 Good morning, everyone. Dr. Saul here in Beverly Hills. We have our lovely patient here. She's an amazing shape I was just going over. She looks amazing. She's a mom. She looks fantastic, but today we're going to fantabulize her We're going to do some breast augmentation Let's look at her So you can see when you look at her when she's standing her shoulders a little bit higher everyone has some asymmetries It's probably a little scoliosis, but then we look at the breast. One is lower than the other. She understands that We're going to do silicone breast augmentation. We're doing periareola She doesn't want any scars, so we're going right there and we're going to go under the muscle and we're going Approximately 375. I put in blue where the implant is going to be Initially the implant because she doesn't have a tight tissue is going to be higher But when it falls down, it's going to fall right in there You can see her native breast tissue. The highest is right here. Even when I push her breast up It's right there again. You can see where it is. This height is determined by God Not my air plastic surgeon So, you know some people come and say I want a real high, but they don't have the right anatomy in her She has to write anatomy Because this is a short distance. It's going to be a beautiful case. Stay tuned while we then capitalize our patient Hey, everyone. Dr. Saw here in the OR. We're doing a breast augmentation periareola approach I make sure the incision fine lands right exactly Where the dark and the light need So ladies and gentlemen at home, so this is the skin epidermis then we go to deep dermis Then we go to the fat then we go to breast tissue and this right here is the muscle watch it facilitate So now we're going to go between the muscle under underneath the pectoralis major muscle So as I'm as you guys are watching opening up the muscle going with the fibers of the muscle which go transversely And we're going to get underneath the muscle so we can put the implant So we have the sizes in I think she looks good with the three seventy five There are your breasts are a little different this one looks like it's going to project a little bit more But I'll adjust for that, but I think this is going to be a great size for I didn't want to go with what we talked about pre-operatively as a three seventy five So we'll take this out and put it in the real implants now So here we are with the califunnel here. It is the pocket. We gently put it in It's a no touch technique Once it's in all you have to do is like a icing on a cake just put on the cream and boom no touch From the box into the patient. So we're about to close we put the implant in with the califunnel We're closing a good closure is very important after a breast dog It's not just a placement, but also a closure So in order to do that you need about a four-layer closure You get the breast tissue together the bath together to eat dermal and then after dermis the skin goes back together So I usually take my time to a four-layer closure To make sure that the patient gets the optimal result. So we're done. She got what she wanted We put in the three seventy moderate profile. She's got great projection nice cleavage Nice lateral fullness. She looks fantabulous. We're done. That's quick