Godfrey & Godfrey

A patient in her mid 30's, this woman desired a moderate enhancement. General breast aesthetics are good.

Months after bilateral breast augmentation via peri-areolar access.

The slight upper pole fullness evident in this oblique Photo will diminish over time. However, the patient is pleased with her "youthful" look.

This woman of 42 years experienced involution of her breasts after having children. She wanted to have them modestly augmented to be more like they had been in her youth.

Appearance 8 months after augmentation via inframammary approach.

Notice that the nipple sits well above the breast crease ("infra-mammary fold") and that the breast does not look overly empty, front to back.

A modest, submuscular augmentation has satisfied this patient's needs.

A young person (20s) with normal breast aesthetics. The distensibility of the breast envelope is small.

A modest augmentation produces a credible result, but the breast takes months to achieve a fully natural shape.

Stretching of the overlying soft tissues continues at 3 months post-operatively.

An extremely thin, athletic mother of two has had substantial involution of her breasts after breast feeding. Note the nipple/areolar redundancy.

Because of her extreme thinness, a submuscular position was chosen. This makes filling the deflated central breast a bit harder.

The patient is left with some nipple-areolar redundancy, but is satisfied with the change. Use of a high profile implant helped fill the emptiness while keeping the volume reasonable.

A woman of 55 with uncharacteristically youthful breast aesthetics. She always wished her breasts were fuller. (There is a bland scar at the central breast fold on her left.)

6 months following a subglandular breast augmentation.

The patient desired a slight, but unexaggerated fullness to the upper pole to make a contour she felt would be more "youthful."

The fullness achieved here was pleasing to this particular patient.

A very thin, young patient with minimal breast tissue. Notice the nipple areolar asymmetry and the hypertrophic scar of the upper chest from a previous dermatologic procedure.

Breast mound symmetry is good (though imperfect), but of course, the nipple/areolar asymmetry remains. Happily, the infra-mammary augmentation scars did not hypertrophy and remained well hidden.

This Photo emphasizes the paucity of breast and subcutaneous tissue.

A submuscular anatomic augmentation has produced a reasonably natural contour despite the limited soft tissue cover.

A 34 year old patient who felt that her breasts "deflated" after pregnancy. Modest volumetric increase was desired.

The breasts are re-projected by the augmentation.

This type of bagginess is know as "pseudoptosis." The nipple/areolar complexes are still located above the infra-mammary crease.

The best fill for a baggy breast when modest volumes are desired comes from subglandular augmentation as performed here.

This patient desired an increase in upper pole fullness at modest volume. Her asymmetries were modest.

The result from submuscular augmentation with round devices.

The upper pole fullness she sought is in evidence here. Many patients do not prefer this degree of fullness, feeling that it is less than "natural."

This thin, muscular patient wishes to have substantial enlargement, but wishes to avoid over-augmentation. The asymmetries are normal, but important to note.

More volume than that used here would likely have overwhelmed the breast and produced less appealing aesthetics.

The upper pole has a natural slope despite the substantial increase in overall breast projection.

A particularly good candidate, this woman of 30 has normal breast aesthetics, acceptable symmetry and modest volume goals.

Appearance following moderate volume augmentation performed via infra-mammary access.

The natural form is preserved and the underlying character of the patient's breast still in evidence.

This 39 year old wishes to have a "re-inflation" of her breasts and prefers moderate volume to maximal reshaping from the implant.

The breasts as seen after subglandular augmentation.

Note the baggy, redundant areola.

The patient is content that the breast shape remain a bit globular rather than go to a larger, less natural volume.

A 21 year old with very small breasts and extremely tight tissues. She wishes to have significant augmentation.

The areolae are growing along with the breasts under the influence of tension from the submuscular implants.

After months of reshaping, the upper poles become tapered. (Note the small area of hyperpigmentation near the edge of the peri-areolar scar. This is most often seen in Asian and African American patients.)

This patient in her early forties, has true, but slight, nipple ptosis. To avoid the scars of mastopexy, she is willing to allow the result to be somewhat pendulous.

The breasts after subglandular breast augmentation.

Note the nipple position in this Photo.

Although not "lifted" as with a mastopexy, the breasts are sufficiently rejuvenated to satisfy the patient and avoid more scarring.

A young patient with slight breasts and tight tissues. The aesthetics are otherwise good and asymmetry slight.

One year following bilateral breast augmentation with round implants.

When the breast remains soft and is not "over"-augmented, taper returns to the upper pole whether round or "anatomic" implants are used.

A woman of 30 with good breast aesthetics.

Her left peri-areolar scar is more in evidence than the right.

This Photo shows very attractive pre-op breast shape.

The general aesthetic character of the breast is preserved, despite substantial volume increase. Care has been taken to respect the anatomic limits established by the patient's tissues.