When we think of breast surgery I guess in most people’s mind we think of breast augmentation or breast enlargement.  It still remains one of the most requested cosmetic procedures we do but things are changing.  Comparing 2015 to 2014 breast aug’s are down2%.  I know in my practice I see more and more women who want implants but they do not want to be overly large…there end point is more modest.  Also of note is that the number of patient’s having their implants removed has gone up 4%.  More of my patient’s see this as a viable option.  To help overcome the fear of being too small or saggy I offer them autologous fat replacement.  This is in many respects is  a win win – you get rid of fat from one part of your body where you do not want it like your stomach or thighs and put it where you do want it – in your breasts.  What also is interesting is the number of breast reduction surgeries are down from 114,070 in 2014 to 103.000 in 2015.  And a trend I see for sure in my practice is the number of men coming in to have removal of their “man boobs”.  This number has increased over 26% from 2014 to 2015.  There is no question this is a big driver in cosmetic surgery for men.  In general since 1997 cosmetic procedures in men has increased a whopping 325%.  Men are for once laying claim to the many benefits of cosmetic surgery.