I am so blessed to have found Dr Keusch. From the bottom of my heart I thank her and her entire staff for listening, caring, and producing such wonderful results . I had a breast reduction/lift (no implants), am 44 years old, and had nursed four babies… It’s like a total miracle. After the surgery I only took Tylenol the first week, that’s it. My neck and upper back discomfort have finally taken a hike and I feel I can truly take a deep breath now, truly. Simply because of how I look AND because of how I feel. Symmetrical, perky, and natural. Dr. Keusch and her warm, caring, nurturing presence along with her ability to craft and create such precision. . . Is most appreciated by me. She is a craftswoman, the only surgeon I know after visiting 4 others that completely eliminates the need for the horizontal scar on the bottom, and creates a perfect round (not boxy) shaped breast. Bravo!! I have a new lease on life and encourage you to do the same !