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Breast Gallery

You will love your amazing and natural looking results. Scroll over an image to learn more about the process and what was done.

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Augmentations
Lifts
Reductions
Reconstructions
Gynecomastia
Dr. Elswick
Dr. Schenden

Breast Implant Removal, Mastopexy, and Fat Transfer to the Breasts

This is a patient in her 40’s who underwent a breast augmentation in her 20’s with another surgeon. She had recalled McGhan textured teardrop 380 cc saline implants in place under the muscle. Subsequent to this she had children, breastfed, and gained some weight. Prior to her augmentation she was a B cup. Recently she developed pain in her breasts. On exam, she was found to have capsular contracture, which is hardening of the capsules that naturally form around any implant in your body. She underwent bilateral breast implant removal, capsulectomies, breast lift (Wise pattern with auto-augmentation), and fat transfer to the breasts (250 cc to the right and 378 cc to the left breast). She feels much better with her implants out.

Breast Reduction

This is a patient in her 20’s with H breasts who desired a breast reduction to help with symptoms including back/neck/shoulder pain and shoulder grooving from her bra straps. She had tried numerous treatments, including pain medications, chiropractic treatments, massage, extra supportive bras, and even wearing two bras at once but continued to have symptoms. She underwent a bilateral breast reduction; 1108 g (2.44 pounds) was removed from the right breast and 1048 g (2.31 pounds) from the left breast. She is a D cup now. You can now see her hourglass figure now that her breasts don’t sit on her abdomen!

Breast Reduction

This is a patient in her 50s with DD breasts who desired a breast reduction to help with symptoms including rashes under the breasts, shoulder grooving, and neck, and shoulder pain. She underwent a bilateral breast reduction including liposuction of the armpit and chest wall (adjacent to the breasts); 546 g (1.20 pounds) was removed from the right breast and 614 g (1.35 pounds) from the left breast.

Breast Reconstruction Revision

This is a patient in her 60s who was unhappy with her breast reconstruction performed by another surgeon. She has a history of right breast cancer and initially underwent 2 lumpectomies, but had persistent cancer and required a mastectomy. She chose to undergo bilateral mastectomies with delayed submuscular tissue expander/implant reconstruction with Mentor silicone moderate plus profile implants (700 cc on the right side and 600 cc on the left side) with nipple reconstruction and a right nipple areolar tattoo. She never liked the shape or size of her reconstruction. She had fullness in the armpit area and had dents in the lateral part of the breasts on both sides. She wanted the breasts to be slightly bigger and more symmetric with a smoother appearance. She was also bothered by the movement of the implants when she used her chest muscles (animation deformity) and had discomfort of the breasts. She underwent bilateral breast implant removal and replacement with larger Mentor MemoryGel smooth high profile xtra breast implants (790 cc), bilateral breast reconstruction plane change to prepectoral position with acelluar dermal matrix, bilateral chest wall lipectomy, and fat grafting to bilateral breasts (right 100 cc, left 112 cc).

Breast Reduction

This is a patient in her 30s with H breasts who desired a breast reduction to help with symptoms including back/neck/shoulder pain, rashes under the breasts, shoulder grooving from her bra straps, and difficulty finding clothes that fit appropriately. She had tried numerous treatments, including pain medications, physical therapy, and powders/creams for the rashes but continued to have symptoms. She underwent a bilateral breast reduction; 854 g (1.9 pounds) was removed from the right breast and 726 g (1.6 pounds) from the left breast.

Breast Reconstruction – This is a patient in her 30s who was diagnosed with right breast cancer. She was a 38 DDD cup prior to surgery and wished to be a C cup after surgery. She underwent bilateral skin-sparing mastectomies, with a breast lift pattern, and direct-to-implant reconstruction with mesh. She has Mentor round moderate plus xtra 545 cc silicone implants placed above the muscle (pre-pectoral).

Breast Augmentation Revision –This is a patient in her 50s who presented with bilateral breast capsular contractures with associated pain and ruptured silicone implants. She had a history of multiple capsular contractures and revision surgeries with another surgeon. Prior to her revision with Dr. Elswick, she had Mentor smooth round 500 cc moderate plus silicone implants. She wanted to be slightly smaller (she was a 36D prior to her revision). The patient underwent bilateral total capsulectomies, bilateral implant removal and replacement, and Galaflex mesh placement. She now has a Sientra HSC+ smooth round silicone high-profile 440 cc implant on the right and Sientra HSC+ smooth round silicone high-profile 385 cc implant on the left.

