SURGERY JOURNAL - 03/25/2026

So I wanted to take this opportunity to show you what we've accomplished so far. We took her deflated saline implant out, which was this. This one is not deflated, but what you'll notice is that this breast is this wide, probably about seven or eight inches, and this one isn't wide anymore because I just narrowed it. Not only I've made it much narrower, By bringing the whole outer chest tissue forward and recruited that tissue to give this breast projection and volume, but also have repositioned the breast higher on her chest. Look at this inframammary fold versus this one. You see how much higher it is? So we've raised the inframammary crease. By raising that, we've repositioned the whole breast unit higher on her chest like that. Then we've made it narrower, and then we've reshaped it. Obviously, it's overcorrected, and obviously this is gonna settle, but it's better for it to settle from up here than your standard breast lift, which is down here, which is this. So a ton of difference. These procedures take a lot longer to do. They take a lot longer because there is no Dead space inside, meaning that the tissue of the breast is sutured appropriately as per plan of surgery. This is a structural breast lift. Every part of this breast is lifted, repositioned, and sutured, and that's what's gonna give you longevity, rather than a standard breast lift that relies on skin closure to hold the breast in place. Also the problem with skin closure only is not only the fact that the skin will relax and you lose your correction, the skin cannot create projection. The skin cannot reshape the breast. And if you want reshaping, I mean this and narrowing and control, we have to essentially put all of those elements inside the surgery. Otherwise it's not gonna happen. And if you look at this side, you see how wide it is? All of this breast tissue was utilized on the other side to create volume and projection.

So we are now finished with our surgery and just look at what we've been able to achieve for our patient. Beautiful round breasts. We started with breast asymmetry given the fact that the right breast had a 380cc implant still within it and on the left side that implant had deflated so she had a less wide, smaller breast compared to the right side which had more skin. Today we removed the implants and performed an internal dermal bra breast lift what you what is clear from this angle is the fact that with the internal dermal bra we recruit a lot of the breast tissue and suture it at a higher position so we have more upper pole fullness and you can clearly see that from this angle This over correction obviously is necessary so that as the breasts settle in the future you still have a good amount of upper pole fullness another thing that we did for our patient is reposition is to reposition the breast higher on her chest by lifting her inframammary 01:11 --> 01:42 fold crease and you can see that in the prior surgical Video that we posted i also pulled all of her outer chest fat and breast tissue and recruited that and added that to her breasts so this is a true breast lift using the internal dermal bra technique and breast reshaping this procedure almost took me five hours and if i had done a standard breast lift would have been done in two and a half hours the difference is the fact that we do a structural lift lifting every element of the breasts from the inframammary fold to the breast tissue and we do a ton of suturing in order to create these beautiful round high-profile breasts.