This individual suffered from large breasts, breast droop and extra tissue in the breast tail and armpit area. She underwent a breast reduction in which slightly more than two and a half pounds of weight was removed from the breasts.

With integrated breast and torso contouring, the breasts are not only shortened in length but then contoured with liposuction to give a rounder appearance. These techniques allow a breast reduction to look like a breast lift. This photograph was taken at approximately five months following surgery. Scars, while still visible, are still expected to mature and fade over the next year.

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. 

On the other hand, if the areolas are too large or irregularly shaped, they can be resized and reshaped at the same time as a breast augmentation and/or a breast lift is performed.  This will, however, result in a scar around the periphery of the new areola.  Often, these scars can heal quite well and are less objectionable in their appearance than overly large or irreguarly shaped areolas.

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.

This woman, like many others, had noticeably asymmetric breasts.  In her case, the left breast was noticeably larger than the right breast.  I make every effort to correct this during surgery, but ultimately, no two sides look identical after surgery- just as they did not before surgery.

Also very visible in this individual are the "shoulder grooves" from her bra straps.  This is a common issue in women who have extremely large breasts or "macromastia."  The pressure from the bra straps typically cause pain, open wounds and sometimes even numbness and tingling in one or both hands from compression of the underlying nerves.  Breast reduction can alleviate these symptoms almost instantaneously.

This case depicts a 52 year old woman who was happy with her breast size, but wished to have more shapely breasts. She underwent a short scar or "lollipop" incision breast lift. No implant was needed to achieve the breast size and shape she ultimately achieved.

The post-operative photographs depict her appearance at 9 months after surgery.

If a woman wished to have only a slightly larger bust size or slightly more fullness in the upper half of the breast, then a small implant may be added at the same time that the breast lift is performed.

The following photographs depict an 18 year old woman who wished to have a larger and fuller bust. She underwent breast augmentation with smooth, round 330 cc saline implants.The implants were placed beneath her pectoralis muscles using incisions placed within the areolas.

The post-operative photographs depict her at approximately 6 months after her surgery. Peri-areolar incisions can heal nearly imperceptibly. They are hidden in virtually all fashions and swimwear. Dr. Belsley can place either saline or silicone implants through this type of incision.

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 case depicts a 29 year old woman who wished to have a larger and fuller bust. She underwent breast augmentation with smooth, round 350 cc saline implants.The implants were placed beneath her pectoralis muscles through an incision in the lower fold of the breast.

The post-operative photographs depict her at approximately 3 months after surgery. The infra mammary incision is a good option for women whose areolas are too small to undergo breast augmentation. Other options for such an individual include placing an incision in the axilla.

This individual underwent a breast reduction in which almost two and a half pounds of weight was removed from the breasts. The breasts are 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 create a smoother transition between the breast and the arm and improve the fit of certain types of clothing.

In this case, an additional incision was made to remove skin from the tissue that lies between the upper outer quadrant of the breast and the upper arm on the individual’s left side. Only liposuction was performed on the individual’s right side.

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.