This patient desired an enhanced breast lift to achieve better symmetry between her two breasts as well as an excision of the ectopic breast tissue and overlying redundant skin.  She had previously undergone coolsculpting on the axillary area with some reduction in volume but no improvement of the redundant skin.  The patient was advised that she would always have some degree of breast asymmetry due to wing scapula but significant correction as achieved as seen here in photos taken before and 6 weeks after surgery. 117g of breast tissue were removed from the right breast and 22g from the left.