"Why Didn't I Do This Sooner!?" by Dr. Brian M. Derby: Published in Sarasota Scene magazine - October 2018


I have the unique pleasure of hearing such feedback from patients about how improvement in their bodily form, and appearance, changes their entire experience of life. As a plastic surgeon at Sarasota Plastic Surgery Center, I perform a multitude of operations upon which the margin between a good and fantastic result can be gauged in millimeters. The quest for perfection drives so many of us in the field of plastic surgery. There are a few operations, however, wherein perfection lies less in millimeters of change, but rather in how a plastic surgeon helps a woman feel comfortable in her own body again…or perhaps helps them experience that comfort for the first time. Of all the facial, breast, and body cosmetic procedures that I perform, I routinely hear patients who undergo breast reduction or labiaplasty say, “why didn’t I do this sooner?!”


Breast reduction removes excess skin, breast tissue, and fat from a woman’s bust to bring it into better proportion with her figure. According to the American Society of Plastic Surgeons, over 43,000 women underwent cosmetic breast reduction in 2017. Women in need of a breast reduction tell me that their ample bosoms spill into their armpits, rest heavily upon their ribs, and wreak havoc with moisture accumulation and rash development beneath their breasts. Very candid patients tell me they are tired of looking at their “sad breasts”, and nipples that are heading “due South”. Shared experiences of neck/shoulder/upper back pain, bra-strap grooves, multiple sports bra usage during exercise, and requirements for specialty bra ordering are the unfortunate norm.


One of the first things I explain to women in consultation is that they are not alone, and that an incredibly happier, transformed version of themselves is likely to appear in the very near future postoperatively. Newer breast reduction techniques focus on using the tissue that remains, following removal of excess, to reshape the breast into a much cuter, shapelier size with a well-positioned nipple…much like a permanent internal bra. Modern-day breast lifting is performed in the same way, simply with less tissue removed than a breast reduction. The ever-present end goal of my job in cosmetic breast surgery is to create a beautiful pair of breasts that blend harmoniously with the rest of a woman’s body.


Another less discussed topic of “why didn’t I do this sooner” is labiaplasty. Excess tissue on a woman’s vulva (the area around the vagina) is common. Over 10,000 women underwent labiaplasty in 2017…you are not alone if you are thinking about doing this! Whether it was how you were made, what giving birth to your children did, or what has occurred with aging, a less than one-hour operation can help. Sexual embarrassment, pinching, avoidance of tight fitting clothing, bathing suits, or certain exercises, and issues with self-esteem routinely vanish following labiaplasty.


Women typically return to a desk job within days, and vigorous exercise or intercourse within four weeks following either of the previously mentioned procedures.


So, whether you’re in your late teens, or late seventies, find comfort in knowing you’re not alone in your quest for hugely transformative results in areas that many women find embarrassing to discuss. Why wait? Those who undergo breast reduction, or labiaplasty, consistently share the exhilarated response, “why didn’t I do this sooner”?!


Dr. Derby's newest published article!

Join us in congratulating Dr. Derby on his newest published article on Breast Reduction surgery in the Aesthetic Surgery Journal! Aesthetic Surgery Journal, the official publication of the American Society for Aesthetic Plastic Surgery (ASAPS), is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery.

Read article here:

Sarasota Plastic Surgery Featured in Sarasota Magazine.

Sarasota Plastic Surgery has long been recognized as a premier group for surgical expertise, unsurpassed patient care, and advanced technology.

Read article here:

Sarasota Plastic Surgery Featured on Dr. OZ!

Dr. Engel* Featured on ABC7 SunCoast News


Sarasota Plastic Surgery Center Now Offers SculpSure™
for Non-Invasive Body Contouring


Sarasota Plastic Surgery's SculpSure Body Countouring was featured on The Doctors! Watch the Video!

FDA cleared to reduce fat in a 25 minute procedure

Sarasota, FL- January 19, 2016 – Sarasota Plastic Surgery Center, office of Drs. Braun H. Graham, David L. Mobley, Scott J. Engel and Brian M. Derby, is now offering SculpSure™, a new FDA-approved treatment that melts 25% of a patient’s body fat in just 25 minutes.

SculpSure’s breakthrough body contouring technology is designed to permanently destroy up to 25% of treated fat in areas such as the abdomen and flanks with no surgery and no downtime.

“Even with diet and exercise, most people have areas of stubborn fat that seem impossible to get rid of,” states Dr. Graham. “SculpSure can help patients achieve the results they are looking for with a noninvasive treatment that fits into their active lifestyles.”

Studies show SculpSure has been proven more effective than older technologies such as CoolSculpting. Other advantages include that SculpSure is safe for all skin types, and the treatment can also help tighten the skin while simultaneously reducing the fat. More than 90% of treated patients have been satisfied with their SculpSure results.

SculpSure uses a laser technology to heat the subcutaneous fat cells so they can be broken down naturally by the body over six to twelve weeks after just a single 25-minute treatment. The heat of the laser is offset by a cooling technology to ensure patient safety and comfort during the procedure. Patients can return to work and other normal activities immediately.

“SculpSure is a great option for men and women who have stubborn, unwanted fat. Now, they can achieve their goals of looking and feeling their best – without surgery or downtime,” says Dr. Mobley.

To learn more about SculpSure or to schedule a complimentary consultation, call Sarasota Plastic Surgery Center at 941.366.8897.

About Sarasota Plastic Surgery Center

Sarasota Plastic Surgery Inc. is the group practice of Drs. Braun H. Graham, David L. Mobley, Scott J. Engel and Brian M. Derby. These surgeons have a long-standing reputation for excellence in plastic surgery. Our doctors are all certified by the American Board of Plastic Surgery and are members of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.

Sarasota Plastic Surgery Center offers patients the latest in medical technology and unsurpassed dedication to patient satisfaction. Procedures include plastic surgery of the face, breast and body, laser treatments, injectables and fillers, laser hair removal, and medical-grade skin care.

For more information, or to arrange an interview with our physicians about SculpSure, please call 941.366.8897 or visit

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Press Release

Dr. Braun H. Graham, President of Sarasota Plastic Surgery, has been elected Vice President of the Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS) for 2015-2016. The Society was founded in 1958 for the purpose of advancing the art and science of Plastic and Reconstructive Surgery and to provide a forum for the exchange of ideas and interaction among its members. Scientific meetings and other symposia are held on an annual basis to achieve these goals. Dr. Braun H. Graham becomes Vice president OF the Southeastern society of plastic and reconstructive surgeons.

Dr. Braun H. Graham is a Board Certified Plastic Surgeon and has practiced in Sarasota for more than 30 years.

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