This is a patient in her 30s who underwent a breast augmentation 15 years prior. She has had multiple revisions and a breast lift elsewhere. She noticed that the breasts changed with having children. She sustained a rupture of her left breast implant and desired a revision of her breast augmentation on both sides to bring her implants up and in and decrease the size slightly. She had Allergan Naturelle style 168 (moderate profile) saline implants in place, filled to 650 cc on the right and 700 cc on the left. The patient underwent a bilateral breast augmentation revision, with removal of her old implants, pocket revision (capsulotomies and capsulorrhaphies), Galaflex mesh placement, bilateral mastopexy (Wise pattern on the right and vertical on the left) and placement of new, slightly smaller implants (Allergan SCX 615 on the right and 650 on the left).

This is a patient in her 20s who underwent a breast augmentation approximately 2 years prior. She had bilateral subglandular (above the muscle) breast augmentation with Natrelle smooth round moderate profile implants (330 cc on the right and 310 cc on the left) via inframammary fold incisions by another surgeon. Over time she notes that her implants dropped. She also wanted to be slightly larger. The patient underwent a bilateral breast augmentation revision, with removal of her old implants, plane change (moving the implants from above the muscle to under the muscle), and placement of new, larger implants. She now has Mentor round moderate plus profile 450 cc implants.

This is a patient in her 30s who had multiple concerns about her breasts. She thought her breasts were deflated and she had asymmetry with the left breast being larger than the right breast. She also had excess skin of the breasts after loosing 50 pounds. She is a 32 DD. She underwent a breast lift with auto-augmentation (rearranging the patient’s own breast tissue to improve the volume of the breasts in the cleavage area).

This is a patient in her 40s who had been thinking about having a breast augmentation for years. She was bothered by the deflation of her breasts, especially after having kids. She was a 34C cup prior to surgery. She underwent a dual plane (under the muscle) breast augmentation with Mentor smooth round moderate plus 325 cc implants. She is happy with the improved fullness of her breasts and the more natural results!

Breast Implant Removal and Mastopexy: This is a patient in her 40s who had a breast augmentation 20 years prior. She developed capsular contracture of her breast implants. She underwent multiple revisions to treat the capsular contracture elsewhere but kept having recurrences. She had 600 cc silicone implants in place above the muscle and was a DDD cup. She underwent removal of the implants, capsulectomies (removing the hardened capsules around the implant), a breast lift with auto-augmentation (rearranging the patient’s own breast tissue to improve the volume of the breasts in the cleavage area), and inverted nipple repair. Her breasts are soft, natural, and no longer painful. She feels like a woman again!

This is a patient in her 30s who wanted improved volume in her breasts after experiencing deflation in her breasts from pregnancy and subsequent weight loss. She was a 32B cup prior to surgery. She underwent a total submuscular breast augmentation through inframammary fold incisions with Sientra smooth round moderate plus profile 385 cc implants.

This is a patient in her 20s with H/I breasts who desired a breast reduction to help with symptoms including back/neck/shoulder pain, rashes under the breasts, difficulty maintaining her posture, and shoulder grooving from her bra straps. She had tried numerous treatments, including pain medications, massage therapy, and even wearing two bras at once (and you thought one was bad)! She underwent a bilateral breast reduction; 1484 g (3.3 lbs) was removed from the right breast and 1500 g (3.3 lbs) fromthe left breast. She now has relief from carrying around all that extra weight!

This is a patient in her 20s with DDD breasts who desired a breast reduction to help with symptoms including back/shoulder/breast pain, rashes under the breasts, shoulder grooving from her bra straps, and difficulty exercising. She had tried numerous treatments, including pain medications, chiropractor treatments, wearing multiple bras, and even wearing a bra 24/7, but still had symptoms from her large breasts. She underwent a bilateral breast reduction; 524 g (1.2 pounds) was removed from the right breast and 370 g (0.8 pounds) from the left breast. Breast reductions can also help to fix asymmetries, like this patient had.

This is a patient in her 20s with 34DDD breasts who wanted a breast reduction to help with symptoms including back/neck/shoulder/breast pain, rashes under the breasts, and shoulder grooving from her bra straps. She wears two bras at once and had tried other treatments to improve her symptoms, which didn’t work. She underwent a bilateral breast reduction; 1511 g (3.3 lbs) was removed from the right breast and 1627 g (3.6 lbs) from the left breast. That is just shy of 7 pounds of breast issue being removed!

