 Once it was determined that the implants were appropriately selected and placed with the 435 cc silicon gel implant, the circumareolar incisions were closed in approximately 4-layered fashion closing the fascia, subcutaneous tissue, deep dermis, and a running dermal subcuticular for final skin closure. 
Once it was determined that the implants were appropriately selected and placed with the 435 cc silicon gel implant , the circumareolar incisions were closed in approximately 4 - layered fashion closing the fascia , subcutaneous tissue , deep dermis , and a running dermal subcuticular for final skin closure .