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.

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.

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.

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 40 320 cc smooth round gel 12 month follow-up

56. Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. style 40 320 cc smooth round gel 12 month follow-up

57. Copyright  Laurence Kirwan FRCS FACS Professor of Plastic Surgery. All rights reserved. Style 40 320 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 www.drkirwan.com