This is a patient and her 40s who underwent a breast augmentation approximately 20 years prior after her breasts became deflated from pregnancy. She had submuscular saline implants filled to 325 mL placed via periareolar incisions, which had been performed by another surgeon. Almost immediately after surgery, she wished she had gone larger. The patient underwent a bilateral breast augmentation revision, with removal of her old implants and placement of new implants. A pocket revision was also performed, opening the capsule in the cleavage area and closing it down along the outer aspect with sutures (like an internal bra). She has Mentor round moderate profile 350 cc saline implants filled to 425 cc.

This is a patient in her 50s who wanted improvement in the volume of her breasts and removal of excess fat in the armpit area. She underwent a subglandular breast augmentation through inframammary fold incisions with Mentor round silicone 375 cc high profile implants. The patient also had liposuction of the armpit area. A total of 50 cc of fat was removed from each side.

This is a patient in her 20s who was dissatisfied with the volume and appearance of her breasts after pregnancy and 80 pound weight loss. She underwent a dual plane (submuscular) breast augmentation through inframmmary fold incisions with Mentor 500 cc high profile implants.

This is a patient in her 40s who previously underwent a vertical mastopexy with another surgeon and subsequently experienced a 70 pound weight loss. She was bothered by the volume loss of her breasts as well as the scarring. She underwent a revision of the vertical mastopexy with autoaugmentation from the lateral chest wall (the “side boob”) and fat grafting to the breasts. A total of 300 cc of fat was injected into the right breast and 370 cc of fat was injected into the left breast.

This is a patient in her 70s who was bothered by the appearance of her droopy breasts and extra skin. She was happy with the size of her breasts. She underwent a bilateral vertical mastopexy (breast lift) with autoaugmentation, which involves rotating some of the breast tissue from the lower breast to the cleavage area. Doing an autoaugmentation not only moves the breast tissue to a more desirable location but also helps the lift last longer.

BREAST REVISION: This is a patient in her 30s who underwent a submuscular breast augmentation with Mentor silicone 375 cc moderate plus profile implants and fat grafting to the breasts by another surgeon approximately 7 months previously. She was unhappy with the droopiness of the breast as well as the areola size. She underwent a pocket revision to open the implant pocket in the cleavage area and to close down the outer aspect of the implant pocket in addition to bilateral vertical mastopexies (lift). The same implant and pocket location were utilized.

BREAST REVISION: This is a patient in her 50s with a history of a sub muscular breast augmentation with saline implants approximately 15 years prior performed by another surgeon. Her old implants were high profile saline implants filled to about 500 cc. She was interested in having smaller implants and perkier breasts. She underwent a bilateral implant exchange to Mentor round silicone 350 cc moderate plus profile implants. Prior to placing the implant, the pocket where the implant was located was revised to help the implant sit in the proper position. This involved opening the pocket in cleavage area and using sutures to close down the outside of the pocket. The revision was completed with a vertical mastopexy (lift) with autoaugmentation.

BREAST REVISION: Implant Removal Cosmetic – This is a patient in her 70s who developed a grade III capsular contracture and ruptured implants after silicone implant placement over 40 years prior. She underwent a bilateral implant removal (approximately 200 cc) and total capsulectomy. The patient was not interested in having a breast lift.

BREAST REVISION: This is a patient in her 30s who previously underwent a breast augmentation with another surgeon and subsequently required a revision. She was bothered by the flat area on the lower aspect of the right breast and the tethering of the scar. She underwent fat grafting to the inferior aspect of the right breast and the right areola with release of the scar. A total of 59 cc of fat was injected into the right breast (the superior areola and the inframammary fold scar).

BREAST RECONSTRUCTION: This is a patient in her 50s with a history of left skin-sparing mastectomy for breast cancer. She underwent left breast reconstruction with a submuscular tissue expander followed by a saline implant and nipple areola reconstruction with a tattoo as well as a right breast augmentation for symmetry performed elsewhere over 10 years prior. She did not require any radiation therapy. She recently experienced rupture of her left saline implant. She desired a revision of her reconstruction, including replacement of the ruptured left breast implant, better symmetry, improved contour (specifically addressing the excess skin and fat along the outer breasts), and a reduction in size. On the left side she underwent removal of the ruptured saline implant and replacement with a Mentor round silicone 605 cc smooth moderate plus profile Xtra implant, pocket revision to improve the cleavage area and tethered scar (capsulotomy and capsulorrhaphy), scar revision along the lateral breast to remove the excess soft tissue, and fat grafting (174 cc injected into the cleavage area and indentation along the upper outer breast, harvested from the lateral chest wall and abdomen). On the right side she underwent breast implant removal with capsulectomy (removal of normal scar tissue around the implant) and a breast reduction with a superomedial technique; a total of 710 g (1.6 pounds) of breast tissue was removed with the breast reduction.

