A woman in her early 50’s who wears a 36 DDD bra and is bothered by back pain, shoulder pain, difficulty exercising and postural problems. She is also bothered by axillary lipodystrophy- extra fat in the anterior axilla that makes it difficult for her to wear halter tops or dresses. She is 5’3” and 197 lbs and is shown before and again, just 4 months after bilateral breast reduction with the removal of more than 1300 gms of tissue from each breast as well as Power assisted liposuction of the anterior axilla using the S.A.F.E. technique. (Suction Aspiration Fat Equalization) Scars will typically continue to fade and improve for the first 2 years adfter surgery- she is already thrilled with her result and no longer has problems with back and shoulder pain or her posture. She looks forward to wearing summer dresses that show the top of her breasts and that she could never wear before.
A mother of 2 in her late 30’s who is bothered by the shape of her abdomen and flanks in clothes. She feels like “sponge bob square pants”. She “carried big” with her pregnancies and gained over 60 lbs. She is currently 5’ 10” and 158 lbs. She is shown before and again, nearly 6 months after abdominoplasty combined with External ultrasound assisted/power assisted liposuction of her flanks and back roll. In order to keep her abdominoplasty scar low, in the “thong” position” she has a small vertical scar in the lower abdomen that was previously around her umbilicus and has been pulled lower, but was not able to pulled down entirely below the abdominal scar. The alternative would have been to place the abdominoplasty scar higher where it would have been more visible.
A man in his late 20’s who has had gynecomastia since the age of 10. He is bothered by the appearance of his chest with his shirt off but also with fitted shirts. He has tried to camouflage this with undershirts and loose fitting shirts. No history of anabolic steroid or marijuana use. He is over his ideal weight at 216 lbs and 5’10” (BMI of 30.99) and also requests liposuction of his abdomen. He is shown before and again, just 6 weeks after Power assisted /External ultrasound assisted liposuction with the removal of 4950 cc of lipoaspirate under general anesthesia as an outpatient. Swelling will continue to diminish over the next 4-5 months.