Breast Gallery

A man is his late 20’s who is bothered by prominent nipples which are visible through his shirts. He is shown before and again, 6 weeks after bilateral nipple papule reduction performed in the office under local anesthesia.

A fireman in his late 20’s who is bothered by prominent nipples that show through his clothing.
He does not have gynecomastia (male breast development).

He is shown before and again, 6 weeks after reduction of his nipples with a nipple amputation technique performed in the office. This technique works well for patients who do not need reduction in the diameter of the nipple, but only of the height. This technique does not require a patient to limit his/her running and physical activity for 6 weeks as is needed with the Top hat flap technique.

At 6 weeks the areas are already well healed. Faint bruising is noticed on his chest in both the before and after photos but is not related to his nipple reduction.

A 49 year-old mother of 1 who was up to 100 lbs heavier with her pregnancy. She is currently 5’2 and 122 lbs and is bothered by a deflated appearance of her breasts which she describes as a 34 padded A cup. She is shown before and 5 months after bilateral breast augmentation with 300 cc high profile textured silicone gel implants placed in a partial subpectoral position through and infra-mammary incision. She liked the 300 and the 325 cc implants when sizing in the office but still wished to have a natural appearance. The 325 cc implant was judged to be too large to appear natural at the time of surgery. She is thrilled with her result.

Texture was selected to decrease the risk of lateral shift of the implants with time. The mentor texture has the advantage of having the same “coefficient of friction” (a measure of the “grip” ) as the most aggressively textured “salt loss method” textures but with a potentially lower risk of late seroma formation.
Our patient had an abdominoplasty at the same time.

An athletic woman in her later 20’s who wanted a modest increase in size but did not want overly full breasts that might make her feel too heavy. She is 5’5” and 165 lbs and selected a 305 cc Sientra textured round moderate profile cohesive gel implant. At 10 ½ months after surgery her breasts have ‘softened” in appearance and look absolutely natural.

A mother of one in her late 30’s who has lost 90 lbs- her breasts have deflated and she “feels like a boy”. She wanted a fuller but still natural appearance, and wished to maintain some fullness in her upper breast. A highly cohesive round, textured silicone gel implant was placed through an infra-mammary incision in a dual plane position below the muscle. She is having great fun picking out new bathing suits and is thrilled with her result. The highly cohesive and textured implants take a little longer to “settle” but may maintain more fullness in the upper breast.

A mother of 2 in her late 50’s who wants to be fuller but still natural in appearance. She describes herself as a 34 A cup. She is 5’ and 114 lbs and is shown before and again, 4 ½ months after bilateral partial subpectoral (below the muscle) placement of 250 cc round smooth moderate profile plus silicone gel implants.
She is thrilled with her fuller but still natural appearance

22 year-old who wants fuller but still natural appearing breasts. She is 5’ and 110 lbs and is shown before and again 6 weeks after bilateral partial subpectoral (below the muscle) placement of 250 cc round smooth moderate profile plus silicone gel implants using an infra-mammary (at the breast fold) incision.

A mother of 2 in her late 30’s who had breast reduction with us 16 years before, with good results. She then got married and had 2 children and now finds that her breasts have deflated. She is also bothered by loose skin at the sides of the breasts. She wants to be fuller but still natural in appearance, and would like to maintain some fullness in her upper breasts if possible. She is 5‘ 6 ‘ and 129 lbs. She is shown before and again, 4 ½ months after bilateral breast augmentation with 350 cc high profile textured round silicone gel implants. These fill her breasts without overly stretching her breasts. It filled out the loose skin at the sides of her breasts. The higher profile helps to give her some fullness in the upper pole. The texture may decrease the potential dropping and lateral shift of implants that can occur with time, especially with looser skin.

A mother of 2 in her mid 30’s who was bothered by a deflated appearance of her breasts after pregnancies as well as by an inverted nipple (retracted nipple) on her left. Nipple inversion is caused by tight breast ducts that pull the nipple in like a parachute cord. Nipple retraction has been classified by authors Han and Hong into three groups, I, II and III based on the severity of the inversion and fibrosis. A grade I nipple can be pulled out easily and maintains its projection without traction. A grade II nipple can also be pulled out manually but not as easily as the grade i and has difficulty maintaining its position, having a tendency to retract. A grade III nipple is difficult to pull out manually and usually requires a traction suture to resist the forces of fibrosis pulling it back in. This patient had a grade II to III nipple on the left. She is shown before and again, 8 months after bilateral breast augmentation and a closed inverted nipple correction using a micro incision technique. A tattoo has been blurred for her privacy. The photos are otherwise untouched.

A mother of 2 in her early 50’s who has been troubled by inverted nipples (retracted nipples) since her breast development. She is shown before and again, 6 weeks after closed inverted nipple treatment through a micro incision in the office under local anesthesia. The crusting and irritation of her nipples has resolved, and they have regained a normal appearance. Her nipple sensation remains intact.