Breast Lift With Implants Featured Patient

Breast Lift with Implant Augmentation Natrelle™

focuses on improving breast appearance for patients who may be experiencing any one of the concerns below:

• Patients who have noticed slight drooping of their breast due to the natural aging process.
• Patients who have noticed a loss of volume and drooping of their breasts following pregnancy and breastfeeding.
• Patients who have noticed a loss of volume and drooping of their breasts following weight loss.
• Patients who have previously undergone breast augmentation and who have noticed dropping of their breast mounds off of their breast implants.

Plastic Surgeon Dr. Mowlavi, located in beautiful Newport Beach, Orange County is considered an expert of synchronous breast lift and augmentation and has developed Breast Lift with Implant Augmentation Natrelle™ to ensure that each patient attains their maximum potential following simultaneous breast lift and augmentation surgery. Breast Lift with Implant Augmentation Natrelle™ optimizes all aspects of your breast augmentation experience including your initial confidential consultation, an anxiety-free operation, comfortable postoperative recovery, a speedy return to full activity, and long-term results.

During your initial consultation, you will have the opportunity to convey to him exactly what your concerns are and for you and Dr. Mowlavi to set your personal goals. Dr. Mowlavi will complete a thorough history and physical, which will ensure your optimum results. Dr. Mowlavi will examine your breasts and take detailed notes and measurements to ensure optimum breast lift with implant augmentation results.

Breast Lift with Implant Augmentation Examination

Factors taken into account are:

• Breast mound size and any asymmetry
• Nipple-areola complex positioning and any asymmetry
• Medial cleavage fullness or lack of
• Lateral breast mound concavity
• Inframammary crease positioning and any asymmetry
• Breast mound diameter and chest wall width
• Nipple-areola complex to inframammary crease distance and any asymmetry
• Breast skin and soft tissue thickness
• Pectoralis muscle tone and asymmetry

You will then enjoy trying on a full array of breast implant sizes so that you can actually see and feel the look that you are going for. As part of your Breast Lift with Implant Augmentation Natrelle™ experience, Dr. Mowlavi and your patient coordinator will spend ample time detailing to you the preoperative planning and preparation that you will require, your operative course and plan, and your postoperative recovery and expectations. These steps are critical to ensuring optimum breast augmentation results.

Preoperative Planning for a Breast Lift with Implant Augmentation

• Arranging for time off of work during your recovery period.
• Preparing meals and routine daily needs ahead of time.
• To wash with antimicrobial soap starting 4 days prior to surgery.
• Providing anti-anxiety medications on the night prior to as well as on the day of surgery.
• Planning for a responsible adult to accompany you to and from surgery and for the first 72 hours following surgery.

Breast Lift with Implant Augmentation Natrelle™

Focuses on several operative measures:

• Use of only FDA approved breast implants made by Mentor and/or Allergan Corporation to ensure the longevity of your implants
• Provide perioperative antibiotics through your IV to minimize the risk of infection.
• Utilize extended surgical drapes to ensure sterility throughout your case
• Utilize nipple-areola shields in order to avoid contamination of your implants from endogenous bacteria that normally live within the breast glands
• Use of a bi-planar surgical technique in order to allow for correction of slight nipple-areola and/or breast mound asymmetry
• Use of anatomic landmarks for pectoralis muscle release in order to ensure the symmetric release of muscles and subsequent symmetry of proposed breast implants pocket position
• Use of non-powdered gloves and subsequently irrigating gloves with antibiotics solution to avoid all irritants that could cause capsular contracture
• Use of antibiotic solution to irrigate the surgical breast pocket and breast implants in addition to the surgeon’s gloves to minimize the risk of infection
• Use of minimal touch technique when handling breast implants prior to implantation
• Use of sterile breast implant sizes prior to committing you to your final breast implant
• Maintaining an array of breast implant sizes and shapes on consignment at our surgery center so that adjustments in size can be considered during your operation should unexpected intraoperative findings be made
• Placement of specialized breast garment, i.e. breast band, which maximizes maintenance of breast implant position and avoid implant malposition

Finally, Breast Lift with Implant Augmentation Natrelle™ focuses on providing you a comfortable immediate postoperative period, speedy recovery, and long-lasting results.

• Use of long-lasting numbing solution instilled into your breast pocket prior to closing your incision lines so that you have a comfortable immediate postoperative recovery
• Provide you with superior grade anesthetic medications during your surgery in order to avoid postoperative nausea and grogginess
• Provide you with generous bandages and garments that won’t have to be replaced until you dispense with them at your first postoperative visit
• Educate you and train you to perform breast massage exercises, which will minimize the incidence of scar tissue formation, i.e. capsular contracture, and ensure long-term aesthetically pleasing breast shape

Surgical Technique

Combining breast lift and augmentation surgeries is a mainstay of Newport Beach, Orange County Plastic Surgeon Dr. Mowlavi’s breast surgery expertise. Dr. Mowlavi has developed Breast Lift with Implant Augmentation Natrelle™ to specifically meet the needs of patients who have developed breast and nipple-areola droop in addition to having lost volume. Dr. Mowlavi has modified current breast lift and breast augmentation techniques in order to allow correction of both deflated and droopy breasts in a single session, thus being termed: Breast Lift with Implant Augmentation.

