Despite the prevalence of breast surgery in aesthetic practice, many plastic surgeons lack formal post-residency education in complex procedures such as secondary mastopexies, breast reconstruction, or high-definition composite approaches. Residency programs often underemphasize long-term planning, complication management, and evolving surgical techniques. The global demand for structured, deep-skill training has led to the need for a comprehensive, longitudinal fellowship that builds true surgical mastery through continuous exposure, repetition, mentorship, and community learning.