Eight months later, the patient underwent an second revisional surgery to improve her symmetry. This included fat transfer to the bilateral breasts (265 cc into the upper right breast and 160 cc throughout the left breast), liposuction of the left lateral breast, and scar revision of the right breast.

BREAST RECONSTRUCTION: This is a patient in her 40s who was diagnosed with left breast cancer. She underwent a left skin-sparing mastectomy with direct-to-implant reconstruction. She has a Mentor round high profile 550 cc silicone implant placed above the muscle (pre-pectoral). After her surgery, she required radiation to the left breast. Anytime patients have a mastectomy just on one side (especially combined with radiation), they will have some asymmetry with their natural breast. Procedures can be done to help with symmetry, including breast lifts, breast reductions, and even breast augmentations.

This is a patient in her 30s with J breasts who desired a breast reduction to help with symptoms including back, neck, shoulder pain, rashes under the breasts, and difficulty finding clothes that fit appropriately. She underwent a bilateral breast reduction; 596 g (1.3 pounds) was removed from the right breast and 920 g (2.0 pounds) from the left breast. Many insurance companies will cover this surgery if you have symptoms from large breasts.

This is a patient in her 20s with H breasts who desired a breast reduction to help with symptoms including rashes along the breasts, shoulder grooving, and back, neck, and shoulder pain. She underwent a bilateral breast reduction; 1130 g (2.49 pounds) was removed from the right breast and 1248 g (2.75 pounds) from the left breast. Many insurance companies will cover this surgery if you have symptoms from large breasts.

This is a patient in her 20s with E cup size breasts who desired a breast reduction to help with symptoms including rashes along the breasts and back as well as neck, and shoulder pain. She underwent a bilateral breast reduction; 414 g (0.91 pounds) was removed from the right breast and 448 g (0.99 pounds) from the left breast. Many insurance companies will cover this surgery if you have symptoms from large breasts.

This is a patient in her 20s with FF breasts who desired a breast reduction to help with symptoms including back, neck, and shoulder pain. She underwent a bilateral breast reduction; 527 g (1.2 pounds) was removed from the right breast and 544 g (1.2 pounds) from the left breast. Many insurance companies will cover this surgery if you have symptoms from large breasts.

This is a patient in her 30s with H breasts who desired a breast reduction to help with symptoms including rashes under the breasts, shoulder grooving, and neck, back and shoulder pain. She underwent a bilateral breast reduction including liposuction of the armpit and chest wall (adjacent to the breasts); 338 g (0.75 pounds) was removed from the right breast and 488 g (1.06 pounds) from the left breast.

This is a patient in his 30s with bilateral gynecomastia. He desired a flatter, more masculine contour of the chest. He underwent liposuction of the fatty tissue and excision of the breast tissue with an arthroscopic shaver. 200 cc of tissue was removed from the left breast and 300 cc from the right breast. This is a minimally invasive technique that few surgeons in Michigan perform and can be done through a few ¼” incisions that are nicely camouflaged.

This is a patient in his 30s with bilateral gynecomastia, including a painful left breast mass. He desired an improvement in his symptoms and a more masculine contour of the chest. He underwent excision of the left breast mass through a periareolar incision followed by liposuction of the fatty tissue and excision of the breast tissue with an arthroscopic shaver of both breasts. 200 cc of tissue was removed from the left breast and 100 cc from the right breast.

This is a patient in her 50s who experienced significant changes in her body after undergoing menopause. She wanted her breasts to be better proportioned with the rest of her body. She underwent a dual plane (submuscular) breast augmentation through inframammary fold incisions with Mentor round silicone 350 cc moderate plus implants.

This is a patient in her 20s who wanted improved volume in her cleavage area. She underwent a dual plane (submuscular) breast augmentation through inframammary fold incisions with Sientra smooth round silicone 400 cc low profile implants.

This is a patient in her 60s with DD breasts who desired a breast reduction to help with symptoms including breast, neck, and shoulder pain. She also had a history of a left breast biopsy which resulted in asymmetry and nipple inversion. She underwent a bilateral breast reduction; 769 g (1.7 pounds) was removed from the right breast and 391 g (0.9 pounds) from the left breast. She also had liposuction of the armpit and chest wall (adjacent to the breasts) and left nipple reconstruction with extra skin from the breast reduction to help give the nipple more projection.