04/22/2026
A beautiful example of how breast surgery can be customized to fit the patient’s goals. This patient had significant breast ptosis, or droopiness, but did not want a formal breast lift with the additional scars that often come with it. In her case, I performed a hybrid augmentation with periar**lar mastopexy—removing excess skin around the ar**la, placing the implant, and then tailoring additional skin through the same periar**lar approach.
This allowed us to create a smaller ar**la, improved breast shape, better symmetry, and a more lifted appearance while respecting her desire to avoid a full mastopexy. Not every patient needs the same operation, and careful customization is the key to achieving a natural, balanced result.
Dr. John Burns, MD is a board-certified plastic surgeon and breast augmentation specialist in Dallas, Texas, known for advanced, individualized breast surgery techniques and natural-looking results.
To schedule a consultation, contact Dr. John Burns Plastic Surgery in Dallas at 214-515-0002 or visit www.drjohnburns.com.
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