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Breasts reduced by 2 lbs per side in this short scar breast reduction

Before
After

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.

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Breast reduction in unequal breasts

Before
After

This 31 year old woman underwent breast reduction in which approximately one and one third pounds of tissue was removed from the right breast and almost two pounds of tissue was removed from the left 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.

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Abdominoplasty in a 33 year old woman who lost 100 pounds

Before
After

This 33 year old woman embarked upon a diet and exercise program that resulted in a 100 pounds weight loss over a 10 month period.  Significant changes in her body's appearance occured, but because there is a limit to how much an individual's skin can shrink down to a smaller contour, some issues remained.  

These types of issues are ideally adressed by performing an abdominoplasty along with tailored liposuction.

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Abdominoplasty, Circumferential Liposuction and Breast Reduction

Before
After

This 25 year old woman with a preoperative BMI of 31.8 underwent abdominoplasty along with circumferential liposuction.  This procedure treats the trunk or mid-section of the body as one unit all the way around.  I believe that this method results in a more harmonious result than treating just the front with an abdominoplasty or just the back with liposuction.  

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Lipobdominoplasty, liposuction of the flanks and hernia repair

Before
After

This is a 21 year old woman with a BMI of 25.5 who had borne one child and became very displeased with the contour of her abdomen as a result.  She had already been told that she had an umbilical hernia and wished to undergo repair of both issues at the same time.

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Mid-body liposuction

Before
After

This is a 32 year old woman with a BMI of 24 who underwent mid-body liposuction using ultrasound assisted liposuction.  She had borne one child and had a few stretch marks over her anterior abdomen.  Typically, such patients are better candidates for an abdominoplasty, but this woman's skin elasticity was fairly intact and her abominal wall muscles had not been overly stretched by the pregnancy either.  She very much wished to avoid any scarring over her abdomen.  She and I were both willing to accept a minor amount of skin looseness and so after much discussion, I

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Post-bariatric Mastopexy

Before
After
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Breast Reduction Ideals

Once I have removed enough tissue to achieve an appropriate breast size, the nipple and areola are repositioned, which means that the new, smaller breast also has a “lifted” appearance. While this is not the primary goal of this procedure, it is a fantastic secondary benefit of it. I strive to achieve the same aesthetic standards when I perform medically necessary breast reduction as I do for cosmetic breast lift or mastopexy. Since stretching of the areola is a common problem in patients with very large breasts, I typically reduce the size of the areola during breast reduction.

Dr. Belsley's Philosophy of Breast Revision

I apply the same criteria to patients who have had their surgery elsewhere as I do to my own patients. I am typically reluctant to re-operate on a breast augmentation patient for minor issues, because each time one undergoes revision, many of the risks of surgery tend to be multiplied. This is why I spend a great deal of time discussing size preferences and the likely outcome of surgery with my patients pre-operatively. It is said frequently that the most common reason for re-operation of the breasts in women who have had breast augmentation surgery is that they wish to “go bigger.” Ultimately, I feel that this is a poor reason to undergo repeated surgical procedures that can only result in more scar tissue, which is unpredictable, and thinning of the native tissues, which are necessary to cover the implant and provide a natural looking result. I encourage patients to think carefully about the risks of revision in cases where there is not a major problem.

Dr. Belsley's Philosophy of Male Breast Reduction

Treatment for gynecomastia can be approached in several ways and is largely dependent upon the “type” of tissue in the chest that needs to be reduced. A physical examination is necessary to create a plan for treatment. Most of the time, I treat these individuals with a combination of ultrasonic liposuction and removal of glandular and breast tissue through a small incision on the border of the areola. Some individuals will be able to achieve excellent results with ultrasonic liposuction alone. Others, may require more extensive incisions. My goal is to give you a natural looking masculine shape that is well proportioned with the rest of your body using the shortest incision possible.
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