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Before and after a mastopexy-augmentation as part of a Mommy Makeover in a 41-year-old mother of four Her goals for her breasts were to get the fullness of when she was breastfeeding back, with a lift of her nipples. A combined breast lift and breast augmentation was the perfect procedure for her.

Her procedure involved placement of smooth round silicone gel breast implants on top of the muscle, in the subglandular position. A lift was performed at the same time to move her nipples higher up and remove excess baggy lower pole skin. Liposuction removed fat from her bra rolls and armpits, together with other areas of her body as part of a tummy tuck.

Very early follow up photos are shown 3 weeks after surgery. Her implants are still sitting up high, as expected, particularly on her right dominant side. With time, they will settle as swelling resolves in her breasts. She will begin scar therapy in another month, when all her scabs are gone.

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

Dr Karen Horton