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Before & After Photos, Case #448

Procedures Performed: Breast Reduction, Fat Grafting, Power Assisted Liposuction

Before After

Before Photo

After Photo
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Before Photo After Photo

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This patient is a female in her late 40's who presented to my  office with complaints of back, neck and shoulder pain due to large pendulous breasts. The patient was also noted to have severe asymmetry as well as significant ptosis. I felt a bilateral breast reduction would give the patient significant improvement in her back, neck and shoulder symptoms. Given the patient's relatively weak tissues and lack of fullness in the upper chest, I felt that fat grafting in the upper and medial poles would help create a more aesthetic shape. The patient wished to have liposuction to the flanks and I felt this would be a good donor site. The patient was also noted to have an indentation of the right flank due to prior injury and I felt this could be fat grafted to improve the contouring.


I performed a breast reduction removing 436 grams from the right breast and 282 grams from the left due to her asymmetry.  Liposuction of the flanks was performed and the fat was processed and reinjected into the upper breasts and the flank irregularity.  Approximately 30 cc of fat was injected into the right flank irregularity and 90 cc into each upper and medial breast area. The patient was extremely happy with her new appearance and the improvement in her physical symptoms.


Provider: Dr. Cohen

Age: 49
Gender: Female
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Dr. Robert Cohen

Certified by the American Board of Plastic Surgery

Dr. Cohen is a leader in the field of aesthetic plastic surgery whose expertise is highly regarded by both patients interested in improving their appearance, and plastic surgeons seeking to improve their techniques by attending his lectures. Dr. Cohen's goal is to understand your specific concerns, evaluate your anatomy in detail, and create a customized plan to help you achieve the best results possible based on the most modern techniques and materials available. Let him put his experience and aesthetic insight to work for you.

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