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

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Presentation on theme: "Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Simultaneous Areolar Mastopexy Breast Augmentation Laurence."— Presentation transcript:

1 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

2 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Simultaneous Areolar Mastopexy / Breast Augmentation - The SAMBA™ Procedure, Surgical Strategies For The Ptotic Breast: Aesthetic Surgery Journal, 19, 34-39, January/February 1999 Brief

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

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7 Regnault Classification: Grade I-III

8 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Kirwan Classification: Stages A-F

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

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13 3 month after surgery style 120 textured silicone gel. High profile

14 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 3 month after surgery style 120 textured silicone gel. High profile

15 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 3 month after surgery style 120 textured silicone gel. High profile

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

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

20 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

21 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Mentor Siltex round spectrum saline 320 cc

22 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Mentor Siltex round spectrum saline 320 cc

23 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Mentor Siltex round spectrum saline 320 cc

24 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Before and after 3 months Mentor 350 textured low profile.

25 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Before and after 3 months Mentor 350 textured low profile.

26 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Before and after 3 months Mentor 350 textured low profile.

27 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Style 110 mod profile text. gel 4 mo. after surgery

28 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Style 110 mod profile text gel 4 mo post-op

29 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Stage A 550 Gel / Round / Smooth, 9 month follow-up

30 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Stage A, 550 Gel /Round / Smooth, 9 month follow-up

31 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Well healed scar around areolar

32 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 250 cc LP 4 mo. after surgery

33 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 250 cc LP 4 mo. after surgery

34 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 300 R, 280 L, style 20 HP gel smooth round

35 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 300 R, 280 L, style 20 HP gel smooth round

36 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 300 R, 280 L, style 20 HP gel smooth round

37 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Style 40 Low Prof. gel 360 3mo post-op

38 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Style 40 Low Prof. gel 360 3mo post-op

39 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Stage B 360 Saline / Round / Textured

40 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Stage B 360 Sal/Rd/Text.

41 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.

42 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.

43 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 375 Sal/Rd/Text. 7 year post-op - far right

44 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

45 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.

46 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.

47 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.

48 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.

49 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.

50 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

51 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.

52 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 325 cc smooth spectrum 5 month follow-up

53 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 325 cc smooth spectrum 5 month follow-up

54 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 325 cc smooth spectrum 5 month follow-up

55 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Style cc smooth round gel 12 month follow-up

56 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. style cc smooth round gel 12 month follow-up

57 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Style cc smooth round gel 12 month follow-up

58 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Stage E 360 Gel/Rd/Textured, 3-0 N

59 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

60 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

61 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Markings smooth round Spectrum saline 375 cc

62 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

63 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

64 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Stage F 400 cc style 20 smooth 3 month follow-up

65 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Stage F 400 cc style 20 smooth 3 month follow-up

66 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. SAMBA Stage F 400 cc style 20 smooth 3 month follow-up

67 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Eurogel LP smooth 500 cc 22 month follow-up

68 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Eurogel LP smooth 500 cc 22 month follow-up

69 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. My redo inadequate lift 31 year-old, 10 month follow- up

70 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. My redo inadequate lift 31 year-old, 10 month follow-up

71 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. My redo inadequate lift 31 year-old, 10 month follow-up

72 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. My redo inadequate lift 31 year-old, 10 month follow-up

73 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. 275 cc moderate round textured implants Allergan follow-up

74 Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. The End


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