Before and After Plastic Surgery Photos

43 year old female who was interested in breast augmentation. At the time of consultation her bra size was 36 and her cup size was B. Her desired cup size range was D.

Procedure performed: Breast Augmentation
Approach: Inframammary
Placement: Subfascial
Implant type: Smooth round, silicone gel, moderate plus profile, extra filled
Implant size: 350 cc

44 year old female who was interested in breast augmentation to address upper pole deflation. At the time of consultation, her cup size was A. Her desired cup size range was C to D.

Procedure performed: Breast Augmentation

42 year old female who presented for evaluation with desires to improve the appearance and restore the volume of her breasts. She felt that, after child bearing, the fullness and shape of her breasts were both significantly reduced. She wanted to have fuller, youthful looking breasts. A mastopexy on the right side only, in order to create symmetry, was also recommended.

Weight: 110 pounds. BMI: 20.

Procedures performed: Bilateral Breast Augmentation and Mastopexy to Right Breast

Approach: Circumareolar
Placement: Submuscular
Implant Type: Smooth round, moderate plus profile Extra filled silicone gel implant
Implant Size: 405 cc

33 year old female who presented with desires for breast augmentation. At the time of consultation, her cup size was AA. Her desired cup size range was C. She leads an active lifestyle and owns her own business, and therefore did not desire anything that would affect her pectoralis muscle.

Procedure: Augmentation Mammoplasty
Approach: Inframammary
Placement: Subfascial
Implant Type: Smooth round high-profile silicone gel implant
Implant Size: 230 cc

37-year-old female who was interested in breast augmentation and breast lift, to resolve a look of deflation and sagging on both breasts. At the time of consultation, her bra size was 36 and her cup size was B. Her desired cup size range was C.

Procedure:
Augmentation Mammoplasty
Approach: Peri-areolar
Placement: Submuscular
Implant Type: Silicone gel smooth round moderate plus profile extra filled implant
Implant Size: 350 cc

42 year old female who presented for evaluation with desires to restore the youthful looks of her breasts. At the time of consultation, she stated that she was about a B cup and used to be a D when she was younger. She stated that after child bearing her breasts had become saggy and were not as full as they used to be.

Weight: 140 pounds. BMI: 22.

Procedures: Augmentation Mammoplasty; Peri-areolar Mastopexy

Approach: Inframammary
Placement: Sub-Fascial
Implant Type: Smooth round moderate plus projection extra filled silicone gel implant
Implant Size: 405 cc

36-year-old female who, after having children, felt that the volume of her breasts had diminished and wanted them to be fuller. At her consultation, she stated that she wore a 32 B cup, and desired to be about a D cup.

Weight 108 pounds.  BMI: 19

Procedure: Augmentation Mammoplasty

Approach: Inframammary
Placement: Sub fascial
Implant Type: Smooth Round High-Profile Silicone Gel Implant
Implant Size: 325 cc

27-year-old female who, after a significant period of diet and exercise, lost a good amount of weight (80 lbs) and felt that her breasts had “deflated.” Wished to discuss rejuvenation options for her breasts. Stated that she used to be a DD, and was about a B cup at the time of consultation. Would like to be a D cup at the completion of the procedure.

Weight: 135 pounds. BMI: 24

Procedure: Augmentation Mammoplasty

Approach: Inframammary
Placement: Subfascial
Implant Type: Smooth Round High-Profile Silicone Gel Implant
Implant Size: 450 cc

31-year-old female, with a history of gastric sleeve and multiple pregnancies, who felt she never had adequate breast size, desired evaluation for breast augmentation. Procedure: Breast Augmentation. Approach: Inframammary. Placement: Sub-muscular. Implant type: Smooth Round High-Profile silicone gel implant. Implant Size: R 425 cc, L 375 cc. Weight 145 pounds. BMI: 26

33-year-old female who, after having children, wanted the shape and volume of her breasts restored. The patient states that her breasts lost volume after pregnancies and have become somewhat “saggy.” She also had an inverted nipple on the left breast that she wanted addressed.

Weight 148 pounds
Height 5 feet 7 inches
BMI: 23

Procedures: Bilateral Breast Augmentation
Placement: Sub-glandular
Implant type: silicone gel implants
Left Inverted Nipple Repair

36-year-old female, who presented for evaluation because she desired to have fuller natural looking breasts. At the time of her consultation she stated she was a 36 B and would like to be a full C.

