Breast Augmentation

Case 1001
Dr. Kachenmeister discusses this case. This patient is 33 years old. She is 5’7” and weighs 133 lb. She desired to be a large C cup and was size carefully in the office. She chose 400 cc implants, and therefore we chose the transaxillary approach to insert her moderate plus profile, 400 cc, silicone gel implants in a submuscular position. You will notice that she had a slight asymmetry preoperatively with her right nipple higher than the left. We compensated for this a small amount during surgery, but she still of course has a slight asymmetry afterwards. She is very happy with her results.

Case 1004
Dr. Kachenmeister discusses this case. This patient consulted with me requesting breast augmentation. She had some natural preoperative asymmetries to her breasts with the left side being higher than the right. She is 33 years old, 5’6” tall, and weighs 118 lbs. Preoperatively she was a large A cup and postoperatively is a large C cup. She chose the transaxillary approach to help keep the scars off of the breast; and we utilized high profile, 350 cc, Mentor, smooth, round, silicone gel implants. She is pleased that we were able to compensate for her natural asymmetry, and she is very happy with her result.

Case 1005
Dr. Kachenmeister discusses this case. This 36-year-old patient stands 4’11” tall and weighs 85 lb. She’s had 3 children all by C-Section and felt that she would like a mommy makeover. On examining her, indeed she had muscle separation of her abdominal wall with a small hernia of her bellybutton. She had also lost volume in her bustline. We discussed various options and decided on a transaxillary breast augmentation using silicone breast implants, and we chose the size of 250 cc, high profile implants. We also performed a full abdominoplasty keeping the scar very low in her bikini line and using the hooded flap reconstruction technique to recreate her bellybutton.

Case 1007
Dr. Kachenmeister discusses this case. This 65-year- old female came to me wondering about the possibility of a breast augmentation. Even though she had been pregnant three times, she had never breast fed, and her breasts did not need any lifting. She is 5’1½ “tall and weighs 100 lb. After reviewing her measurements, we decided on 350 cc, high profile, silicone gel implants to be inserted via the transaxillary approach. She is very pleased that she has no scars on her breasts and that they have a very youthful appearance.

Case 1008
Dr. Kachenmeister discusses this case. This patient desired breast augmentation to a size D and did not wish to have scars on her breasts. She is 38 years old. She stands 5’4” tall and weighs 136 lb. After performing sizing in the office, she chose 600 cc, high profile, silicone gel implants which we inserted through the axillary approach. She is quite happy with her result.

Case 1009
Dr. Kachenmeister discusses this case. This patient had postpartum breast involution with some breast asymmetry. She is 5′ 6″ and 132 lbs. She preferred to not have scars on her breasts and after discussing all options we decided on a transaxillary (armpit incision) subpectoral approach. She is very pleased with her results.

Case 1011
Dr. Kachenmeister discusses this case. This 36-year- old patient experienced some involution of her breasts after giving birth to her children. She is 5’7” tall and weighs 142 lb. While it might appear from the preoperative photographs that she would need a lift, we determined that her nipples had not descended far enough to warrant this. Therefore, I elected to perform a transaxillary breast augmentation using 375 cc smooth, round, silicone implants. She is very pleased with her result including the fact that she not have a scar on her breasts at all.

Case 1018
Dr. Kachenmeister discusses this case. This 23-year-old patient did not like the look of her breasts after breastfeeding her children. She stands 4’9” tall and weighs 100 lb. I discussed with her the need for both breast implants and a breast lift, however, she did not wish to have any scars on her breasts. Therefore, we chose to do a transaxillary submuscular breast augmentation using high profile, silicone gel, 375 cc implants, knowing that she most likely would need a mastopexy or breast lift performed at a later time.
Being very careful with the submuscular dissection, I was able to get the implants in just the right position to fill out the breast envelope without giving her a double bubble. In the postoperative photographs, you can see that her nipples are still a little bit low, but she is extremely happy with her result as it stands and is not wishing to have the breast lift done at all.

Case 1020
Dr. Kachenmeister discusses this case. This patient presented with “A” cup breasts and wished to be approximately a “C” cup. She has very little body fat, stands 5’7” tall, and weighs 108 lbs. She has a naturally wide cleavage line, and I discussed with her that we would not be able to narrow this too much for fear of exposing the implant under the thin sternal skin. We utilized 355 cc, high profile, Sientra silicone gel implants, and she is very happy with her choice.

Case 1024
Dr. Kachenmeister discusses this case. This 52-year-old patient stands 5’5” tall and weighs 120 lb. She has always thought her bustline was disproportionate to her shoulder width, and she wished to have a larger bustline. After sizing her in the office, she decided on 275 cc implants, and therefore we placed these via the transaxillary endoscopic approach using silicone, moderate plus profile, Mentor implants. She is overjoyed with her result.

Case 1025
Dr. Kachenmeister discusses this case. This patient stands 5′ 3″ and weighs 108 lbs she had previous silicone breast implants done by another surgeon a number of years ago. Unfortunately they had ruptured and become contracted especially the left side. We discussed removing her implants and performed a capsulectomy and replaced them with 250cc silicone moderate plus profile implants. She is quite happy with her overall results.

