Age
Children
Implants CUI, round, textured, low profile, silicone gel, style CML
Size 295g
Under the muscle
Incision under the breast

A very thin patient with virtually no breast tissue. The particular issues for this type of patient are firstly, she is at high risk of getting palpable or even visible rippling of the implant. This is because there is so little of the patient’s own tissue to cover the implant. The risks of rippling were minimised by choosing silicone rather than a saline implant and also choosing a CML style implant. This implant contains a stiffer than usual gel that feels slightly firmer than standard gel but ripples less. Rippling risks were further reduced by placing the implants under the muscle. Secondly this type of patient cannot get a very natural look, partly because the implant is so close to the surface, and partly because people with this degree of thinness do not naturally have full shaped breasts of this size. The gap between the breasts is determined by the width of the implant chosen and the gap that the patient has already. So to reduce the gap a larger implant would have to have been chosen. However, the breasts are mobile and with a bra the gap can be made smaller. A low profile implant was selected to minimise “fakeness”. Had a high profile implant been used an even rounder look would have resulted and the gap would have been wider. Patients with no breasts and therefore no breast fold worry that an incision under the breast will be visible. There is no need for concern because, as you can see, once the implant is in place a breast fold is created and this hides the scar.

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