Expert Plastic Surgeon
Paul E. Mondolfi, MD

605 E. San Antonio Street - Suite 450
Victoria, Texas 77901 • (361) 580-1574

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Breast Implant Surgery (Augmentation Mammoplasty)

In Dr. Mondolfiís opinion, the goal of breast enhancement surgery is to create breasts that look as natural as possible, proportional in size and shape to the patientís frame. This is most commonly achieved by the use of breast prostheses, and in very selected patients by the grafting of the personís own fat.

There are multiple factors that guide the decision as to which method would be more appropriate for any given individual, the most obvious being:

  • the patients age, and childbearing status.
  • the volume of existing breast tissue as well as the amount of laxity or drooping they exhibit.
  • any deviation of shape such as very asymmetrical, constricted or high riding breasts.
  • and lastly, the patientís goals.

Dr. Mondolfi will listen to your concerns, and expectations. Then, after an evaluation of your body shape, after a comprehensive examination of your breasts, of your chest wall, musculature, and of your skin, he will propose the method of breast enhancement he feels best suited in your case. If a prosthetic enhancement is indicated, he will discuss the use of saline filled versus silicone gel filled devices, he will explain why in your case the devices should be placed in front of or behind the pectoral muscles and lastly go over the use of sub-mammary, areolar, axillary or umbilical incisions. Then, and only then you will jointly choose the procedure to use.

For information regarding breast implant safety go to: ( button of breast safety, etc) www.breastimplantsafety.org

Procedure and recovery details: Breast Implant Surgery (Augmentation Mammoplasty)

Patients who seek breast enhancement will typically present one of the following three scenarios:

  • small, underdeveloped breasts with little or no drooping.
  • breasts that have lost volume, deflated and developed moderate or exaggerated significant drooping
  • breasts that look constricted, have an unusual shape or
  • position, are very asymmetrical or exhibit variations in the shape of the chest wall.

The management of each of these cases is vastly different and representative cases are shown.

The first scenario, describes patients who have scarce breast tissue, or patients who have lost breast volume following pregnancy but who have good skin tone and the nipple/areola complexes show minimal descent. Patients in this category may be candidates for Saline filled or Silicone Gel filled devices, the implants may be placed in front of or behind the muscle and may elect to use infra-mammary incisions (in the breast fold), axillary incisions or incisions below the areola. A very small and selected group of patients, may choose to have a very subtle enhancement using autologous fat grafts. (using their own body fat to modestly increase fullness of the breasts.)

Breast Augmentation Simple

The first scenario, describes patients who have scarce breast tissue, or patients who have lost breast volume following pregnancy but who have good skin tone and the nipple/areola complexes show minimal descent. Patients in this category may be candidates for Saline filled or Silicone Gel filled devices, the implants may be placed in front of or behind the muscle and may elect to use infra-mammary incisions (in the breast fold), axillary incisions or incisions below the areola. A very small and selected group of patients, may choose to have a very subtle enhancement using autologous fat grafts. (using their own body fat to modestly increase fullness of the breasts.)

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Breast Augmentation Ptosis

The second group is characterized by patients who have small to average volume of breast tissue, and who after pregnancies have seen their breasts shrink and become ptotic (saggy) Some of these patients may be satisfied by placing a slightly larger, silicone gel filled device behind the breast as to fill the void created by the excess skin and improve the appearance without the need of additional scars. One drawback however is that the breasts may appear slightly rounded.

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Breast Augmentation Ptosis Lift

Those patients that have a combination of insufficient breast volume, and more advanced skin laxity and breasts ptosis should not be subjected to a simple augmentation, as the weight of the prostheses will overwhelm the lax skin, allowing for the prostheses to descend to the lower portion of the breast and lead to an unnatural and unappealing appearance. These cases are best managed by combining a breast lift with the insertion of a breast prostheses. The scars that this approach requires varies from a simple around-the-areola lift, more often a vertical incision needs to be added and lastly, if there is a lot of redundant skin an anchor-like scar might be required.

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Breast Augmentation Miscel

Lastly there are those patients who present with under development of the breasts but have associated issues such as a disparity in the size and/or shape of the breasts, an unusual shape, breasts that lie too high on the chest wall or with misshapen rib cage

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More Breast Augmentation Before & After Photos:  Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5

 


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Website Copyright ©2013 Paul E. Mondolfi, MD
Dr. Paul E. Mondolfi is a credentialed, qualified and experienced plastic surgeon serving the Houston,
Victoria, Sugar Land, San Antonio, Austin and Corpus Christi areas of Texas.
Dr. Mondolfi specializes in facial plastic surgery, breast and body contouring, and liposculpture.

605 E. San Antonio St. • Suite 450 • Victoria, Texas 77901 • (361) 580-1574
Fax: (361) 570-3709
Email: plastics@tisd.net

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