Weight: 142 pounds
BMI: 23
Approach: Inframammary
Placement: sub-glandular
Implant type: Smooth Round High-Profile Silicone Gel. Implant Size: 300 cc

Before Size: 32 A-B
After Size: full C
Weight 125 pounds
BMI: 19
Approach: Inframammary, with Peri-areolar mastopexy
Placement: Sub-muscular
Implant Type: Smooth Round High Profile Silicone Gel Implants
Implant Size: 300cc

Before: 32 A
After: 32 C
Weight: 110
BMI: 18
Approach: Inframmamery
Placement: Sub-muscular
Implant Type: 250 cc Mentor Smooth high profile silicone gel implant

Before size: 34 A
After Size: 34 D
Weight: 135
BMI: 23
Approach: Inframammary
Placement: Sub-muscular
Implant type and size: 425cc Mentor smooth high-profile silicone gel implant 

Before size: 28 A
After Size: 28 D
Weight: 100
BMI: 18
Approach: Inframammary
Placement: Sub-muscular
Implant type and size: 380 cc Mentor smooth round X-tra extra filled high profile silicone gel implant

Before size: 34 B
After Size: 34 D
Weight: 140
BMI: 22
Approach: Inframammary
Placement: Sub-muscular
Implant type and size: 325cc Mentor smooth round X-tra filled moderate plus silicone gel implant

Before size: 32B
After Size: 32D
Weight: 115 lbs
BMI: 21
Approach: Inframammary
Placement: Sub-glandular
Implant type:Smooth Round Silicone High Profile
Implant size:Right breast 350 cc and Left breast 325 cc

Before size: 34 A
After Size: 34 D
Weight: 120
BMI: 22
Approach: Inframammary
Placement: Sub-muscular
Implant type: Smooth Round Silicone High Profile
Implant size: 375 cc

Before size: 30 A
After Size: 30 D
Weight: 108
BMI: 20
Approach: Inframammary
Placement: Sub-muscular
Implant type: Smooth Round Silicone High Profile
Implant size: 400 cc

Before size: 32 B
After Size: 32 D
Weight: 142
BMI: 24
Approach: Inframammary
Placement: Sub-glandular
Implant type: Smooth Round Silicone High Profile
Implant size: 500 cc

Before size: 36 B
After Size: 36 D
Weight: 150
BMI: 24
Approach: Inframammary
Placement: Sub-muscular
Implant type: Smooth Round Silicone High Profile
Implant size: 350ccon the right and 325 cc on the left

Before size: 34 A
After Size: 34 C
Weight: 115
BMI: 21
Approach: Peri-areolar
Placement: Sub-muscular
Implant type: Smooth Round Silicone High Profile
Implant size: 350 cc

Before size: 32 B
After size: 32 D
Weight: 160
BMI: 26
Approach: Inframammary
Placement: Sub-muscular
Implant type: Smooth Round Silicone High Profile
Implant size: Right 425 cc, Left 375 cc

Young, otherwise healthy patient with history of congenital scoliosis desired augmentation of the breast as well as improved symmetry due to congenital mismatch of the breasts. The use of different size of implants improves on the symmetry of the congenital size mismatch.

Before size: 34 A
After Size: 34 C
Weight: 110
BMI: 20
Approach: Inframammary
Placement: Sub-muscular
Implant type: Smooth Round Silicone Ultra High Profile
Implant size: 375 cc

Before size: 32 A
After Size: 32 D
Weight: 114
BMI: 21
Approach: Inframammary
Placement: Sub-muscular
Implant type: Smooth Round Silicone High Profile
Implant size: Right 600 cc; Left 550 cc

57 year old female who was interested in breast augmentation and lift (mastopexy). The patient stated that she had mastopexy 15 years ago at a different practice, however she was dissatisfied with the drooping of her breasts. At the time of consultation she was a 38C and wanted to be a D or DD.

Procedure performed: Mastopexy Augmentation (Breast Augmentation and Lift)
Approach: Inframammary
Placement: Subfascial
Implant Type: Silicone gel, smooth round, moderate profile, boost implant
Implant Size: 390 cc

48 year old female who presented for evaluation because she felt that her breasts were drooping over her original implants. She was happy with the size and position of the breasts, but felt they were too saggy and the areolas had stretched. Of significance she has lost over 80 lbs over the past several years.

Weight: 150 pounds. BMI: 24.

