Breast Reduction Before & After Case 565

Before surgery, this patient presented with significantly enlarged, heavily ptotic breasts that extended well below the inframammary fold, as visible across all three views. She reported back pain, shoulder grooving, and rashes beneath the breasts, all associated with the weight and size of her breast tissue.

Dr. Michael Ablavsky, MD performed an inferior pedicle breast reduction, removing significant volume and weight from each breast. This technique repositions breast tissue on an inferiorly based pedicle while reshaping and lifting the breast on the chest wall. Incision lines consistent with this approach are visible in the after photos.

For those considering breast reduction in San Antonio, this case illustrates one of the more common presentations: chronic physical symptoms driven by breast size and ptosis. The after photos show a marked reduction in volume, with the breasts positioned higher on the chest wall and the nipple-areola complex repositioned to a more central location. Projection and contour are more proportionate across the front, side, and oblique views compared to before.