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Before
After

This 26 year old woman reached her plateau weight after losing 74 pounds following bariatric surgery.  She had a breast lift or mastopexy using a technique which leaves behind scars in the shape of an “anchor.” 

In some patients who lose a large amount of weight, the natural end point of the breast laterally disappears and the breast appears to continue around towards the back.  This is what has happened to this woman. 

Before
After

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.

Before
After

This 37 year old woman reached her plateau weight after losing 91 pounds following bariatric surgery.  She had a breast lift or mastopexy using a technique which leaves behind scars in the shape of an “anchor.”

Before
After

This 24 year old woman had a breast lift or mastopexy to correct sagging of her breasts that occurred as a result of changes related to pregnancy.  I used a short scar breast lift or mastopexy technique which leaves behind scars shaped like 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.

Before
After

This 49 year old woman reached her plateau weight after losing 100 pounds following bariatric surgery.  She is an excellent example of an individual whose breast tissue had been largely replaced with fat and as such, after massive weight loss, there was not enough breast tissue remaining to rearrange into a new breast shape that appeared typical of what one might expect after a breast lift or mastopexy.

Before
After

This 30 year old woman underwent breast augmentation using 180 cc silicone filled breast implants placed partially beneath the pectoralis muscle through an incision along the lower fold of the breast that measured 3 centimeters in length. 

Implants can also be inserted through an incision on the edge of the areola, which is the dark colored skin surrounding the nipple.  However, when an individual has very small areolas, such as this patient has, this is not possible. 

Before
After

This 32 year old woman underwent breast augmentation using saline filled breast inflated to a volume of 195 cc’s and placed partially beneath the pectoralis muscle. 

The individual has a mild pectus excavatum, a condition in which a person's breastbone is sunken into the chest.  She also has a tendency to stand in a slightly kyphotic position, which means that her upper back is rounded and her head is relatively forward.  

Before
After

This 22 year old woman underwent bilateral augmentation mammaplasty using saline filled breast implants inflated to a volume of 320 cc’s place partially beneath the pectoralis muscle. 

This individual wished to have the largest possible cup size while still appearing to have relatively natural breasts. 

In my opinion, this implant size was the largest round implant that could be inserted, while still maintaining a natural appearing breast shape.

Before
After

This 39 year old woman underwent breast reduction in which approximately one and a half pounds of tissue was removed from each breast. 

I view breast reduction as a two part process:  first, tissue is removed to decrease the size and weight of the breasts; second, the remaining tissue is rearranged to create a new breast that has an aesthetically appropriate appearance.  This rearranging process is very similar to what is done in a breast lift. 

Before
After

This 40 year old woman underwent breast reduction in which approximately one and a half pounds of tissue was removed from each breast.  The remaining breast tissue was then rearranged to form a new breast shape that is shorter and rounder.  This "rearrangement" process is very similar to what is done in a breast lift and in fact, each breast reduction I perform includes a breast lift.