Since 1997 he has limited his practice exclusively to cosmetic and reconstructive
breast surgery. He has developed the internal mastopexy
procedure, which allows for a breast lift without conventional
scars. He also pioneered such techniques as: Axillary subfascial
approach to breast augmentation; elevation and repair of the
inframammary fold without an incision; repair of synmastia both
internally and externally; performing implantation surgery on
patients with Poland's syndrome. He also has trained with other cosmetic
breast surgeons from all over the world, including the northern
and southern hemispheres of America, Europe, Asia and Australia.
Dr. Metcalf has developed many other original techniques for the
benefit of breast implant patients. He is considered at this
time to be one of the world's most experienced breast implant surgeons,
and has shared his knowledge and expertise with more surgeons of
the society through personal observation and instruction than
any other surgeon in the world.
He has been a pioneering leader in the Free Surgery program of
the society, which offers reconstruction of the breast to women
who have lost their natural breast due to cancer, and who do not
have insurance and otherwise would would not be able to afford
reconstruction of the breast and nipple.
One of his grateful patients writes, " You not only gave me back
my breast, you gave me back my life."