Procedures: Mastopexy Augmentation; Implant Exchange; Capsulectomy; Excision of Scar Tissue on Breasts; Areola Reduction
Approach: Inframammary
Placement: Sub-muscular
Implant Type: Smooth Round Moderate Plus Extra Filled Silicone Gel Implants
Implant Size: 465cc

30-year-old female, who presented for evaluation with concerns about volume loss of her breasts. She desired to have fuller breasts, with greater symmetry, since her last pregnancy several years ago. She felt that she had difficulty filling her bra when adequately sized to her torso diameter. At the time of consultation, she stated she wore a 32 B bra. She wanted to be a C full size. She was also concerned about the appearance of fatty tissue around the waist.

Weight: 130 pounds.  BMI: 24.

Procedures:

Bilateral Sub-Fascial Augmentation Mammoplasty
Peri-areolar Mastopexy
Circumferential abdominal trunk liposuction
Approach: Inframammary
Implant type: smooth round moderate plus projection, extra filled silicone gel implant
Implant Size, Right: 270cc
Implant Size, Left: 190cc

38-year-old female who presented for evaluation because she felt that her breasts had lost a lot of volume after multiple pregnancies. She was also unhappy about the appearance of her thighs, as she felt that they were too large on the circumference.

Weight 177 pounds. BMI: 27.

Procedures:

Bilateral Mastopexy Augmentation (Short Wise Pattern), Medial Thigh Liposuction
Approach: Inframammary
Placement: Sub-Fascial
Implant Type: smooth round moderate plus projection, extra filled silicone gel implant

Implant Sizes:
R: 465 cc smooth round moderate plus projection, extra filled silicone gel implant
L: 440 cc smooth round moderate plus projection, extra filled silicone gel implant

59-year-old female; who lost over 45 lbs. over the last 3 years by diet, exercise, and lifestyle modification; presented for evaluation because she felt her breasts were too saggy and had lost a good amount of volume. She used to be a D cup prior to lifestyle changes, and she stated at the time of consult that she barely fit a 34 B cup bra. She wanted to be perkier and a small C cup.

Weight 124 pounds. BMI: 21

Procedure:
Bilateral Mastopexy w/ Wise Patten and Bilateral Augmentation Mammoplasty
Approach: Inframammary
Placement: Sub-Muscular
Implant Type: Smooth Round Moderate Plus Extra Filled Silicone Gel Implant
Implant Size: 295cc
Weight 124 pounds. BMI: 21

32 year old female who was seen regarding excess tissue in the axillary region. She was also interested in a breast reduction due to shoulder pain and heaviness from her large breasts.

Procedures performed: Breast Reduction and Excision of Axillary Breast Tissue

40-year-old female who was seen for a chief complaint of sagging, deflated breasts. Patient desired a breast lift, and wanted to increase breast symmetry.

Procedures performed: Mastopexy (Lift) to Left breast, Reduction Mammoplasty to Right breast

20 year old female who was interested in breast reduction. At the time of consultation her cup size was DDD. She stated that her size had significantly impacted her quality of life due to back pain and feelings of insecurity.

Procedure Performed: Breast Reduction (Wise pattern incision)

39-year-old female who was seen for a chief complaint of macromastia, involving the bilateral breasts and associated with back pain, interference with activity, and neck pain. She also cited sagging on both breasts. Her cup size at the time of consultation was G, and her goal was to be as small as possible, or a D cup.

BMI = 33.7

Procedure performed: Breast Reduction (Wise pattern incision)

28 year old female who was interested in breast reduction. At the time of consultation she stated she was size 34H. She was having difficulty with shoulder and back pain, and was unable to find tops that fit her. She desired to be a cup size C or D.

Procedure performed: Breast Reduction

41 year old female who desired a breast reduction. She was seen with the goal of resolving macromastia, involving the bilateral breasts and associated with sagging, back pain, interference with activity, neck pain, shoulder grooving, and shoulder pain. At the time of consultation her bra size was 38 and her cup size was DDD. Her desired cup size range was Full D.

BMI = 28.1

Procedure performed: breast reduction

42 year old female who was seen regarding moderate macromastia, involving the bilateral breasts and associated with sagging, back pain, interference with activity, shoulder grooving, and shoulder pain. She was interested in breast reduction. At the time of her consultation, her cup size was J. Her desired cup size range was Full C to Small D.

Procedure performed: Reduction Mammoplasty.

36-year-old female who presented for evaluation due to desires to have smaller breasts. The patient stated that she had a significant amount of shoulder and neck pain. She also stated that it is difficult for her to perform activities of daily living and perform fitness exercises. At the time of consultation, she stated that she wore a 36 G bra and wanted to be a large C or D cup.

Weight: 195 pounds

BMI: 32.

