This female patient in her late 40s from Boston, Massachusetts, was very clear about her goals: she did not want significantly larger breasts. She wanted to maintain approximately the same cup size while improving breast position, restoring upper-pole fullness, and creating a more youthful and proportional shape.

Dr. Vickram Tandon performed a Preservé-style breast augmentation combined with mastopexy, using different implant volumes to account for her natural asymmetry: 190 cc on the right and 150 cc on the left. Rather than focusing on increasing breast size, the procedure was designed around her existing anatomy to restore volume and shape while maintaining the character of her natural breasts.

She is shown here three months after surgery with improved breast position, restored upper-pole fullness, and balanced, natural-looking proportions. Her breasts will continue to soften and settle, and her mastopexy incisions will continue to mature and fade throughout the first year. Her recovery was also remarkably quick. She returned to her usual activities within one week and did not require pain medication following surgery. Most importantly, she is thrilled with the result and feels that her breasts still look like her, just restored. For patients considering a breast lift with implants in Boston, a Preservé-style mastopexy-augmentation can be an excellent approach when the goal is improved shape, subtle volume restoration, and a natural result rather than simply going larger.