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Breast Lift before and after patient photos from Des Moines Plastic Surgery Specialist Dr. Robbins. Adult check All patients in the Photo Gallery have given Des Moines Plastic Surgery written consent to display their before and after photos. May 20, - Skin-Reducing Mastectomy with Pre-pectoral implant from "Skin-Reduction Breast Reconstructions with Prepectoral Implant" (6).