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This 23-year-old woman from Chesapeake came to Hubbard Plastic Surgery for a breast augmentation consultation.  Upon exam, it was evident that she had considerable breast sag which breast implants alone could not correct. We had a long discussion about the best option for improving her shape as well as increasing size.  She did not want a full lift with the vertical scar on the lower half of her breasts.  She was quite convinced that she wanted the scar limited to just around the areola. I advised her that this option would only bring the nipple to a higher position and accomplish very little for the shape of the breasts.  After about a week of discussion between the patient and her husband, she decided that the vertical scar and full lift approach would more likely meet her goals. The very day after surgery, upon removal of the dressings, she was completely convinced that the decision for a full lift was the right one.  Over time, she has become even more excited about her result.  This patient is a great example of a vertical lift, not just a traditional American skin lift, resulting in a dramatic improvement in breast shape.  This has been an area of special interest of mine and in 2014 this technique was accepted at the New York meeting of the American Society of Aesthetic Plastic Surgery as an e-Presentation. In May 2015, I was asked to present this technique called the TIIM (Tension Management Implant Isolation) at the International Meeting of the American Society of Aesthetic Plastic Surgery. Her "After" photos were taken 7 months following the procedure.

Surgeon: Dr. Thomas Hubbard
Patient Age: 23
Implant Size Left: 280 cc
Implant Size Right: 265 cc
Tissue Removed Left: 68 grams
Tissue Removed Right: 49 grams

Case Number: 368

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