25-year-old female who presented for evaluation due to having upper back and shoulder pain. The patient stated that this worsened with exercise and that she had to wear multiple bras to maintain control of her pain and breasts.  At the time of consultation, she said that she wore a DD cup, and would like to be as small as possible.

Weight: 160 pounds.  BMI: 27.

18 y/o female who presented for evaluation due to shoulder and neck pain that has been going on for 2-3 years now. The patient stated that this caused her to have a significant amount of difficulty performing physical fitness and, despite the wear of multiple sports bras at a time, she still had difficulty. When she did this, it caused abrasions from the sports bras, specifically on the upper pole of both breasts. She also had problems finding properly fitting bras, and they’re a financial difficulty as a student. This also caused problems at work because of a lot of physical activity at work. We did also discuss the possibility of correction of the nipple inversion. Weight 173 pounds. BMI: 32. Procedures performed: Bilateral Breast Reduction, Inverted Nipple Repair. Volume Reduced: left breast 605 grams, right breast 435 grams (left breast was larger)

18-year-old female with history of large heavy breasts presented for evaluation due to shoulder and neck pain. The patient stated that she has tried NSAIDS with some relief but symptoms return right away. The patient also stated having difficulty with sports at school and had to wear multiple fitness bras in order to be able to participate in fitness activities. Procedure: Breast Reduction. Weight 185 pounds. BMI: 32.

38 year old female, who presented with neck and shoulder pain. The patient underwent evaluation by her PCP, and conservative treatments did not alleviate her pain. Patient states being a DDD cup and would like to be about a D cup. Procedure: Bilateral Reduction Mammoplasty. Before size: DDD | After Size: D | Weight: 175 | BMI: 28. Approach: Standard volume reduction with inferior pedicle and Wise skin pattern closure. Breast reduction volume R: 300 gm and L: 300 gm.

39-year-old female with a history of very large and painful breasts and a significant amount of shoulder pain and neck pain. The patient states that for most of her life she has struggled with fitness and exercise due to the large breast size, as well as difficulty finding properly fitting bras and clothing.

Weight: 145 pounds
Height: 5 feet 4 inches
BMI: 25
Procedure performed: bilateral reduction mammoplasty with a weight reduction of 300 grams from the left breast and 250 grams from the right.

Before size: 30 H
After Size: 30 C
Weight: 113
BMI: 20

Approach: Standard volume reduction with inferior pedicle and Wise skin pattern closure.

Breast reduction volume R: 300 gm and L: 260 gm. Right breast was slightly larger and lateral to the breast midline.

Note: Patient about 5 weeks out from surgery. The redness of the scars is part of the normal wound healing and should lighten up in about 3-4 months out after surgery.

40-year-old female with history of very large breast since a young age that have started to cause upper back and shoulder pain, desires volume reduction to relieve her symptoms but still maintain a natural appearance, proportion to her body, and feminine appearance underwent a breast reduction. Note the pre-operative asymmetry with the left nipple slightly lower than the right. Anchor type reduction pattern.

Weight: 200 pounds
Height: 5 feet 8 inches
BMI: 30

62 year old female who was interested in breast lift and implant exchange. The patient had breast augmentation elsewhere, with saline implants, in 1995. She felt that the left implant was leaking and becoming smaller in size. She was also concerned with breast sagging. At the time of consultation she was cup size C/D and wished to be a B cup when the surgical process was complete. She desired implant exchange for silicone implants, with bilateral breast lift.

BMI 23.7

Procedures performed: Implant Exchange and Mastopexy (breast lift)
Approach: Inframammary
Placement: Subfascial
Implant type: Smooth round moderate plus profile boost silicone gel implant
Implant size: 235cc

38 year old female who presented with desires to improve the appearance of her breasts. She had hardening of the right breast and sagging on the left breast. She had a previous history of breast augmentation, performed elsewhere, with 550 cc saline implants that were placed 12 years ago. Her breasts had changed with pregnancies, and she knew the left breast was saggy and displaced to the left when laying on her back. She wanted to have a rounder and more pronounced appearance to her breasts. She also mentioned that she had some asymmetry.

BMI = 30.5

Procedures performed: Breast Implant Exchange with Capsulectomy, Periareolar Mastopexy (Lift) to Left Breast

Implant Approach: Inframammary
Implant Placement: Submuscular
Implant Type: Smooth round moderate plus boost silicone gel implant
Implant Size: 675 cc

52 year old female who desired implant exchange after discovering a leak in one of her saline implants. Her previous implant procedure was performed elsewhere in 1997.

