M.K. Ambe MD Plastic and Reconstructive Surgery

(949)759-5539
1441 Avocado Avenue Suite 801
Newport Beach, CA 92660
www.NewportBeachPlasticSurgery.com

Breast Augmentation, Breast lift, Breast Augmentation with Mastopexy(lift), Breast Reduction, Removal and Replacement of Implants, Silicone Breast Augmentation (for patients that meet adjunct study protocol requirements)

Sex of Surgeon: Male

Board Certified Since 2000

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After
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Before:		25 year old female, 5' 5" 118 lbs with small B-cup breasts
After:		1 year post-operative breast augmentation with 425cc smooth round saline breast implants to Full C/ Small D cup breasts.
Comments:		Although this patient is very thin, I was able to create a very full, yet natural look. She was emphatic about not having any roundness at the top of her breasts (or as commonly described as a "shelf like" look). From all views, the breasts look natural, yet they are certainly very full. Notice also how I was able to create the "pockets" for the implants such that the implants are close enough to create enough "natural" cleavage. A lot of women want to avoid a large gap in this area between the breasts.

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Before:		27 year-old female 5' 3", 107 lbs with A cup breasts
After:		7 months post-operative breast augmentation with 350cc smooth saline implants to small C-cup breasts
Comments:		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.

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Before:		25 year-old female 5' 7", 125 lbs Full A/ Small B cup
After:		8 months post operative breast augmentation with 525 cc smooth saline implants to D-cup breasts
Comments:		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.

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Before:		33 year-old female 5' 8" , 135 lbs with B-cup breasts and pre-existing asymmetry
After:		6 months post operative breast augmentation with 475 cc smooth saline breast implants to D-cup breasts
Comments:		In this patient, I had to correct some asymmetry. She had some pre-existing psuedo-ptosis (slight sagging), which was nicely improved with the procedure. Notice the natural "sloping" of the breast in the upper part, even with a fairly generous implant volume.

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Before:		24 year-old female 5' 7", ll4 lbs with AA cup breasts
After:		6 months post-operative breast augmentation with 375cc smooth saline implants to mid C-cup breasts.
Comments:		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).

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Before:		25 year old female, 5’6” l18 lbs with A cup breasts.
After:		1 year post operative breast augmentation with 475 cc smooth round saline breast implants to small D-cup breasts.
Comments:		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.

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Before:		24 year old female, 5’7” 125 lbs with A cup breasts and pre-operative asymmetry.
After:		9 months post-operative breast augmentation with 340cc smooth round saline breast implants to mid C-cup breasts.
Comments:		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.

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Before:		26 year old female, 5' 6" 119 lbs, with A -cup breasts and asymmetry
After:		1 year post-operative breast augmentation with 450cc smooth round saline breast implants to Full C cup
Comments:		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.

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Before:		33 year-old female post 3 pregnancies with nursing. Patient with Grade III ptosis (sagging) of breasts and with significant asymmetry.
After:		8 months post operative bilateral breast mastopexies (lifts) with bilateral breast augmentation with 425 cc smooth round saline implants to full C cup breasts.
Comments:		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).

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Before:		35 year old female, 5’5” l27 lbs post nursing 2 children with loss of fullness and significant ptosis (sagging) of breasts
After:		8 months post-operative bilateral breast augmentation with full mastopexies. 425cc smooth round saline breast implants to full C –cup breasts.
Comments:		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.