(214) 220-2712
2801 Lemmon Avenue West
Suite 300
Dallas, TX 75204

Case Study 21-1


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HISTORY

CS_21-1_TOPIMG01Age: 45
Gravida: 1
Para: 1
Bra Band Size: 32
Breast Cup Size (Pt. estimate.)
Prior to pregnancy: A
Largest with preg: B/C
Current Cup Size: A
Desired Cup Size: B/C
Previous Breast Disease: None
Breast Biopsies: None
Family Hx. Breast Cancer: Yes
(Maternal grandmother, postmenopausal)
Pertinent Medical or Breast
Imaging History: None
Breast Masses: None

PREOPERATIVE ASSESSMENT AND OBSERVATIONS
  • Breast level asymmetry: Breasts at different levels on torso; left breast and nipple higher on torso, WNBCS
  • Nipple level asymmetry: WNBCS
  • Breast width asymmetry: Left breast narrower, WNBCS
  • Tight skin envelope: APSS 2.2
  • Envelope filled by parenchyma preoperatively: PCSEF 70%
  • Thin soft tissue coverage: STPTUP 0.8 cm; STPTIMF 0.6 cm

 

TISSUE ASSESSMENT AND HIGH FIVE® SYSTEM CRITICAL DECISIONS PROCESS

Case-Studies-Information-21-1

BEFORE & AFTERS

INTERVAL: Preop

STPTUP 0.8 cm | STPTIMF 0.6 cm | Base Width 11 cm | APSS 2.2 cm | N:IMF 5.5 cm | PCSEF 70%

21-1-before_11 21-1-before_03 21-1-before_07 21-1-before_09 21-1-before_05

INTERVAL: 1 yr

STPTUP 1.6 cm | STPTIMF 1.2 cm | Base Width 12.5 cm | APSS 1.9 cm | N:IMF 8.5 cm
Case-Studies-Information-1-2_03 Case-Studies-Information-1-2_05 Case-Studies-Information-1-2_07 Case-Studies-Information-1-2_09 Case-Studies-Information-1-2_11

INTERVAL: 2 yr

STPTUP 1.7 cm | STPTIMF 1.4 cm | Base Width 12.5 cm | APSS 2.0 cm | N:IMF 8.5 cm
Case-Studies-Information-1-3_18 Case-Studies-Information-1-3_19 Case-Studies-Information-1-3_20 Case-Studies-Information-1-3_21 Case-Studies-Information-1-3_22

INTERVAL: 5 yr

STPTUP 1.6 cm | STPTIMF 1.3 cm | Base Width 12 .5 cm | APSS 2.0 cm | N:IMF 8.5 cm
Case-Studies-Information-1-4_29 Case-Studies-Information-1-4_30 Case-Studies-Information-1-4_31 Case-Studies-Information-1-4_33 Case-Studies-Information-1-4_34

INTERVAL: 6 yr

STPTUP 1.7 cm | STPTIMF 1.2 cm | Base Width 12.5 cm | APSS 2.4 cm | N:IMF 8.5 cm
Case-Studies-Information-1-5_40 Case-Studies-Information-1-5_41 Case-Studies-Information-1-5_42 Case-Studies-Information-1-5_44 Case-Studies-Information-1-5_45

ALTERNATE VIEWS

STPTUP 1.6 cm | STPTIMF 1.2 cm | Base Width 12.5 cm | APSS 1.9 cm | N:IMF 8.5 cm
Case-Studies-Information-1-6_51 Case-Studies-Information-1-6_53 Case-Studies-Information-1-6_54 Case-Studies-Information-1-6_55
POSTOPERATIVE ASSESSMENT AND OBSERVATIONS
  • Pre- to post- bra size change by patient questionnaire: 34A to 36C
  • Slight excess volume fill (excessively large implant for tissue characteristics) for envelope size and stretch at 1 year, persisting to more than 2 years, slight excessive upper pole fullness
  • Upper pole fill and shape maintained to 6 years
  • Breast and nipple level asymmetry: WNBCS as predicted
  • IMF scar redness present at 7 months followup; resolved
  • Breasts soft, mobile, compressible at 7 months followup
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