Case 1026
Dr. Kachenmeister discusses this case. This 33-year- old patient had postpartum involution of the breasts. She wished to restore her bust line and did not wish to have any scars on the breast. We decided to perform a transaxillary breast augmentation using 350 cc, silicone, moderate plus profile implants. She is very happy with her result.

Breast Augmentation/Mastopexy

Case 1022
Dr. Kachenmeister discusses this case. This 35-year-old patient stands 5’7” tall and weighs 130 lbs. She felt her breasts were too low, and she lacked fullness in the upper portion. Even though her sternal notch-to- nipple distance measured 22 cm, the nipples were actually below the inframammary crease level which necessitated a breast lift. We elected to place 500 cc, silicone, textured, high profile implants in the submuscular position and then perform a simultaneous mastopexy bilaterally. She is very happy with her new breasts.

Case 1029
Dr. Kachenmeister discusses this case. This patient is 35 years old and has had several children. She stands 5’4” tall and weighs 120 lb. After breastfeeding, her breasts became quite ptotic, and she wished to have them both uplifted and made larger. We used an anchor pattern scar for her breast lift and inserted submuscular Sientra, 440 cc, high profile, textured implants to help restore the upper breast fullness. She is very happy with her size and shape.

Case 1030
Dr. Kachenmeister discusses this case. This 34-year-old patient stands 5’1” and weighs 130 lb. She wished to not only lift her breasts but make them quite large. She decided on having silicone gel-filled implants and requested them to be made at least a DD. She sized in the office and requested 500 cc implants. Therefore, we not only lifted her breasts but inserted submuscular 500 cc gel implants.

Case 1031
Dr. Kachenmeister discusses this case. After nursing several children, she noticed drooping of her breasts and wished to have them not only made larger but more uplifted. She underwent a mastopexy with augmentation. She wished to be a large C or small D, and therefore she received 400 cc implants which were inserted into the submuscular position. She naturally had a very wide cleavage space which remains that way postoperatively.

Breast Reduction

Case 1002
Dr. Kachenmeister discusses this case. This 56-year- old patient is 5’7” and weighs 170 lb. She complained that her breasts were too large and pendulous. We performed bilateral breast reduction surgery for her, and because of her natural asymmetry, we removed approximately 250 gm of tissue from the right side and 350 gm of tissue from the left side using the anchor pattern technique. She has excellent healing with minimal scarring and shows much improved symmetry between her breasts. She is quite happy with her result.

Case 1019
Dr. Kachenmeister discusses this case. This 20-year- old college student had always been very self-conscious about her large breasts. She found it difficult to wear relatively “normal” clothes without feeling conspicuous. I was able to perform an anchor type breast reduction removing approximately 300 gm of tissue from each breast. She is overjoyed with her result and her ability to fit normally in her clothing.

Case 1032
Dr. Kachenmeister discusses this case. This 18-year- old patient suffered from extreme asymmetry in her breast size, and she struggled to hide this condition most of her teenage life. I elected to perform a vertical scar breast reduction for her which helped to restore near perfect symmetry to her breasts. She is elated with the result.

Corrective Breast Surgeries

Case 1025
Dr. Kachenmeister discusses this case. This patient stands 5′ 3″ and weighs 108 lbs she had previous silicone breast implants done by another surgeon a number of years ago. Unfortunately they had ruptured and become contracted especially the left side. We discussed removing her implants and performed a capsulectomy and replaced them with 250cc silicone moderate plus profile implants. She is quite happy with her overall results.

Case 1033
Dr. Kachenmeister discusses this case. 31 year old female. 5′ 5″ 113 lbs. Patient had a previous breast augmentation and lift with another surgeon 2 years prior. Patient was very unhappy with the results from that surgery and wished to remove the implants and replace them as the implants were left too high and the muscle had never been completely divided with a higher profile implant as well as remove some of the breast tissue and revise her lift. Natrelle silicone implants 200cc’s.

Abdominoplasty

Case 1003
Dr. Kachenmeister discusses this case. This 24-year- old patient is 6’ tall and weighs 205 lbs. Using diet and exercise, he lost over 50 lbs. and was left with excess skin around his midsection. After discussing his options, we had decided on a full abdominoplasty. During surgery, we removed approximately 3 lbs. of skin and tissue from the lower abdomen and performed a hooded flap umbilicus reconstruction technique giving him a very natural looking bellybutton. We kept his scar well below the beltline allowing him to wear board shorts with confidence. He is thrilled with his result.

Case 1005
Dr. Kachenmeister discusses this case. This 36-year-old patient stands 4’11” tall and weighs 85 lb. She’s had 3 children all by C-Section and felt that she would like a mommy makeover. On examining her, indeed she had muscle separation of her abdominal wall with a small hernia of her bellybutton. She had also lost volume in her bustline. We discussed various options and decided on a transaxillary breast augmentation using silicone breast implants, and we chose the size of 250 cc, high profile implants. We also performed a full abdominoplasty keeping the scar very low in her bikini line and using the hooded flap reconstruction technique to recreate her bellybutton.

