Milind K. Ambe, M.D.

Doctor Notes
This is a fairly large volume implant in a girl with a relatively narrow upper torso. You will tend to see more roundness in the upper part of the breast with this implant volume/patient frame combination. This patient specified having this particular look.

Doctor Notes
This patient is obviously very petite, and her goal was to achieve nice improvement in fullness without the appearance of looking like she had a breast augmentation. In this case, I was able to create a very natural appearance, yet provide her with ample volume. Especially note the angle and side view with respect to the natural sloping of the breasts.

Doctor Notes
This patient is quite tall and very thin. She was interested in going as full as she could, while still looking fairly natural. She had indicated to me pre-operatively that she did not mind a slight hint of roundness in the upper part of her breasts. Given her very narrow/long upper torso, I was able to place fairly generous volume implants (for her frame), and still obtain a fairly natural look (Note angled and side views again).

Doctor Notes
This is the type of patient that poses some challenge pre-operatively, in that she has almost no lower part of the breast to begin with. I had to basically create her inframammary fold (lower breast crease). She obviously wanted to go very conservative, as she did not want the appearance of having a breast augmentation.

Doctor Notes
This patient wanted a very full and fairly round type of result. She has some asymmetry pre-operatively which I was able to correct fairly well. Although the implant is fairly generous in volume, the side and angle view still demonstrate a fairly “natural slope” to the upper part of the breast. The patient made it very clear that she did not want the “shelf-like” appearance of the upper part of the breast that she had commonly seen in women with breast implants.

Doctor Notes
This patient not only had asymmetry (her right breast was smaller and higher than the left breast pre-operatively), but notice the wide gap that the patient had between her breasts pre-operatively. I actually was very pleased with this post-operative result, given her significant pre-operative asymmetry. She was particularly pleased with the fact that I was able to create enough natural cleavage so that the breasts did not seem that there were so far apart.

Doctor Notes
Notice in this patient's preoperative photo that her right breast has a somewhat shortened medial pole --ie. somewhat flatter and shorter toward the middle. I was able to correct this by creating the pocket for the implant slightly larger in this direction of the breast. I think, in general, that this patient has an excellent natural, yet full shape postoperatively. She was very specific about wanting a very natural slope to the upper part of the breast.

Doctor Notes
Before: old female pre-op with breast asymmetry and significant sagging. After: 6 months post-op breast lift with saline augmentation.

Doctor Notes
This type of patient (her pre-operative anatomy) truly tests the ability of the surgeon to “shape” the breasts. She has significant pre-operative sagging and asymmetry of the breasts, as well as a general shape that aesthetically become very displeasing to the patient. I feel that I was able to gain a significant improvement with the general shaping of the breasts. I could not have achieved this result with a breast lift alone. The implants were necessary to achieve enough fullness in the upper part of the breasts. I find this to be the case with most women who need a lift (who have nursed and lost volume of their breasts).

Doctor Notes
Here is another example of a patient that simply needs to have a full lift with implants to be able to achieve a nice aesthetic result. I was very pleased with the overall shape that I was able to attain. She is both full enough in the upper part of the breast, and yet when you look at the angle and side view, there is a very nice natural slope to the breasts.

Doctor Notes
Here is another example of how I was able to position the implants such that the patient was given the appearance of having a small lift, although I simply performed a standard breast augmentation --no additional scars. This breast enhancement patient wanted a very natural "slope" in the upper part of the breasts, as can be seen from these two views.

Doctor Notes
Pre-existing silicone breast implants (performed by another surgeon 10 years ago). This breast enhancement patient presented a challenge in that she had quite a bit of pre-existing asymmetry with the implants themselves, and her left breast measurement was narrow to begin with. She opted to have the implants replaced with new silicone implants which were moderately larger. Notice the fairly natural slope on the side and profile view. Her frame actually looks broader on the post-operative view, but this is due to the photograph being taken with a somewhat "zoomed in" view.

Doctor Notes
This breast enhancement patients right breast is slightly higher. Also, she had a fairly wide gap (pre-operatively) between the breasts. She expressed to me that she wanted both of these issues improved, as well as a fairly full appearance. I think these goals were achieved nicely, while maintaining a natural slope of the upper part of the breast (angle and side view)

Doctor Notes
This breast enlargement patient is another example of someone who wanted me to create a look that was as full as she could go while still looking as natural as possible. There is a very slight hint of roundness in the upper part of the breasts (front view), which the patient had specifically wanted. Notice on the pre-operative picture where the nipple/areola are relative to the lower breast fold (fairly close) -- I was able to put in a fairly generous volume, and yet have the implant centered behind the nipple/areola -- an important relationship, so it does not appear that the nipples are pointing downwards.

Doctor Notes
This is fairly straightforward in that the patient wanted a very conservative result, simply restoring some of the fullness that she had lost after nursing.

Doctor Notes
This patient wanted a breast augmentation more to equalize the size of her breasts rather than to simply go to a larger size. One can see the significant asymmetry pre-operatively, as her left breast was significantly smaller than her right. I was able to achieve a fairly symmetrical result and still a natural slope to the upper breast that she had wanted.

Doctor Notes
This Breast Augmentation patient obviously needed a full lift on each side (mastopexy) in addition to the breast augmentation. If I had performed a straight lift (without augmentation), she would not have had enough fullness in the upper part of the breasts. As she is only 6 months post-operative, her scars will still fade even much more. Given her pre-operative shape, her general shape post-operatively is quite nice and natural appearing from all views.

Doctor Notes
Here is another example of a patient with a small frame, breast asymmetry, and one who wanted as much fullness as I could achieve, while still having the breasts look natural. The implants are not large, but I did need to lower the patient's natural crease slightly (while creating the pocket for the implant), so the implants were centered behind the nipple and areola. This creates a much more desirable aesthetic result...otherwise it appears as thought the implant is "riding too high".

Doctor Notes
This breast enhancement patient had some asymmetry to begin with (her left breast slightly smaller, higher, with nipple pointing slightly more towards the outside), and she is very thin/ athletic. Having had two children, the nature and quality of her breast tissue (very thin) made her a candidate for silicone gel breast implants as part of the gel adjunct study. I was able to obtain a very natural result with this type of implant, as she has no roundness in the upper part of the breast (a look that she wanted to avoid). She, again, has a very natural slope to her breasts (especially from the side/angle view).

Doctor Notes
In this breast enlargement patient, it is important to notice several things. . .both pre-operatively and postoperatively. Pre-operatively, she was already a B-cup with a fairly small frame (although the pictures do not necessarily show it). She wanted to have a very full look (with roundness), and she had very narrow breasts (base diameter measurement) to begin with. I, therefore, felt that a high profile round implant would be the appropriate choice. At first glance, one would think by looking at her post-operative pictures that she has much larger implants. Remember that she already had a fair amount of breast tissue to begin with, and her measurements were all pretty small. With a standard moderate profile implant, the breasts would have looked too wide.