copyright laurence kirwan frcs facs professor of plastic surgery. all rights reserved. samba...

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Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence Kirwan FRCS FACS Professor of Plastic Surgery

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Page 1: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

SAMBASimultaneous Areolar Mastopexy Breast

Augmentation

Laurence Kirwan FRCS FACSProfessor of Plastic Surgery

Page 2: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Simultaneous Areolar Mastopexy / Breast Augmentation - TheSAMBA™ Procedure, Surgical Strategies For The Ptotic Breast:Aesthetic Surgery Journal, 19, 34-39, January/February 1999 Brief

Page 3: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 4: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 5: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 6: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 7: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Regnault Classification: Grade I-III

Page 8: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Kirwan Classification: Stages A-F

Page 9: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 10: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 11: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 12: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 13: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

3 month after surgery style 120 textured silicone gel. High profile

Page 14: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

3 month after surgery style 120 textured silicone gel. High profile

Page 15: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

3 month after surgery style 120 textured silicone gel. High profile

Page 16: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 17: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 18: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Page 19: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Tubular breast markings 350 cc Mentor spectrum smooth saline 4 mo post-op

Page 20: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Tubular breast markings 350 cc Mentor spectrum smooth saline 4 mo post-op

Page 21: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Mentor Siltex round spectrum saline 320 cc

Page 22: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Mentor Siltex round spectrum saline 320 cc

Page 23: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Mentor Siltex round spectrum saline 320 cc

Page 24: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Before and after 3 months Mentor 350 textured low profile.

Page 25: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Before and after 3 months Mentor 350 textured low profile.

Page 26: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Before and after 3 months Mentor 350 textured low profile.

Page 27: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 110 mod profile text. gel 4 mo. after surgery

Page 28: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 110 mod profile text gel 4 mo post-op

Page 29: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage A 550 Gel / Round / Smooth, 9 month follow-up

Page 30: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage A, 550 Gel /Round / Smooth, 9 month follow-up

Page 31: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Well healed scar around areolar

Page 32: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

250 cc LP 4 mo. after surgery

Page 33: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

250 cc LP 4 mo. after surgery

Page 34: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

300 R, 280 L, style 20 HP gel smooth round

Page 35: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

300 R, 280 L, style 20 HP gel smooth round

Page 36: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

300 R, 280 L, style 20 HP gel smooth round

Page 37: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 40 Low Prof. gel 360 3mo post-op

Page 38: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 40 Low Prof. gel 360 3mo post-op

Page 39: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage B 360 Saline / Round / Textured

Page 40: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage B 360 Sal/Rd/Text.

Page 41: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

375 Saline / Round / Textured. Implants changed from sub-glandular to sub-muscular location.

Page 42: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

375 Saline / Round / Textured. Implants changed from sub-glandular to sub-muscular location.

Page 43: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

375 Sal/Rd/Text. 7 year post-op - far right

Page 44: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 110 McGhan text. Gel round moderate profile 360 cc. One year follow-up. Stage C

Page 45: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 110 McGhan text. gel round moderate profile 360 cc. One year follow-up.

Page 46: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 110 McGhan text. gel round moderate profile 360 cc. One year follow-up.

Page 47: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 110 McGhan text. gel round moderate profile 360 cc. One year follow-up.

Page 48: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage D (R) Stage C (L) / 360 Sal/Rd/Text., 0 Supramid Purse-string suture - 6 month follow-up.

Page 49: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage D (R) Stage C (L) / 360 Sal/Rd/Text., 0 Supramid Purse-string suture - 6 month follow-up.

Page 50: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage D (R) Stage C (L)360 Sal/Rd/Text., Para 1, 36, 0 Supramid 6 month FU

Page 51: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage D (R) Stage C (L) / 360 Sal/Rd/Text., 0 Supramid Purse-string suture - 6 month follow-

up.

Page 52: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

325 cc smooth spectrum 5 month follow-up

Page 53: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

325 cc smooth spectrum 5 month follow-up

Page 54: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

325 cc smooth spectrum 5 month follow-up

Page 55: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 40 320 cc smooth round gel 12 month follow-up

Page 56: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

style 40 320 cc smooth round gel 12 month follow-up

Page 57: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Style 40 320 cc smooth round gel 12 month follow-up

Page 58: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage E 360 Gel/Rd/Textured, 3-0 N

Page 59: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage E 360 Gel/Rd/Textured 3-0 N / 6 month follow-up

Page 60: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Stage E 360 Gel/Rd/Textured 3-0 N / 6 month follow-up

Page 61: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Markings smooth round Spectrum saline 375 cc

Page 62: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

375 Spectrum / saline / smooth 3-0 N Stage D Right Stage E Left 5 month follow-up

Page 63: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

375 Spectrum / saline / smooth 3-0 N Stage D Right Stage E Left 5 month follow-up

Page 64: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

SAMBA Stage F 400 cc style 20 smooth 3 month follow-up

Page 65: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

SAMBA Stage F 400 cc style 20 smooth 3 month follow-up

Page 66: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

SAMBA Stage F 400 cc style 20 smooth 3 month follow-up

Page 67: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Eurogel LP smooth 500 cc 22 month follow-up

Page 68: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

Eurogel LP smooth 500 cc 22 month follow-up

Page 69: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

My redo inadequate lift 31 year-old, 10 month follow-up

Page 70: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

My redo inadequate lift 31 year-old, 10 month follow-up

Page 71: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

My redo inadequate lift 31 year-old, 10 month follow-up

Page 72: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

My redo inadequate lift 31 year-old, 10 month follow-up

Page 73: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

275 cc moderate round textured implants Allergan follow-up

Page 74: Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence

Copyright Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved.

The End

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