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Before and after breast augmentation in a 49 year old woman. She was thin, fit and muscular, like many of our San Francisco patients. She wanted a natural look that suited her frame and that would not interfere with exercise.

Her breasts were relatively deflated after having children and a lifestyle change that resulted in a 20 pound weight loss that she had kept off for several years. It was finally time for her Mommy Makeover!

Mommy Makeovers do not always need to include a tummy tuck. A Mommy Makeover is tailored to EACH patient individually – in this case, it was a breast augmentation, skin care and Latisse!

Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position through a small incision hidden in her breast fold. Even though she did not have a well-defined fold under her right breast preoperatively, the implant helped to create a more defined fold after surgery.

A breast implant will not create a significant lift of the nipple. Her nipples are still relatively low on the breast, which is fine with her. A lift was discussed with her at her initial consultation, but she did not wish to have the lollipop scar that would be needed to lift her nipples to a higher position.

Early follow up photos are shown just 2 weeks after surgery. Because we always use drains and do not put implants under the muscle, generally at 2-3 weeks after surgery, “what you see is what you get”!

She resumed unrestricted exercise at 3 weeks postop and she achieved her goals – to look natural, proportional, and like a sexy 50 year old mama!

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*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.

Dr Karen Horton