This pleasant woman in her 40s presented complaining of the large size and sagging of her dense breasts. Her reported preoperative bra size was a 38 E cup. She was also bothered by areas of persistent fat in her abdominal and flank regions that was resistant to dieting and exercise. The patient requested a breast reduction and lift combined with liposuction. A Wise pattern mastopexy pattern and superior medial pedicle technique was employed to remove approximately 350 cc tissue from each breast. VASERlipo was used to remove stubborn fat from the anterior abdomen, flanks and lower back. Though the patient acknowledged that she had gained some weight at her 1 year postop visit, she was still happy with the shape of her lifted breasts and flatter tummy.
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