Procedures Performed: Bilateral Breast Implant Exchange with Capsulectomy

Approach: Inframammary
Placement: Submuscular
Implant Type: Smooth round moderate plus profile extra filled silicone gel implant
Implant Size: 605 cc

28-year-old female, with a complicated breast implant surgery history, presented for evaluation with desires for slightly larger volume that would enhance the width, as well as have decreased implant visibility. The patient had an initial submuscular augmentation mammoplasty performed in 2012, complicated with implant displacement due to working out (by patient report) in early 2013. The patient was dissatisfied with the look and animation deformity and desired to undergo plane exchange to sub-glandular placement in 2014. Patient had saline implants that were about 410 cc by patient report. Based on her online research, the patient desired extra-filled silicone gel implants. She also wanted to have a small lift effect on the surgery.

Weight: 165 pounds. BMI: 27.

Procedure: Bilateral mammoplasty exchange with silicone gel implants
Approach: Inframammary
Placement: Sub-glandular
Implant Type: Smooth Round High-Profile HSC + Silicone Gel ImplanImplant Size: 700 cc

43-year-old female that, after a moderate amount of weight loss, presented for evaluation with desire to improve the volume and projection of her buttocks. She felt that they were sagging and not perky enough. She also had breast augmentation in 2005 and wanted to discuss breast implant revision surgery. She stated that she was satisfied with the size but they dropped to the side too much. She also stated that the implants were saline.  We discussed implant exchange to silicone implant for better feel and prosthetic fill, as well as buttock fat grafting.

• Weight: 130 pounds.  BMI: 20.
• Procedures: Breast Implant Exchange and BBL
• Approach: Inframammary
• Placement: Sub-muscular
• Implant Type: Smooth round moderate profile extra filled silicone gel implant
• Implant Size: 370cc

44-year-old female who presented for evaluation after undergoing a peri-areolar sub-muscular augmentation mammoplasty with 375cc saline implants 14 years ago. She said that, after childbearing, breastfeeding, and pregnancy changes, her implants shifted infra-laterally. She stated that she works out significantly and this made things worse. She desired a natural look, possibly with smaller implants. I offered to exchange the prosthesis for a silicone implant that would allow for more longevity and better feel.

Weight: 105 pounds. BMI: 21.

Procedure: Bilateral Breast Implant Exchange and Mesh Repair

• Approach: Peri-areolar
• Placement: Sub-muscular
• Implant Type: Smooth Round Moderate Plus Silicone Gel Implant
• Implant size: 350cc

50 year old female, who underwent a mommy makeover at another practice in 2017, was not satisfied with the appearance of her breasts after the surgery. She felt that the implants were too high, especially on the right, and that her breasts sagged over the implants. Weight 183 pounds. BMI: 27 Procedures: Mastopexy with Implant Exchange. Approach: Inframammary. Placement: Subfascial. Implant Type: Smooth Round Full-Projection Silicone Gel Implants. Implant Size: 360cc.

34-year-old female who presents after undergoing breast reduction surgery as a young woman, 15 years prior to evaluation. She presents with a desire to re-establish the volume and shape of her breasts.

Before size: 36 C
After size: 36 D
Weight: 190
BMI: 29
Approach: Inframammary
Placement: Sub-fascial
Implant type and size:  440cc Mentor moderate plus profile, extra silicone gel implant

34 year-old female who is fitness model underwent augmentation with 240 cc in early 2018. The patient was satisfied at that time since she had minimal breast tissue. In the time since her initial procedure, she began to feel that the implants were too small and wanted to fill more of the envelope of her breast. Because of this, she chose to undergo a breast implant revision and receive implants with a wider profile and double the volume.

Before size: 30B
After Size: 30D
Weight: 137
BMI: 23
Approach: Inframammary
Placement: Sub-muscular
Implant type: Smooth Round Silicone High Profile
Implant size: 475 cc

53-year-old female who, 10 years after having an augment mammoplasty and some weight gain, desired to have implants removed and the capsule of the implants removed as she felt that her breasts have become too big.

Weight: 174 pounds
Height: 5 feet 1 inches
BMI: 33

41 year old female who was interested in breast implant removal. She had silicone breast implants placed at another practice approximately 1.5 years ago.

Procedures Performed: Breast Implant Removal with Mastopexy (Breast Lift)

42-year-old female who desired removal of bilateral implants. The patient felt that her implants had sagged (bottomed out) and was not interested in having them anymore. She had saline implants placed in 2007 by a different plastic surgeon.

BMI: 22.9

Procedures performed:

Implant Removal with Capsulectomy
Mastopexy (Breast Lift)