Advanced Art of Cosmetic Surgery     Thomas M. DeWire, Sr., MD, FACS    Specializing in Cosmetic Plastic Surgery     Richmond, Virginia, USA

 

 

           Review of Special Anatomical Situations in Augmentation including Tubular Malformation and negative chestwall slope

       Advanced Art of Cosmetic Surgery     Thomas M. DeWire, Sr., MD, FACS    Specializing in Cosmetic Plastic Surgery     Richmond, Virginia, USA

        Breast Implant Procedures

    Breast Augmentation: Special Anatomical Considerations

 

Special Circumstances Affecting Breast Augmentation Mammaplasty:

 

Apart  from  the  usual concerns  about  attainable  shape, volume, and natural versus  fake  appearance of augmented breasts,  there are several unique anatomical considerations that  may  impact  the  potential  outcome of augmentation surgery.   Some of  these issues are discussed below on the linked   pages.  Since  these  anatomical  factors  are not  readily  changed,  and some   cannot  be  changed at all, the patient must  be aware of  the  impact  that  these features may have on the final outcome,  choice of implant  type and the potential limitations that  they may have on attainable volume,  without  having to sacrifice the best achievable shape.

 

Prominence of the upper chestwall with downward inclination of breasts:

The  shape  of  the  bony  chestwall may  have  a  significant impact  on  the  shape of  both  the  starting point,  and on the attainable breast augmentation result, as well as the guiding the choice of the best  breast implant dimensions to choose.   I often use  Mentor High Profile  implants  in  situations where excessive bony  prominence of  the  upper  chestwall  would otherwise  cause  excessive  fullness  of  the  upper breast if standard    profile   saline   or   silicone   implants   are   used.  Examples of  this challenge are shown  on  the  linked  page that   follows:    

  

Upper Chestwall Prominence

 

Tubular  or Tuberous Breast Anomaly (also known as constricted base deformity):

Starting point breast shape, proportion, and form has a large impact   in  determining  the  attainable  breast  augmentation result. In certain circumstances the starting point shape of the breasts will completely prevent a reasonable  augmentation shape  unless action is  taken to  reshape the  breast   tissue and skin distribution.  Tubular , or  Tuberous Malformation of the breast  is  one such  situation,  and  is  discussed  on  the linked  page  that  follows:

   

 Tubular or Tuberous Breast  Malformation

High Position of breast base and nipples on the chestwall (coming soon)

 

Related  Breast Augmentation Links:   To Other photo Illustrated Procedures:

Important  Information  About  Implant  Breast  Enlargement

Trans-Axillary Breast Augmentation
Trans-Axillary Breast Incisions Scars
Breast Augmentation Shape Evolution
Breast Augmentation Shape Determination
Cleavage Determinants
Post-Op Implant Massage Technique
Implants Over versus Under the Muscle
Special Considerations in Augmentation
Breast Surgery in African American Women
Breast Augmentation FAQs
Breast Augmentation with Mastopexy or Breast Lift
Revision Surgery for Augmentation Problems
Important Information about Silicone Breast Implant Use
Nipple Reduction/Shaping
Mastopexy or Breast Lift

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Thomas M. DeWire, Sr., MD, FACS
Advanced Art of Cosmetic Surgery
3974 Springfield Road
Glen Allen, VA 23060
Richmond, Virginia, USA
804-290-0200
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