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Preservé™ Breast Augmentation Before & After Results #49605

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  • Alicia Billington, M.D.
    Alicia Billington, M.D.
Front view: Before and after front view of Preservé breast augmentation performed by Dr. Billington 45-degree view: Before and after 45-degree view of Preservé breast augmentation performed by Dr. Billington
Front view: Before and after front view of Preservé breast augmentation performed by Dr. Billington 45-degree view: Before and after 45-degree view of Preservé breast augmentation performed by Dr. Billington - Angle 1
Front view: Before and after front view of Preservé breast augmentation performed by Dr. Billington 45-degree view: Before and after 45-degree view of Preservé breast augmentation performed by Dr. Billington - Angle 2
Front view: Before and after front view of Preservé breast augmentation performed by Dr. Billington 45-degree view: Before and after 45-degree view of Preservé breast augmentation performed by Dr. Billington - Angle 3

Procedures Performed

Breast Augmentation

Patient Information

EthnicityWhite
Age48 years
Height62
Weight112

Procedure Details

Implant TypeSilicone Gel
Implant BrandMotiva
Pre-op Bra SizeA
Implant IncisionInframammary
Post-op Bra SizeC
Left Implant Size205
Right Implant Size205
TechniquePreservé
Photo Taken6 weeks post-op

Case Notes

The patient was brought to the operating theater and placed in the supine position with appropriate padding and SCDs in place. Anesthesia type was general with an LMA. The patient was prepped using an aseptic technique. The patient underwent administration of general anesthesia.

A TimEK>ut was performed per protocol verifying the names of the patient and surgeon, the operative sites, and the operative plan per the informed consent. All staff in the room verified the information and site{s) as correct.

The incision was marked along the IMF approximately 3.5cm in length. Local was injected along the incisions lines bilaterally in the amount above. An incision was then made to the Right breast using a number 15 blade down through skin to the subcutaneous tissue. Tumescent was injected 20cc aliquots x6 for a total of 120cc. The same procedure was performed to the contralateral breast. We then waited 1 O minutes.

Dissection proceeded with the channel dissector bilaterally. This was pumped to 240cc and deflated and reinflated. The balloon dissectors were removed. A keller funnel was used and fresh gloves exchanged and the implants placed.

The tabs were palpated after insertion posteriorly. The incisions were then closed using 3.0 monocryl to the deep fascial layer followed by 3.0 monocryl in the deep dermal layer followed by 4.0 monocryl in a running cuticular stitch.

Dressings consisted of telfa tegaderm and a surgical bra was placed.

The patient was extubated without event and brought to the recovery room in a stable condition. All sponge, need, and instrument counts were correct at the end of the procedure. I was present for and performed the entirety of the procedure with the assistance as noted above.

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