Breast Augmentation

Breast augmentation is a procedure in which implants (silicon) are used to enlarge and enhance the breasts size, giving the breasts more natural contour and giving the body more aesthetically pleasing proportions.

Reasons for Considering Breast Augmentation:

. Enhance body shape if breasts are too small.
. Increase breast volume after pregnancy and nursing.
. Equalize a difference in breast size (cup size) to gain breast symmetry.
Each breast augmentation procedure is customized to best accomplish that patient's individual goals and needs, so there are a number of decisions to be made about the placement, type of implants, and the type of incision used for the procedure.

Breast Implant Placement

There are various positions in which breast implants can be placed, each with its own benefits and drawbacks eg subcutaneous, submuscular or partially subcutaneous and partially submuscular.

Types of Implants

There are two primary types of implants currently available: silicone and saline-filled.
Silicone implants are the most commonly used in augmentation but saline implants have specific indications.
Silicone implants consist of an outer shell made of rubber-like silicone, and a filling of silicone in a gel consistency. Currently silicone breast implants have been approved by the FDA for all women 20 years and older.
Silicone implants are available in a variety of types, shapes, and sizes. Your surgeon will help you decide which will be best for you. You will also have an opportunity to "try on" silicone implants in various sizes and shapes during your private breast implant sizing session with our patient care coordinator.

How is Breast Augmentation Performed?

Breast augmentation involves making a small incision to insert a breast implant into the breast in order to enlarge the breast. The surgery is commonly performed on an outpatient basis at a hospital while the patient is under a general or local anesthesia. There are several possible locations for the small incision that will be used for inserting the breast implant. The best technique will be decided together between the patient and Dr. during the consultation.

Types of Incision

The three most common incisions are in the infra-mammary fold, trans-axillary , and peri-areolar. Each approach has its' advantages and disadvantages. Your surgeon will discuss with you to reach the best approach.

What is the Recovery Process for Breast Augmentation?

Recovery requires 5-10 days of limited activity. Patients can usually return to work after or during this, and they may gradually increase their level of activity between 2-4 weeks.


Breast Lift

Breast lift, or mastopexyis a surgery in which the breasts are lifted and tightened, and excess sagging skin is removed, recreating the appearance of firm, youthful breasts.

Many women find that, due to aging or childbirth, their breasts have begun to sag, losing their elasticity and firmness, a condition also known as ptosis. A breast lift reverses this damage, essentially turning back the clock and recreating the appearance of 'perky' young breasts.

Depending on the specific problems to be addressed, a breast lift procedure may consist of discrete procedures that tighten skin to eliminate the sagging effect, reduce the size of the areola (the dark area of skin surrounding the nipple), and move the nipple higher up on the breast. In some cases, when there has been significant loss of breast tissue, a breast augmentation can be performed simultaneously with the breast lift.

What does a Breast Lift Involve?

In most breast lift procedures, the surgeon removes the excess skin that creates the sagging appearance, then raises the nipple , creating the appearance of a more youthful breast. The skin surrounding the areola is brought down and together to reshape the breast.
The breast lift surgical procedure usually takes one and a half to two hours. The incision goes around the area where skin will be removed, thus defining how the nipple will be relocated.br> The breast lift procedure may be performed under general anesthesia or, in some more minor procedures, with local anesthesia and sedation. .
If the patient is having an implant inserted along with the breast lift, the implant will be placed in a pocket directly under the breast tissue.

Recovery:

As with most operations recovery requires 10 days of limited activity. Patients can usually return to work after this, and they may gradually increase their level of activity between 2- 4 weeks.


Breast Reduction

Breast reduction:,is a procedure in which the size of the breasts is reduced through removal of excess tissue and skin.

Breast reduction surgery is a frequent choice for women who are uncomfortable with their large breasts and who suffer from problems such as the following:
. Back, shoulder, and neck pain
. Skin rashes and excess sweating under the breasts.
. Mastodynia (breast pain)
. Sagging breasts produced by their large size.
. Restriction of physical activity due to the size and weight of the breasts
. Discomfort from excess pressure of bra straps
. Self-consciousness about breast size
. Difficulty finding clothing that fits

In cases in which the breasts are so large that they cause medical problems, such as back pain. Large breasts can cause not only physical discomfort but emotional distress as well. Women who have breast reduction find that they are able to live more comfortable and healthy lives, in addition to enjoying a more proportional appearance.

In most breast reduction procedures, the surgeon removes excess tissue and skin, creating a smaller, firmer breast, and raises the nipple and areola higher on the breast to accommodate the new breast proportions, and create a smaller, natural looking breast. A breast lift is frequently included to create a more youthful appearance.

The final scar is designed to be as a circle surrounding the areola with a short vertical one under the areola, in the lower most pole of the breast , this scar location is the most likely to be concealed.

The breast reduction procedure is most commonly performed under general anesthesia.

Recovery Process

As with most operations recovery requires 10-14 days of limited activity. Patients can usually return to work after this, and they may gradually increase their level of activity between 2-4 weeks.


Male Breast Reduction

What is Gynecomastia?

Gynecomastia is the overgrowth of male breast tissue. Typically, all men have some amount of this tissue, but in some cases it grows excessively. This is an occasional problem in adolescent boys and older men.

Fortunatly men no longer need to keep this covered up with clothing. Outpatient surgical procedures can now be performed in our facility that let men return to a normal apperance after one operation.