fig4

Figure 4. (a-c) Preoperative views of a 29-year-old patient who had 380 mL cohesive gel silicone implants placed in subglandular pocket with preoperative suprasternal notch to nipple areolar complex (NAC) distance of 23 cm right and 24 cm on left side. Patient presented with marked ptosis, rippling and asymmetry of breasts; (d-e) two months following the corrective surgery using 460 mL cohesive gel silicone. There is marked puckering of the right breast during early postoperative period; (f-h) postoperative pictures taken 5 months following surgery with good breast lift and symmetry. Her postoperative suprasternal notch to NAC distance was measured 20.5 cm both sides