Breast Augmentation Case Study 138

This lady has moderate height, moderate projected anatomical breast implants placed above the muscle. She wished to achieve the ideal aesthetic shape with 55% of the volume of the breast being in the lower pole. Where the breast footprint sits at a reasonable height moderate height implants are a good choice. This lady also opted to have anatomical implants placed above the muscle. Although implants above do not disrupt the muscle and can be placed more in the midline the downside is that the top of the implant can become more palpable over time. The current cohesive gel implants have been developed to reduce this phenomenon. Patients need to be taken through the pros and cons as in this case both round / anatomical / above / under are all options.

Bio dimensionally breast implants should fit the width of the chest wall although the width, height and projection can all be altered slightly to provide differing volumes and results. Consulting with a plastic surgeon with experience of using anatomical implants and 3D technology is in Mr Ross’s opinion essential in being empowered to proceed.

When considering breast augmentation with breast implants it is important to consider all the various breast rejuvenation techniques which include breast lift with fat/implantsbreast lift alone and the use of autologous fat transfer.

At a consultation, it is important to run through all the pros and cons and the various options of breast rejuvenation surgery so that you can be empowered to proceed. Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. Mr Ross uses bio dimensional planning, 3D software and virtual reality to help you through your journey and there is no limit to the number of consultations required prior to surgery.

Mr. Ross is a plastic surgeon that underwent specific training in plastic surgery. Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) Association of Breast Surgeons (ABS) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS and ABS.

Breast Augmentation Case Study 132

Where a breast footplate sits low on the chest the best way to try and address this is to use a tall height breast implant to give back the appearance that the breast starts higher on the chest. An anatomical implant has a gentle slope at the upper pole to prevent palpability in this area. Where the nipples sit low and the lower pole is empty an anatomical implant allows the lower pole to be filled and allows the nipple to be elevated. The one concern of this approach is the development of a double bubble effect and during surgery the pocket needs to be developed and secured to keep the implants at the desired level on the chest wall.

Breast Augmentation Case Study 139

This lady has low height, moderate projected anatomical breast implants placed above the muscle. She wished to achieve the ideal aesthetic shape with 55% of the volume of the breast being in the lower pole. Where the breast footprint sits at a reasonable height moderate height implants are a good choice. Where the nipples sit central on the breast again moderate projected implants are similarly a good choice. There is always a selection of options for patients and Mr Ross uses 3D technology and virtual reality to try and give patients a realistic expectation of the result and how this can change with different implants. Bio dimensionally breast implants should fit the width of the chest wall although the width, height and projection can all be altered slightly to provide differing volumes and results. Consulting with a plastic surgeon with experience of using anatomical implants and 3D technology is in Mr Ross’s opinion essential in being empowered to proceed.

When considering breast augmentation with breast implants it is important to consider all the various breast rejuvenation techniques which include breast lift with fat/implantsbreast lift alone and the use of autologous fat transfer.

At a consultation, it is important to run through all the pros and cons and the various options of breast rejuvenation surgery so that you can be empowered to proceed. Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. Mr Ross uses bio dimensional planning, 3D software and virtual reality to help you through your journey and there is no limit to the number of consultations required prior to surgery.

Mr. Ross is a plastic surgeon that underwent specific training in plastic surgery. https://www.garylross.com/ Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) Association of Breast Surgeons (ABS) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS and ABS.

Rhinoplasty Case Study 43

This lady wished to improve the appearance of her nose and in particular the tip. Where patient’s concerns are mainly related to the tip an open rhinoplasty gives a much-improved visualisation of the tip cartilages and allows finer adjustments than a closed rhinoplasty. The scar of an open rhinoplasty is well hidden and although initially the tip can be swollen initially this will reduce significantly over the first few weeks. Refinement of the tip cartilages has allowed a much improved cosmetic appearance of the nose.

At a consultation, Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. It is important to run through all the pros and cons and the various options so that you can be empowered to proceed.

Rhinoplasty Case Study 42

This lady has had deviation of her nasal bones and septum. The deviated nasal bones and septum needed to be repositioned and reduced. It is important to consider the airway and when one reduces the nose to improve the aesthetic appearance it is important to try and reduce the possibility of airway and breathing issues.

At a consultation, Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. It is important to run through all the pros and cons and the various options so that you can be empowered to proceed.

Mr. Ross is a plastic, aesthetic and cosmetic surgeon that underwent specific training in plastic surgery and has a vast experience in the head and neck region. Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), UK Association of Aesthetic Plastic Surgeons (UKAAPS), American Society of Plastic Surgeons (ASPS) and the British Association of Head and Neck Oncologists (BAHNO) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS, UKAAPS and BAHNO. Mr Ross has written many articles and book chapters in relation to head and neck surgery and will be able to individualise your surgery to give you the optimal outcome. Mr Ross was the first cosmetic surgeon to be certified by the Royal College of Surgeons for facial rejuvenation procedures including rhinoplasty.

Rhinoplasty Case Study 41

This lady wished to improve the appearance of her nose and felt it looked large for her face and in particular the dorsal bridge. She underwent a closed rhinoplasty to reduce the dorsum and narrow the bridge. This can often be done through a closed rhinoplasty procedure where there is no need to place an external scar on the nose.

At a consultation, Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. It is important to run through all the pros and cons and the various options so that you can be empowered to proceed.

Rhinoplasty Case Study 39

This lady wished to improve the appearance of her nose and felt it looked large for her face. She underwent a closed rhinoplasty to reduce the dorsum and had a small amount of refinement on the tip. This can often be done through a closed rhinoplasty procedure where there is no need to place an external scar on the nose.

At a consultation, Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. It is important to run through all the pros and cons and the various options so that you can be empowered to proceed.

Rhinoplasty Case Study 44

This gentleman was unhappy with the length of his nose and the deviation of the nose. He underwent a closed rhinoplasty to reduce the length, the dorsum and improve the deviation.

At a consultation, Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. It is important to run through all the pros and cons and the various options so that you can be empowered to proceed.

Breast Augmentation Case Study 96

This lady could have chosen both round or anatomical implants but wished to have upper fullness. She opted for round implants under the muscle in a dual plane position. The submuscular position is better for round implants as the upper portion of the implant is covered with muscle. She is a good candidate for round implants as her nipples sit centrally on her breast footplate.

Rhinoplasty Case Study 40

This lady wished to improve the appearance of her nose and felt it looked large for her face. She underwent a closed rhinoplasty to reduce the dorsum and had a small amount of refinement on the tip with alteration and removal of part of the lower lateral cartilages. This can often be done through a closed rhinoplasty procedure where there is no need to place an external scar on the nose.

At a consultation, Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. It is important to run through all the pros and cons and the various options so that you can be empowered to proceed.