts.  She is 5 feet tall and 110 pounds, Fitzpatrick skin type 4, Hispanic.

This is a 23-year-old female with 1 child  breastfed   Current bra size is 34 B cup.

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This is a 23-year-old female who wishes to have breast augmentation.  She has a large A, small B cup breasts.  She is 5 feet 7 inches and 115 pounds.  The left rib cage projects outward which makes the left inframammary fold slightly higher, and the left breast is slightly smaller.  The patient has been sized originally with 350 cc and 375 cc implants.  She then came in and tried on 400 cc implants on the morning of surgery.  We have discussed again.  She does have prominent shoulders.

This is a 40-year-old female.  She is 5 feet tall and 149 pounds.  She has bilateral grade 1 ptotic C cup breasts with short nipple-to-inframammary fold distance.  The left breast is slightly smaller than the right breast.

Number of children, two, 8.5 and 8.14 pounds at birth.  Breastfed x2.  Current bra size is 32 C cup.

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This is a 29-year-old female current bra size is 32B cup.  She is 5 feet 7 inches and 145 pounds.  She has a Fitzpatrick skin, type 4.  She is Eastern Indian and a mix of what looks like Asian.  Her right breast sits up slightly higher than the left breast, and the left breast is slightly smaller.  The patient has been sized around 425 cc implants, and morning of surgery, she states that she cannot make up her mind between 400 cc and 425 cc

This is a 41-year-old female who desires breast augmentation and she currently has 34 A cup breasts.  She is 5 feet 7 inches and 100 pounds, and her breasts are very dense A cup breasts without any palpable masses.  She had been sized in the 300 to 350 cc range the morning of surgery.  She specifically wants to be augmented with 325 cc implants, and the patient has been given all of her options as far as saline versus silicone, textured versus smooth, High-Profile versus Low-Profile, above the muscle versus below the muscle, and inframammary fold approach versus nipple-areola complex approach

This is a 41-year-old  female patient. The patient has had three children, 23-year-old, 19-year-old, and 17-year-old.  No C-section.  She breastfed two of them.  She is currently a 38 B cup bra. She currently has a 38 B cup bra.  The patient is 5 feet 4 inches and 187 pounds.  She has bilateral pseudoptotic breasts with very prominent rib cage.  No palpable masses and short nipple-to-inframammary fold distance.  The hips are larger than the shoulders.  The patient had been sized with 400 cc implants.  Breast augmentation with Sientra smooth gel high-profile 440 cc implants.

Breast augmentation with Sientra Smooth Gel High-Profile 385 cc implants.

This is a 37-year-old female who has breastfed two children and currently is a 34 A cup.  The patient is 5 feet 6 inches and 120 pounds, and she is very petite with dominant shoulders and A cup breasts. Stretchmarking in the lower half of the breasts and she has muscular pec muscles and some skin stretching around the areolae.  We have sized this patient with 300 cc implants; however, the morning of surgery, she states that she wants to go bigger maybe 350 cc.  I told her we would size her with the range of 300 cc to 375 cc and see what she can carry, and with her permission, I would adjust accordingly and she and husband agreed and stated yes.