This case depicts a 37 year old woman who had borne one child and had noted that her breasts had begun to sag and develop a deflated appearance.

She underwent a vertical or "lollipop" incision breast lift along with placement of 300 cc smooth, round saline implants beneath the pectoralis muscles. Her post-operative photographs depict her appearance approximately one year after surgery.

This case study also demonstrates how the nipple and areolar positions located too low and too close to the midline in this case, can be improved as part of the procedure.

This 24 year old woman underwent breast reduction in which approximately two pounds of tissue was removed from each breast.

In this individual’s case, the incisions used to perform the breast reduction were of the “lollipop” or short scar type.  This method of breast reduction avoids any incisions in the cleavage and in most instances along the lower fold of the breast.

Breast tissue, especially in young women, can be extremely dense and therefore heavy.  Breast reduction can alleviate neck, shoulder and upper back pain and a variety of other symptoms that directly result from heavy breasts. 

This 39 year old woman had a breast lift or mastopexy using a short scar technique which leaves behind scars in the shape of a “lollipop.”  This technique, which I prefer to use, avoids any scars in the cleavage or on the side of the body beneath the arm.  This makes swimsuit selection much easier if avoiding visible scars while wearing the swimsuit is a goal.

Candidates for a breast lift or mastopexy must have enough breast tissue to rearrange into a new breast shape that is typically shorter and rounder.  If there is not enough breast tissue to rearrange and only excess skin, a situation that can occur when breasts involute following pregnancy, then an implant will be necessary to achieve a natural breast shape following surgery.

This individual underwent a breast reduction in which just over two pounds of weight was removed from the breasts. The breasts were shortened in length and lifted to give a rounder appearance. This photograph was taken at approximately four months following surgery.

Liposuction of the tissue that lies between the upper outer quadrant of the breast and the upper arm can decompress the density of tissue between the breast and the arm and improve the fit of certain types of clothing.

This 35 year old woman reached her plateau weight after losing 56 pounds following bariatric surgery.  She had breast lift or mastopexy using a short scar technique which leaves behind scars in the shape of a “lollipop.”  Some breast lifts or mastopexies are performed using a technique that results in scars that look like an “anchor,” but I prefer to use this shorter scar technique because scars are never visible in the cleavage nor on the side of the body beneath the arm.  This makes swimsuit selection much easier. 

This woman has a history of poor scar healing.  It is relatively easy to see dark and thickened scars on her abdomen from her bariatric procedure.  I feel that it is especially advantageous to avoid the “anchor” shaped scar in individuals whose scars do not heal well.

When performing a breast lift or mastopexy, very little breast tissue is removed.  Instead, the existing breast tissue is rearranged so that the new breast shape is typically shorter and rounder than it was previously. 

Performing a breast lift in an individual who has lost a great deal of weight is often very challenging.  They tend to have an extreme amount of skin excess and relatively little breast tissue.  As such, a great deal of skin must be removed while significant effort is made to preserve every bit of breast tissue possible to achieve a natural looking breast.

This case depicts a 30 year old woman who had undergone breast augmentation with 300 cc smooth, round saline implants placed above the pectoralis muscles via a periareolar incision by another surgeon approximately one year prior to her consultation with Dr. Belsley.

Her Grade IV capsular contracture was revised by exchanging her implants and placing the new 330 cc smooth, round saline implants below the pectoralis muscle and performing a vertical or "lollipop" incision breast lift. The post-operative photographs depict her appearance just under one year after her corrective surgery.