Dr. Hayes (00:00):
My name's Austin Hayes. I'm a plastic surgeon in Portland, Oregon. This is another classic double bra result. There's a lot of things that go into a breast lift when I perform one. It's moving the nipple, rearranging the tissues, sewing three bras. I'm trying to set the foundation to give hopefully everybody the ability to hold the best result that I can create. But the person who can hold it the best has the best tissue quality, and she's one of these patients just really good tissue quality. And it's crazy, it's hard to describe, but when you see, or when I see one of these results in real life, it looks way better than this photo. And this photo looks amazing to me, but when you see it in real life, it's even better.

Eva Sheie (00:47):
What are you marking with the sharpie there on the left?

Dr. Hayes (00:49):
So everybody marks in a different way, but the way I mark is, where you can lift somebody's nipple to is guided by where their crease is located. So the central marking, the first marking in the midline, when you move up from her belly button, you see a horizontal kind of dark black lines. Those are the positions of her folds. And so once I know that position, I can then choose where the nipple goes. So it's really faint, but the top of the triangle, you see this kind of triangle shaped mark on her breast, the apex of that triangle is where the center of her nipple will move. The vertical lines are the meridian of the breast. So you're trying to cut the breast in half to make sure that you land the nipple in a nice place, not too far to the middle, not too far to the outside.

Dr. Hayes (01:39):
The divergence of this triangle is chosen based on how much horizontal excess somebody has. So if you think about it in this way, the triangle is marked like that. If you pull the breast over and think, what do I want to keep? Everything that is medial to the middle and to the outside of these triangles is the way I see the breast and the tissue that I want to save. So everything in the triangle, I'm thinking, I don't need this skin anymore because I've chosen what I like. And then a common question I get is, does my areolar get smaller? And the answer is almost universally yes.

Eva Sheie (02:14):
I sure hope so.

Dr. Hayes (02:15):
Unless you have a very, very small areolar. So yeah, it gets a lot smaller, usually 38, 40 millimeters.

Eva Sheie (02:22):
Where can we find your Instagram? What's your handle?

Dr. Hayes (02:25):
At Dr. and then my name Austin, A-U-S-T-I-N Hayes, H-A-Y-E-S. That's my Instagram. That's the best place to find me.

Eva Sheie (02:33):
On this podcast, we bring you directly to the doctors who are where before meets after. Links to our guest's website and contact info are in your show notes. Follow us on Instagram @wherebeforemeetsafter. Where Before Meets After is a production of The Axis, the podcast agency for aesthetics, theaxis.io.