Breast Gallery

A woman in her mi 20’s with bilateral macromastia.  She wears a 34 DD bra and has problems with shoulder pain, back pain, rash and difficulty exercising.  She has had irritation of her shoulders from the bra straps.  Her breast becam larger in college when she was on birth control pills.  She is shown before and again, 5 months after bilateral breast reduction with the removal of 341 grams from her right breast and 459 grams from her left breast to reduce her to a C cup.  ( 454 grams= one pound).  She is 5’4” and 128 lbs.

A nurse in her early to mid 20’s who described herself as a 34 D cup and had problems with back pain and difficulty exercising due to the size of her breasts.  She was not able to obtain insurance coverage for her procedure because the amount of tissue to be removed to reduce her to a C cup did not meet insurance criteria for her carrier.  She proceeded as a cosmetic breast reduction and is shown before and again, 15 months after bilateral breast reduction with the removal of just over 200 grams of tissue from each breast to reduce her to a C cup.  Despite gaining 13 lbs, her breasts remain in a c cup range and her symptoms have resolved and not recurred.

A mother of 3 in her early 60’s who is bothered by a deflated appearance of her breasts after children.  She is 5’ 4” and 116 lbs and is shown before and again, 6 weeks after subglandular placement of Sientra 415  cc high profile  smooth round high strength cohesive silicone gel implants.

Discussion: Although I would more typically recommend a subpectoral placement of the implants ( below the muscle) which may have a lower risk of capsular contracture,  She has some early ptosis or drooping of the breasts.  A subpectoral placement in her case would place her at a higher risk of a “waterfall deformity” with the breasts falling off of the implant mound.  With a subglandular placement, the implants settle with the breasts and gives a more natural appearance.

An Asian mother of 2 in her later 40’s who is bothered by a deflated appearance of her breasts after pregnancy.  She wanted to be fuller but still natural in appearance.  She is shown before and again, 6 weeks after bilateral partial subpectoral placement of Sientra round smooth cohesive silicone gel implants.

Discussion: She has truncal asymmetry and her right breast is positioned higher on her chest, before and after surgery.  This is a “foundation” problem and is not changed with implants.   She is 5’ 3 ½” and 109 pounds and selected Sientra 255 High Profile implants.  This helps to fill the deflation of the upper breast but because it is not wider than the base of her existing breast it does not give an “implant” look.

An early ( 4 month) follow-up on a woman in her early 50’s with bilateral macromastia  and axillary lipodystrophy ( fat “bulges” in the upper breast/armpit area)

She describes herself as a 40 DDD cup and had problems with shoulder pain which did not resolve with massage and physical therapy as well as grooving and irritation of her shoulders from the bra straps.  She also had back pain and neck pain.  She is 5 feet tall and 160 lbs and is shown before and again 4 months after bilateral breast reduction along with liposuction of the axillary lipodystrophy.   She had more than 800 grams of tissue removed from each breast ( 454 grams = 1 pound).  She is thrilled with her new shape and size, and all of her symptoms have resolved.  Scars are typically redder and thicker for 6 weeks and then fade and improve over the next 2 years.

A woman in her later 50’s who describes herself as a 38 DDD and has had problems with grooving and irritation of her shoulders, back pain, shoulder pain, and a rash under the breasts.

She is 5’ 3” and 139 lbs and is shown before and again, 6 months after bilateral breast reduction with the removal of 475 grams of tissue ( 454 grams = one pound) from each breast.  She is thrilled with her new shape and size and her symptoms have resolved.  Scars will typically continue to fade for the next 18 months or longer.

A woman in her early 30’s who is bothered by prominence of her nipples in and out of clothing.  She does not have irritation. She also has some mild retraction of the nipple ducts.  Her nipple papules are wide and the breast is cone shaped, making it difficult to perform a top hat flap. The top hat flap would not reduce the nipple papule diameter enough, and because the nipple is sitting on top of the cone of her breast, would not reduce the prominence enough.  She elected for a nipple amputation technique and is shown 6 weeks after surgery.  She is thrilled to have a correction of the prominence.  The continued mild nipple retraction which is due to shortening of the nipple ducts is not bothering her at this time.

A mother of 2 in her late 50’s who describes herself as a 38 DDD cup bra and has had problems with grooving and irritation of her shoulders from her bra strap, back pain, shoulder pain, rash under the breasts  and difficulty exercising .  She is shown before and again, 6 months after breast reduction.  He symptoms have resolved and she is thrilled with the new shape and size of her breasts.

A woman in her early 50’s who describes herself as a 36 F and has problems with chronic rashes under her breasts, neck pain, back pain, shoulder pain and difficulty exercising.  She is shown before and again, nearly 6 months after bilateral breast reduction.  Her symptoms have resolved and she is thrilled with her new shape and size.

An early ( 6 week) result for a man in his late 20’s with gynecomastia since the age of 17, most likely from weight lifting supplements.  He is shown before and again, just 6 weeks after treatment with a combination of power assisted liposuction using the S.A.F.E. technique, combined with a direct excision of breast tissue through a peri-areloar incision

Scars are typically at their thickest and reddest at 6 weeks and will now soften and fade over the next 2 years. Tattoos have been blurred for his privacy