Before & After Photos, Case #2

Procedures Performed: Tuberous Breast Surgery, Power Assisted Liposuction

Before After


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This is a 23 year old mother from Sedona, Arizona who presented to my Scottsdale, Arizona office with complaints regarding her breast shape, size and asymmetry. She was also unhappy with the appearance of her abdomen and torso. She had never liked the appearance of her breasts, and this was her primary concern, but she was also interested in sculpting her torso as well.

Due to the significant issues with her breast shape (called tuberous breasts),and the excessive spacing of her cleavage and enlarged areolas, I advised that she would need both a breast enhancement (breast augmentation) as well as a breast lift (mastopexy). The breast lift I recommended in her case is called a periareolar mastopexy, which means that all of the tightening is done around the areola to avoid any scars on the breast skin itself. I also knew that she would need different sized implants to achieve good symmetry.

Regarding her abdomen, I felt that liposuction (liposculpting) of her central abdomen and flanks(back and torso) would enhance and balance her overall appearance. I performed a breast augmentation using a 350cc implant on the right and a 300cc implant on the left. The implants were Mentor smooth, round, moderate profile saline breast implants. They were placed under the pectoralis muscle on both sides. After this, tightening of the breasts was performed with a "periareolar mastopexy".

After I finished the breast surgery, I performed "Power-Assisted Liposuction", using a special device that vibrates the suction tube, allowing it to pass through tissues with less trauma, bruising and pain (in my experience). Careful sculpting of the torso was performed, and a total of 2.3 liters of aspirate (fat and fluid) was removed. As you can see, this procedure completely transformed her body. As a side benefit, I was able to convince this patient to quit smoking for the surgery, and she has since quit altogether.  Additionally, she was inspired by her surgery to improve her diet and exercise habits, and continued to slim down after surgery.

Provider: Dr. Cohen
Age: 23
Gender: Female

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