I used Dr. Constance for three separate surgeries. The first time I had an umbilical hernia repair/tummy tuck. He did a fantastic job. The next surgery was a breast reduction. He made my breast look even and reduced them from a DDD to a D. I would have liked them smaller, but his reasonings at the time made sense. Fast forward 9 years later, I came to him again for another breast reduction surgery. I was adamant about going down to a C cup having gone up to a DD. He did the surgery, and afterwards I felt like nothing had been done. He cut around my breast, but not around the nipple. After two months of healing I complained. He did a liposuction afterwards that proved to be ineffective. I am one year out from this surgery, and my breast are back to a DD. Either I have the fastest growing breast on earth, or he took out very little fat. When I spoke to him about my results he told me that most of my breasts consisted of "fatty" tissue not breast tissue. Well a breast reduction is about reducing the amount of fat. I am so upset and disappointed, because I feel like I wasted $11,000.00. If I want smaller breasts, I am going to have to seek out another surgeon. read more