[koyasha]

Yes it's a very good job. Impressive.

But if implants had been used the breasts would surely be bigger than we see in the picture.

 You are right, but all throughout my life I have been fed the myth that tuberous breasts could only be "corrected" with implants. Some doctors use fat grafting, but most keep saying how only implants could correct the shape. This patient still has no lower pole fullness, but her breasts still look normal to me, I would be beyond happy if mine looked like that