This case depicts a 41 year old woman who wished to have slightly smaller and shapelier breasts. She underwent breast reduction using an inverted T or "anchor" incision pattern.

Her post-operative photographs depict her appearance approximately two months after surgery.

With optimal design before surgery, the portion of this incision that runs along the fold of the breast is nearly completely hidden. Reduction of the areolar size for balance and proportion is an additional advantage of this procedure.

This case depicts a 29 year old woman with symptomatic breast hypertrophy who underwent a breast reduction using the inverted T or "anchor" incision pattern. Because of this individual's symptoms, medical insurance covered a portion of the costs of this procedure.

Not only did her symptoms improve following surgery, but she also gained a more aesthetically proportionate breast. Her post-operative photographs show her appearance approximately one month after surgery.

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

The post-operative photographs depict her at 3 months after surgery. The inframmamary fold incision is a particularly good option for women who have a well-developed breast fold before surgery. Because of this individual's anatomy, the incisions will be difficult to see at any angle.

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 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 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.

With the new anatomic shaped implants, which are shaped more like a teardrop, it is possible to achieve larger breast sizes and still maintain a natural shape.