Breast Gallery
Breast Augmentation 04
Description:
31 year old 3 children likes proportion best in padded brassiere 34 B or slightly bigger. Patient 5′ 11″ tall and 140 lb. now 34A. Exam revealed “adolescent” shaped breasts (I.e. entire breast below nipple all the way to the chest was visible without a fold). Patient brought models’ pictures to show desired proportion that was duplicated at Dr. Pertsch’s office with a stretchy brassiere and sizer implants. At surgery under general anesthesia via a periareolar approach smooth saline implants were placed under pectoralis major muscle. To improve her asymmetry 270 cc mid-range profile implants were used on both sides but filled to 300 cc on the right and 275 cc on the left. After her surgery her breasts were very soft as implants moved away from the examining fingers. Implant itself was barely perceptible. All nipple and skin sensation remained normal. She was very pleased with her appearance and results. Although she had worn sizes, 36B, 36 C and 34 C the 36C fit the best. “After” pictures taken 1 year 2 weeks after surgery.
Breast Augmentation 05
Breast Augmentation 06
Description:
40 yr. old with two sons now 14 & 17 yrs., each breast-fed for 1 yr.
Exam: 5’4” 122 lb. 34A pseudoptosis L slightly larger.
Breast augmentation was performed via infra-mammary incision, sub-pectoral (under muscle/dual plane) implant location, intravenous sedation then local by Dr Pertsch (no anesthesiologist present). Round smooth saline mid of the range intermediate profile 330 cc implants filled with 355cc on the right side and to 350cc on the left to improve slight asymmetry.
Very happy afterwards. “No one can tell I’ve had augmentation”. 36C fits best as 36B and 34 is a little tight.
Exam revealed implants easily move in their pockets giving very natural feeling soft breasts. Sensation had been reduced early after but was now almost normal and improving. She notes her right breast changes shape slightly during sex due to chest muscle activity.
Post op photos taken 2 yrs. 5 mos. after when she came back for another non-breast procedure now 43 yr. 5’4” 123 lb. 36C. Her R side implant was replaced after deflation 6.5 years after initial surgery.
Breast Augmentation 07
Description:
25 year old teacher was a 34B 5’6” 135 lb. had breast augmentation sub-muscular (dual plane) through axillary (armpit) incision under general anesthesia. Smooth round saline intermediate profile implants 425 cc filled to 450 cc on the right and only 425 cc on the slightly larger left side.
Very happy with her 36 C very soft breasts with mobile implants barely detectable on the underside her breasts.
She had liposuction performed at the same time as her augmentation. She was so happy with her inner, outer thigh and hip liposuction she came back 3 years later to have more areas of liposuction.
After photos taken 11 years 9 mos. after surgery now 37 year old 36 C 5’ 6” 142 lb. no children. She feared her 10 year old implants should be replaced. In fact, there is no need to have additional surgery unless the implant has broken or further change in breast size or shape is desired.
Breast Augmentation 08
Description:
30 yr. old, son 3.5 yrs. old, before surgery 5’ 6” 130 lb. 34A
She underwent breast augmentation via periareolar incision, under muscle (dual plane meaning under the big pectoralis major muscle but over the thin muscles lower most part of the breast). Smooth saline implants filed to 350 cc on the right and 345 cc on the left to account for slight asymmetry.
After surgery she was 36 B except in Ralph Lauren brassieres where she was 36 C.
“Pretty perfect position. I’m surprised at how natural they look and feel. Nice cleavage not too little or too much.”
After views were taken 11 years after surgery when she came back to see Dr. Pertsch about an abdominoplasty. Still 130 lb. no longer wears a brassiere. Exam reveal near invisible periareolar incisions, full sensation, very moveable implants give breast a soft, very natural look and feel. Photos show patient squeezing lower breast to show how freely implant slides within its capsule to give a soft natural feel and look standing or laying down.
At Dr. Pertsch’s office ask to see more photos of this patient comparing results 6 months after surgery and then 11 years after surgery. These show progressively more natural appearance with time. Also views with and without animation (i.e. photos taken during pectoralis muscle contraction)