Case 1006
Dr. Kachenmeister discusses this case. This 53-year- old patient wished to have her tummy tightened. She is 5’1” and weighs 116 lbs., and she has had a previous hysterectomy with a lower abdominal scar. After discussing various options, we decided on a modified or sometimes called “mini” tummy tuck which means we did not create a scar around her bellybutton but simply “floated” it in a downward direction. This allowed us to keep her abdominoplasty scar quite low in her bikini line. She is very pleased with her decision for this procedure.

Case 1010
Dr. Kachenmeister discusses this case. After several children, this 30-year- old patient could not get rid of the excess skin and tissue from her lower tummy. She stands 5’1” tall and weighs 150 lb., and we decided to perform a full abdominoplasty. We did discuss the location of her scar which we wanted to keep very low, but of course we could not remove all of the tattoos she had on her tummy. As you can see from the photographs, we lowered the tattoos remarkably and kept her scar very low in the bikini line.
We also used the hooded flap umbilical technique to give her a very natural looking bellybutton.
She is very pleased.

Case 1012
Dr. Kachenmeister discusses this case. After having her children, this 39 year old patient could not get any more improvement for her abdomen with diet and exercise. She stands 5′ 6″ tall and weights 138 lbs. Because of all the loose skin after her pregnancies we decided to perform a full abdomnionplasty using the hooded flap umbilical technique which gave her a very natural result.

Case 1017
Dr. Kachenmeister discusses this case. This 30-year- old patient stands 5’3” tall and weighs 145 lb. After giving birth to several children, she was unhappy with the contour of her abdomen. She and I decided that a full abdominoplasty would give her the best result, and we utilized the hooded flap umbilical technique to reconstruct a very natural looking bellybutton for her. She is very happy with her new contour.

Case 1023
Dr. Kachenmeister discusses this case. This 32-year-old male had lost a significant amount of weight. At the time of surgery, he was 219 lb. and stands 6’1” tall. Despite a very active lifestyle including an excellent workout schedule, he was left with excess skin of his lower abdomen. We decided on performing a modified abdominoplasty keeping his scar very low below his beltline, and he is very happy with his result.

Blepharoplasty

Case 1030
Dr. Kachenmeister discusses this case. This 57-year- old patient saw the signs of aging around her eyes. After discussing her options, we decided to perform both upper lid and lower lid blepharoplasties. She wished not to have a pulled or surgical look, and therefore we did a very nice conservative job brightening up her eyes.

Facelift

Case 1016
Dr. Kachenmeister discusses this case. This 56-year- old patient began to dislike the signs of facial aging around her mouth and in her neckline. We discussed various options and decided on a modified in-office facelift. After undergoing this procedure, she has a very natural look without looking pulled. She is very pleased with her result.

Case 1028
Dr. Kachenmeister discusses this case. This 69-year- old female wished to have improvements of her face and neck. She decided to have a modified facelift performed in the office under sedation. She did very well through her surgery and is thrilled with her results.

Mommy Makeover

Case 1005
Dr. Kachenmeister discusses this case. This 36-year-old patient stands 4’11” tall and weighs 85 lb. She’s had 3 children all by C-Section and felt that she would like a mommy makeover. On examining her, indeed she had muscle separation of her abdominal wall with a small hernia of her bellybutton. She had also lost volume in her bustline. We discussed various options and decided on a transaxillary breast augmentation using silicone breast implants, and we chose the size of 250 cc, high profile implants. We also performed a full abdominoplasty keeping the scar very low in her bikini line and using the hooded flap reconstruction technique to recreate her bellybutton.

Case 1013
Dr. Kachenmeister discusses this case. This 45-year- old female is 5’6” tall and weighs 120 lbs., and she wished to have a mommy makeover. We discussed various options and decided on a full abdominoplasty and a transaxillary breast augmentation with silicone breast implants. At the time of surgery, we placed 450 cc, smooth, round, high profile, silicone breast implants via the armpit approach. She also had a full abdominoplasty trying to remove as many stretch marks as possible. We were able to recreate a very natural looking bellybutton using the superior flap technique, but unfortunately she did not have enough skin to allow us to bring the bellybutton donation site low enough to be removed. Therefore, we closed her with a small vertical incision in the midline and then kept her horizontal scar very low in her bikini line. She is very pleased with the result.

Case 1015
Dr. Kachenmeister discusses this case. This is 44-year-old patient stands 5’5” tall and weighs 135 lb. After giving birth to her only child, she was disappointed with the laxity of her abdominal wall and the mild involution of her breasts. We discussed various options and decided on a mommy makeover. Therefore, we took her to surgery and performed a transaxillary breast augmentation using 350 cc, moderate plus, gel implants; liposuction on her outer thighs, and a full abdominoplasty. We elected to reconstruct her new bellybutton using the hooded flap technique giving her a very normal looking umbilicus. She is very happy with her transformation.

Disclaimer
The photos on this website are not intended to represent the results that every patient can expect. Surgical results vary greatly from patient to patient and are not guaranteed.