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Breast Video Gallery

I’m Chad Robbins with Robbin Plastic Surgery, and thank you for joining us. Breast augmentation is the most commonly performed cosmetic procedure in the United States. Between 200,000 and 300,000 women undergo breast augmentation each year. In general, we use breast implants to add volume for women who want larger breasts. However, we also use implants to restore shape for women who have experienced changes associated with aging and pregnancy. Everybody’s different, and so, our approach is highly individualized. We see a variety of sizes, shapes, and asymmetries. In addition to that, women have different preferences and goals. If you’re considering breast augmentation, I strongly encourage you to come in for a consultation so we can tailor a treatment plan specifically for you. There a number of technical considerations that we take into account when planning a breast augmentation—first of all which implant to use. We use saline, round silicone, and form-stable silicone breast implants (these are also known as gummy bear implants). During your consultation, I will spend time reviewing the pros and cons of each implant and make specific recommendations to give you the best results. We also use 3-D imaging during your consultation. This allows us to project a photograph of your breasts onto a touchscreen and then manipulate that image by adding or subtracting volume. Using this system in combination with clear communication allows us to give you the best possible patient experience and deliver superlative results.
This woman is 27 years old, and she came to clinic complicating primarily of just being small-breasted. She said that she had been small-breasted ever since development. She is also a mother and breastfed, so she wants to get larger, fuller breasts, but also, she wants to regain some of what was lost in breastfeeding and pregnancy. We are going to do a silicone gel breast augmentation in her, and we are going to place those implants underneath the pectoralis muscle. We are going to make the approach through the crease in the bottom of the breast, so we will start now making the incision on the bottom of the breast and developing the pocket underneath the muscle. Great! So, we’ve finished developing the pocket underneath the muscle, and it’s now ready for implant placement. This woman is 5 feet 4 inches. She weighs 117 pounds, and after using our sizing systems and in conversation with her, we settled on 425 cc high-profile gel breast implants. It’s a little on the large side for her frame, but it’s what she likes, and we’ll go ahead and place those now.
Great! So, now that the implant’s in, we are going to check the orientation by feeling this tab on the back. We want to make sure this tab is against her chest. We are doing a lot more form-stable implants or gummy bear implants, and those are oriented slightly differently, so now that this is in place, we’re going to move to the left side, finish that, and then sit the patient up to to check her size, shape, and symmetry.
Great! So, now that she’s sitting…uh…we’re checking the shape and the implant placement. I really like her size, her shape, and her symmetry. These are going to drop over the next six to eight weeks, and we know that, so they are situated a little bit high, but that’s normal for where
we are right now, and we’re going to finish this off by closing the incisions and…uh…placing her in a dressing.

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