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Here are a few examples before and after our breast surgeries

Photos that reflect our expertise

The photos illustrate before-and-after clinical cases of aesthetic and plastic surgery. The same patients are shown in the before-and-after photos, and no results have been altered using retouching software. The observed result is unique to each patient, and an identical result can hardly be expected for another person, due to each person’s own individuality. These results are published with permission, non-reproducible, unretouched and real. Photographs are essential to illustrate the medical information texts on this site and do not constitute advertising, but simply illustrate the articles.

The main procedures performed on the breast are as follows.

In the case of lack of volume, breast augmentation is most often performed by fitting breast prostheses. The scar is concealed either at the areola or, in the most frequent case, under the breast in the sub-breast fold. The prosthesis is made of cohesive silicone gel and is round in shape, with a higher or lower profile depending on the desired result. The prosthesis is placed either over the muscle (risk of secondary ptosis and folds) or under the muscle (risk of pronounced cleavage and secondary breast ptosis). The usual technique involves placing the implant both in front of and behind the muscle, a technique known as dual plane or biplane. The upper portion of the prosthesis is placed behind the muscle, and the lower portion under the mammary gland. Results are more natural. The average volume of a breast implant in France is 300 cc.

An alternative to breast implants, which have the disadvantage of needing to be replaced over the years, is fat transfer or lipofilling. Fat is removed by liposuction and injected back into the breast after preparation. However, this technique requires a lot of fat to obtain a result, and there is a risk of resorption of the injected fat. The result is never comparable to that of breast augmentation by prosthesis in terms of volume gain.

In the case of sagging breasts, a mastopexy or breast lift is performed. The usual scars are around the areola (to lift the areola), vertical (to reduce the width of the breast) and under the breast (to reduce the height of the breast). These are often referred to as T-shaped or anchor scars. Sometimes a breast prosthesis completes the lift if the basic breast volume was insufficient.

Eventually, breast reductions for hypertrophy (overly large breasts) are very common. Large breasts cause physical discomfort (backache, difficulty dressing, difficulty playing sport, sub-breast dermatitis), psychological discomfort and aesthetic discomfort. The principle of reduction involves using the same T-shaped scars as for breast ptosis correction, but with a reduction in addition to the breast lift.

Finally, malformations and post-cancer reconstructions are part of daily clinical practice.

About

Dr Vincent Masson is a plastic surgeon with a post-graduate diploma in plastic, reconstructive and aesthetic surgery and a gold medal in surgery from the Paris Hospitals. He is a former senior registrar and attaché at the Hôpital Saint Louis.

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