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Patient Case

4805

This revisional augmentation patient (37 yrs old, several children, 5 foot 5, about 140 lbs) had subglandular saline implants in the 400 range which were bottomed out and saggy. She felt matronly and had to wear super tight bras to feel lifted. Her corrective surgery involved removing the old saline implants (explant) and making a new pocket under the pectoral muscle (site change to retropectoral position). To close off the large space her old implants had created, a capsulorrhaphy (capsule repair) was done inferiorly on both sides and reinforced with GalaFLEX® soft tissue support overlay. Dr Pautler then placed new silicone gel implants (Allergan Natrelle® 400 SRX on the left, 445 SRX on the right) in the subpectoral pocket. Finally, the revision was completed by removing excess sagging skin from the breast with a bilateral mastopexy. Her result is shown below. She has a supported breast with better cleavage, more upper pole fullness, and can go without a bra for certain dresses and occasions. She is a full D cup and thrilled.

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Here’s what our clients have to say

Dr. Pautler is fantastic. I had a breast augmentation and lift in December 2017 after one of my implants ruptured from a previous augmentation done about 15 years ago (with a different doctor). The results are exactly what I was hoping for! Dr Pautler also has a great bedside manner, is very patient and answers all your questions, works with you to figure out what you’re looking for, and is extremely talented. I don’t have enough amazing things to say about her and my experience. I also had a pretty quick recovery. Was up and moving around a day or two after surgery with minimal pain. The office staff is also so helpful! I’m adding this review because I did a ton of research when looking for a plastic surgeon and I’m posting this for the next person who isn’t sure which doctor to choose. Choose Dr. Pautler. She’s amazing.

ANONYMOUS BREAST AUGMENTATION

Dr. Pautler is fantastic. I had a breast augmentation and lift in December 2017 after one of my implants ruptured from a previous augmentation done about 15 years ago (with a different doctor). The results are exactly what I was hoping for! Dr Pautler also has a great bedside manner, is very patient and answers all your questions, works with you to figure out what you’re looking for, and is extremely talented. I don’t have enough amazing things to say about her and my experience. I also had a pretty quick recovery. Was up and moving around a day or two after surgery with minimal pain. The office staff is also so helpful! I’m adding this review because I did a ton of research when looking for a plastic surgeon and I’m posting this for the next person who isn’t sure which doctor to choose. Choose Dr. Pautler. She’s amazing.

Dr. Pautler is fantastic. I had a breast augmentation and lift in December 2017 after one of my implants ruptured from a previous augmentation done about 15 years ago (with a different doctor). The results are exactly what I was hoping for! Dr Pautler also has a great bedside manner, is very patient and answers all your questions, works with you to figure out what you’re looking for, and is extremely talented. I don’t have enough amazing things to say about her and my experience. I also had a pretty quick recovery. Was up and moving around a day or two after surgery with minimal pain. The office staff is also so helpful! I’m adding this review because I did a ton of research when looking for a plastic surgeon and I’m posting this for the next person who isn’t sure which doctor to choose. Choose Dr. Pautler. She’s amazing.

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