Abstract
The final decision on how aesthetically attractive a breast appears is the subjective opinion of the patient, not the surgeon. A certain subset of patients with ptotic breasts are willing to accept the trade-off of placing larger or higher projecting implants with breast augmentation if this will reduce or eliminate the need for mastopexy and its associated extensive visible scarring. The author discusses classification of breast ptosis, surgical correction of breast ptosis, breast implant characteristics and choices, pocket plane/implant position, and the use of Allergan high-profile saline (Style 68HP) and extra-high-profile silicone (Style 45) in breast augmentation surgery including potential risks and potential benefits.
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