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.

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 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.

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 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.

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 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 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 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 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.  

Obtaining a natural looking result in a patient who has pectus excavatum and postural abnormalities, as this individual has, can be challenging but is certainly possible.

In the case, the implants were inserted through a 3 cm incision at the lower border of the areola, which is the darker skin surrounding the nipple.  These incisions typically heal quite well and can be difficult to see.

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.