Dr. Laguna has modified the conventional vertical breast lift technique in order to make it conducive and safe to have a breast lift with implant augmentation performed at the same time with include:

• Differential nipple-areola transposition
• Symmetric submuscular breast implant pocket positioning
• Differential medial and lateral breast mound tailoring
• Secondary in-setting of the nipple-areola complex
• Surgical incision line maintenance and scar prevention

Differential Nipple-Areola Transposition

Differential Nipple-Areola Transposition during a Breast Lift with Implant Augmentation Procedure

Traditional vertical breast lift techniques describe transposing the nipple-areola to a higher, more attractive position. However, the optimal nipple-areola position has not been standardized; instead, Newport Beach, Orange County Plastic Surgeon Dr. Mowlavi utilizes several parameters to individualize the ideal nipple position for you.

Previous descriptions have advocated positioning of your nipple-areola at or just above your inframammary crease line. Dr. Mowlavi has modified this criterion based on your chest to torso height ratio. If you possess a generous chest height then you will be more apt to tolerate a higher nipple-areola position; in contrast, if you have a short chest height, the nipple is placed closer to the inframammary crease line.

In addition, Dr. Mowlavi has modified conventional breast lift techniques to allow for centralization of the nipple-areola when it points out (lateralized on your breast). This modification allows for the nipple-areola complex to be brought to the middle of your breast mound thus providing you cosmetically superior breast appearance.

Symmetric Submuscular Breast Implant Pocket Positioning

Following simultaneous breast lift and augmentation, providing symmetrical breast mound positions remains the mainstay of patient satisfaction. As such, Newport Beach, Orange County Plastic Surgeon Dr. Mowlavi has developed anatomic landmarks that he utilizes to accurately release the pectoralis muscle when creating your breast implant pocket.

In order to fit the breast implant into its appropriate pocket, the pectoralis muscle must be released from its attachments to the sternum. When performing this portion of the surgery, Dr. Mowlavi utilizes specific landmarks in order to ensure the accurate and symmetric release of the muscle, thus ensuring symmetrically positioned breast implants, and subsequently aesthetically pleasing breast mounds.

Differential medial and lateral breast mound tailoring during a Breast Lift with Implant Augmentation Procedure

Following transposition of your nipple-areola complex to the center of your breast mound and following placement of your breast implant, the surgeon has to tailor the excess, undesired, and drooping breast skin and soft tissues. Dr. Mowlavi has developed a technique of differentially removing these unwanted tissues from the medial and lateral breast tissues. Dr. Mowlavi redrapes trims and secures each half (medial and lateral breast mound) in order to more effectively tailor your final breast appearance. Differential medial and lateral breast skin mound tailoring allows Dr. Mowlavi to not only obtain cosmetically superior breast mound appearance but also allows him to obtain better symmetry between the two breast mounds.

Secondary in the Setting of the Nipple-Areola Complex

Since the nipple and areola complex is positioned in the center of your breast, Newport Beach, Orange County Plastic Surgeon Dr. Mowlavi feels that its appearance is just as critical as the shape of and symmetry of your breast mounds.

As such, Dr. Mowlavi has modified traditional in the setting of the nipple-areola complex. Traditionally, the nipple-areola complex creation is the final step of a breast lift procedure. The creation of the nipple-areola complex involves delivering the nipple and areola complex at the center of the mound and sewing it to the adjacent breast mound skin.

Dr. Mowlavi has observed that the shape of the nipple-areola complex is affected by the pull of the breast mound skin. For example, it is common to have looser upper lateral breast skin when compared to the medial breast skin even following a breast lift. Having looser skin over this region will result in the breast skin giving out and thus the upper lateral areola pulling medially thus distorting the areola shape from an ideal circular shape. As such, Dr. Mowlavi performs his initial nipple-areola in-setting towards the middle of surgery, so that the variable pull of the breast skin on the areola can settle; towards the end of the surgery, Dr. Mowlavi performs a secondary in-setting of the nipple-areola complex to ensure a circular shaped areola.

Surgical Incision Line Maintenance and Scar Prevention

Dr. Mowlavi and his staff are committed to providing you optimum healing of all surgical incision lines from your Breast Lift with Implant Augmentation procedure, so that you can enjoy not only aesthetically shaped breast mounds but also aesthetically appearing breasts when not covered by undergarment wear.

Dr. Mowlavi has developed a scar prevention program that spans from the preoperative to perioperative and postoperative periods. Surgical incision line management starts with the placement of patients on preoperative/perioperative antibiotics to minimize the risk of infection. In addition, Dr. Mowlavi advocates washing the breasts with a specialized antimicrobial soap for four days prior to surgery. Also, Dr. Mowlavi advocates a high protein diet to ensure optimum healing of surgical incision lines following surgery.

During your operation, Dr. Mowlavi repairs all incision lines in two to three layers in order to remove unwanted tension off of the surgical incision lines. Furthermore, all suture layers are performed internally in order to avoid all external stitches that can result in “hash” marks, i.e. railroad tracking when left in place for more than 10 days. In fact, Dr. Mowlavi utilizes sutures, which remain in place for three months prior to being self-absorbed. Instead of external sutures, Dr. Mowlavi utilizes a specialized medical-grade adhesive and medical tape, called Steri-Strips, to further reinforce the surgical incision line.

Finally, Dr. Mowlavi encourages an aggressive postoperative scar prevention program, which includes: maintenance of surgical tapes for one month, followed by Biocorneum silicone gel application to incision lines daily. The staff at Cosmetic Plastic Surgery Institute is devoted to ensuring well-healed surgical incision lines and will provide you further armamentarium when required.

Over the last few years, we have become as appreciative of the buttock's aesthetics as we have been of our breasts. Undeniably, the desirable female silhouette is defined as much by perky and robust breasts as it is by a tight waistline and well-balanced and prominent buttocks contour. Therefore many patients, who are considering breast surgery, are now also considering undergoing Newport Beach Buttocks Augmentation Surgery.

Natrelle™ is a trademark of Allergan Corporation.