START HERE. FIND THE RIGHT PAGE.
Explore Breast Procedures and Implant Options
Breast Augmentation
Add or restore volume with implants selected around anatomy, proportions, tissue, and goals.
Explore Breast Augmentation →
Breast Lift
Reposition and reshape breast tissue when descent or loose skin matters more than added volume.
Explore Breast Lift →
Breast Reduction
Reduce volume while reshaping the breasts to address proportion, heaviness, or physical discomfort.
Explore Breast Reduction →
Breast Implant Removal
Remove implants and plan for breast shape afterward, with capsule decisions individualized to the findings.
Explore Breast Implant Removal →
Fat Transfer to the Breast
Add modest implant-free volume or refine selected contours using fat collected from another area.
Explore Fat Transfer to the Breast →
alloClae Breast Contouring
Explore nonsurgical, localized breast contour refinement using a donated human adipose-tissue matrix.
Explore alloClae Breast Contouring →
Breast Implant Selection
Compare implant dimensions, fill, shell, and device considerations within augmentation or revision planning.
Explore Breast Implant Selection →
Motiva Breast Implants
Explore Motiva implant dimensions, profiles, and device choices within an anatomy-led augmentation plan.
Explore Motiva Breast Implants →
Subfascial Breast Augmentation
Understand how a subfascial implant pocket compares with other placement planes for selected patients.
Explore Subfascial Breast Augmentation →
Ballerina Breast Augmentation
Explore a restrained, proportionate aesthetic direction within an individualized breast augmentation plan.
Explore Ballerina Breast Augmentation →
ADVANCED BREAST
Advanced Breast Procedures and Concerns
These advanced pages address prior surgery, specialized augmentation approaches, support concepts, symptoms, and focused anatomy. If more than one feels relevant, begin with the page closest to your concern.
- Breast Revision
Evaluate changes after prior breast surgery, including implant, capsule, tissue, position, or contour concerns. - Complex Breast Revision
Explore structurally difficult, recurrent, multiply operated, or potentially staged breast revision questions. - Motiva Preservé Breast Augmentation
Learn about the tissue-preserving augmentation approach Dr. Howarth offers selectively after individualized evaluation. - Internal Bra Support
Understand what the informal term can mean when added support is considered within another breast operation. - Breast Implant Illness (BII)
Review reported systemic symptoms, current uncertainty, evaluation, and possible surgical or nonsurgical next steps. - Tuberous Breast Correction
Explore component-based evaluation of a developmental breast shape involving the base, fold, skin, or areola. - Areolar and Nipple Correction
Understand focused nipple or areola concerns and how they relate to the complete breast.
You Do Not Need to Choose a Procedure First
If several pages sound relevant, begin with the concern that matters most to you. After understanding your anatomy and goals, Dr. Howarth can explain which option—or whether surgery at all—deserves consideration.
SURGEON-LED PLANNING
Why Choose Ashley Howarth, MD, FACS, for Breast Surgery?
Ashley Howarth, MD, FACS, is a board-certified plastic surgeon in Scottsdale and an Instructor in Plastic Surgery at Mayo Clinic. Her background includes nine years of surgical training.
Breast surgery is not one decision. Volume, skin, breast and nipple position, tissue coverage, asymmetry, scars, implants, prior operations, health, and the degree of change requested can point toward different plans. A useful consultation connects those factors instead of choosing a procedure from a trend, device name, or photograph alone.
Dr. Howarth explains the options and tradeoffs that fit the individual patient. Depending on the concern, the thoughtful recommendation may be a focused operation, a combined or staged plan, another approach, observation, or no surgery.
Her published work includes a 2017 retrospective study examining implant-volume needs in post-mastectomy breast reconstruction.
SURGICAL TRAINING
SCOTTSDALE · MODERN OFFICE SETTING
FROM QUESTIONS TO A CLEAR PLAN
Breast Surgery Consultation and Patient Care Coordination
Your patient care coordinator can arrange consultation and help organize the practical details after Dr. Howarth recommends a plan.
A thoughtful beginning.
Your patient care coordinator can help arrange your consultation and explain what records, photographs, or other information the team would like you to have ready.
Clear information before you decide.
After Dr. Howarth recommends a plan, your coordinator can review the written estimate, financing information, scheduling requirements, forms, next steps, and practical questions with you.
Practical details, clearly organized.
Once required visits are known, your coordinator can help organize Scottsdale travel and follow-up timing. Dr. Howarth and her clinical team provide individualized medical guidance.
BEFORE & AFTER GALLERIES
A More Private Way to Review Breast Surgery Before-and-After Photos
As a woman and a surgeon, Dr. Howarth understands how personal breast surgery photographs can feel. They show real patients who entrusted the practice with an intimate part of their care. We want these images to help people considering breast surgery, rather than display them for casual public browsing.
We share our patient-authorized breast surgery before-and-after galleries through private results reviews. This preserves more of each image’s privacy and clinical context and helps reduce copying, reposting, or collection by automated systems and AI agents.
During a private review, you can see a range of patient-authorized results and discuss how starting anatomy, surgical choices, healing, and time influenced each outcome. The photographs can help inform your consultation, but no result predicts another patient’s outcome.
COMMON QUESTIONS
Breast Surgery FAQs
Begin with the change you want rather than a procedure name. Volume, position, skin, breast weight, existing implants, prior surgery, and anatomy help determine whether augmentation, lift, reduction, revision, removal, another focused option, or no surgery fits.
Augmentation adds volume, usually with an implant. A lift changes the skin envelope and breast and nipple position. Some patients discuss one, both, or a staged plan.
They may be considered together when both volume and position matter. Anatomy, tissue, skin, goals, and the added tradeoffs determine whether a combined or staged approach is appropriate.
Breast reduction addresses meaningful volume removal and reshaping. A lift changes position and skin without the same volume-reduction goal.
Revision is the broad route for a change or concern after prior surgery. Implant removal is the clearer starting point when explant is the primary intent. Dr. Howarth can clarify the overlap without asking you to self-diagnose.
The Breast Implant Illness page explains the term, current uncertainty, evaluation, and how removal or revision may be discussed without promising symptom improvement.
Patient-authorized examples may be reviewed privately when available. A patient care coordinator can arrange a private viewing before a consultation is scheduled.
Consultation may begin in person or virtually, while examination, surgery, and follow-up requirements depend on the procedure and plan. A patient care coordinator can explain the available starting point and practical travel planning.
Pricing depends on the procedure, scope, anesthesia, care setting, complexity, and whether procedures are focused, combined, or staged. Howarth Plastic Surgery is a cash-pay practice and does not accept or bill insurance. After Dr. Howarth recommends a plan, the practice provides a written estimate. Third-party financing may be available subject to approval.
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Megan S.
Patient Coordinator
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