Breast Surgery

Dr. Mark Mandell-Brown offers a full range of breast surgical procedures including breast augmentation with implants, breast lift, breast reduction, and combination augmentation-lift procedures. With triple board certification and 30+ years of surgical experience, the practice addresses both cosmetic and functional breast concerns for patients seeking natural-looking, proportionate outcomes. Procedures are tailored to each patient's anatomy, existing tissue envelope, and aesthetic goals through thorough pre-operative consultation. Breast reduction cases may qualify for insurance coverage where functional impairment such as neck or back pain is documented.

Breast surgery at this Nashville practice encompasses the full spectrum of aesthetic and reconstructive breast procedures, performed by Dr. Mark Mandell-Brown whose 30+ years of surgical experience spans both facial and body procedures under his triple board certification credentials. Breast augmentation uses implants — selected in terms of profile, size, projection, and fill type through a detailed consultation process — to increase breast volume and improve shape. Implant pocket placement (submuscular versus subglandular) is chosen based on the patient's existing tissue coverage and aesthetic goals. For patients seeking to restore breast position and shape without implants, mastopexy (breast lift) repositions the nipple-areolar complex and reshapes the breast parenchyma through incision patterns selected to match the degree of ptosis — crescent, periareolar, vertical, or full anchor-pattern. Mastopexy can be performed with simultaneous augmentation where patients desire both improved position and increased volume. Breast reduction surgery addresses macromastia — disproportionately large breasts causing neck, shoulder, and back pain, shoulder grooving, skin irritation, and postural problems. Reduction technique involves removal of excess glandular tissue, fat, and skin, combined with repositioning of the nipple-areolar complex to a higher, more youthful position. Breast reduction may qualify for insurance coverage in cases where functional symptoms are documented. All breast surgery consultations include a detailed anatomical assessment, photographic documentation, and a thorough discussion of realistic outcomes, recovery timeline, and risk profile to ensure each patient can make a fully informed decision before proceeding.