A Perkier Cleavage with Gummy Silicone Gel Breast Implants and Durasorb Mesh*

This is a 47 year old woman who is quite the fitness enthusiast and thus has thin soft tissues. She desires for restoration of upper pole breast volume that was lost as a result of a healthy lifestyle and overall aging. After consultation in our conveniently located Newport Beach Plastic Surgery office, she was counseled on her options and the risks and benefits of breast augmentation surgery. She was given the opportunity to try on actual silicone gel breast implants and also visualize her anticipated results using our 3D simulation with Crisalix. Given her desire for upper pole fullness and thin frame to work with, we had to protect her against rippling. Therefore, we chose 470cc Sientra Gummy Silicone Gel Breast Implants to be placed in the dual plane under the muscle. We further protected our construct by using the Durasorb mesh support matrix to give the breasts a more supported and lifted look by using it as an internal bra.