38-year-old female wanting improved volume and shape of her breasts without a lift. 485 cc full profile silicone implants were placed, and she now has that fullness with excellent positioning on the nipple on the breast mound as seen in the side profile images.

Under general anesthesia, the surgeon makes an incision in inconspicuous areas to minimize visible scarring. The breast implant is then inserted into a pocket either under the pectoral muscle (a submuscular placement) or directly behind the breast tissue, over the pectoral muscle (a submammary or subglandular placement). The incisions are then closed with layered sutures in the breast tissue and skin adhesives to minimize any visible scar. Many times, the scars associated with a lift can be avoided with appropriate implant choice and positioning of the implant.