BREASTS

  • BREAST AUGMENTATION

    Improves the size and appearance of the breasts.

    Procedure

    Breast augmentation, also called breast enlargement, improves the size and appearance of the breasts by implanting saline or silicone breast implants either under or over the chest muscle, thus producing a cosmetic enhancement.

    Length

    This procedure takes approximately two hours.

    Anesthesia

    A general anesthesia is administrated and the patient is completely asleep, or an intravenous sedation is used, combined with local anesthesia.

    Inpatient/Outpatient

    Either inpatient or outpatient depending on the preference of the surgeon.

    Possible Side Effects

    Mild, temporary discomfort, mild to moderate swelling, a change in nipple sensation (either increased or decreased), and temporary bruising. Breasts may be sensitive to stimulation for a few weeks.

    Risks

    Either one breast implant or both may need to be removed and/or replaced to treat problems including: deflation, implant rupture, the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard, bleeding and/or infection. Other risks are an increase or decrease in sensitivity of the nipples or breast skin, which occasionally may be permanent.

    Recovery

    The patient can return to work within a few days. She should avoid any physical contact with her breasts (excluding her bra) for approximately three to four weeks. Scars should fade and flatten anywhere from three months to two years after surgery, depending upon how the individual patient heals.

    Results

    The outcome varies from patient to patient. However the overall effect is enhancement of breast size for improved appearance.

  • BREAST LIFT

    Improves breast shape.

    Procedure

    Breast lift surgery, also called mastopexy, removes excess skin in and around the breast that has been stretched during pregnancy or weight fluctuations. Breast implants may also be used in conjunction with this procedure to achieve the desired result.

    Length

    Approximately two to three hours.

    Anesthesia

    General anesthesia is administered and the patient is completely asleep. The procedure can also be performed under intravenous sedation and local anesthesia.

    Inpatient/Outpatient

    Either is possible depending on the patient’s medical condition and the preference of the surgeon.

    Possible Side Effects

    Temporary bruising, swelling, some mild discomfort, numbness, and dry/tender breast skin.

    Risks

    Unfavorable scarring with keloid formations is possible. In addition skin loss, infection, unevenly positioned nipples (asymmetry), and the possibility of permanent loss of feeling in the nipples and/or the breasts.

    Recovery

    The patient can return to work within one week or more and may resume strenuous activities after one month. The fading of scars may take several months to one year.

    Results

    The outcome varies from patient to patient. Other factors that may influence results are: gravity, pregnancy, aging, and weight changes which may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure adding support to the newly positioned breast tissue.

  • BREAST REDUCTION

    Reduces breast size and improves physical and emotional symptoms caused by very large breasts.

    Procedure

    Breast reduction surgery, also referred to as reduction mammoplasty, reduces the size and improves the shape of the breasts. Typically, women who are candidates for this procedure have physical symptoms related to the weight or shape of their breasts. These symptoms include back pain, neck pain, and bra strap grooves in the shoulders. The incisions vary based on the breast size before the operation and the final post-operative size.

    An incision is made around the nipple and areola accompanied by a vertical incision below the areola with or without a horizontal incision made in the crease below the breast. Short scar techniques are frequently applicable in breast reduction surgery and allow excellent reduction of size with improved shape while limiting the extent of the incisions.

    For reduction of very large breasts, in some cases the nipple and areola may need to be surgically removed and reapplied as a graft. Removing and reapplying the nipple/areola tissue will result in the loss of nipple sensation and the inability to breastfeed.

    Length

    The procedure usually requires two to four hours of operating time depending on the technique chosen and the size of the breasts.

    Anesthesia

    The procedure is typically performed under general anesthesia supplemented with local anesthesia. Smaller reductions can be performed under intravenous sedation without the need for general anesthesia.

    Inpatient/Outpatient

    Depending on the size of the breasts, type of anesthesia selected, and length of the surgical procedure, patients may return home on the same day as their surgery or spend the night at an aftercare facility or hospital.

    Possible Side Effects

    Prolonged swelling and delayed healing.

    Risks

    Risks associated with breast reduction include: unfavorable scarring, loss of nipple sensation, loss of ability to breastfeed, loss of nipple and breast tissue, unsatisfactory shape, and failure to achieve aesthetic goals.

    Recovery

    Typically recovery requires one to two weeks. Most patients return to normal activities within that period of time. Strenuous physical activities are discouraged for three to six weeks after the surgery.

    Results

    Most patients who undergo a reduction mammoplasty are pleased with the size and the shape of their breasts and are delighted with the improvement and lessening of the symptoms of pain and discomfort that they experienced due to the weight of their breasts. Breast reduction makes physical activities easier and patients enjoy their new appearance and ability to wear clothing that was uncomfortable or unattractive before the surgery was performed.

  • MALE BREAST REDUCTION

    Reduces overly developed male breasts and nipples to provide a masculine chest appearance.

    Procedure

    Male breast reduction surgery reduces overly developed male breasts and nipples using liposuction and/or by surgically removing excess glandular tissue.

    Length

    Approximately one and one-half to three hours.

    Anesthesia

    Either general anesthesia is used or intravenous sedation and local anesthesia are used.

    Inpatient/Outpatient

    This is an outpatient procedure.

    Possible Side Effects

    Temporary bruising, swelling, numbness, soreness, and/or a burning sensation are possible.

    Risks

    Infection, fluid build-up, injury to the skin, rippling or looseness of the skin, asymmetry, pigmentation changes, excessive scarring if tissue was cut away, loss of nipple sensation, contour irregularities and in some instances the need for a second procedure to remove additional tissue is required.

    Recovery

    The patient may go back to work after seven days. More strenuous activity may be resumed after two to three weeks. Most of the swelling and bruising will disappear after three to six months.

    Results

    Permanent, although subsequent weight gain may cause the breast area to once again become larger.

  • REVISI BREAST SURGERY

    Improves or corrects the results of previous breast enhancement surgery.

    Procedure

    The more common reasons for seeking revision breast surgery are implant deflation, implant exchange (size or type), capsular contracture, implant malposition, double-bubble deformity, or a combination of these issues. When a breast implant is inserted, a scar forms around it as part of the natural healing process, called a capsule. The capsule may sometimes tighten and compress the implant creating a distorted breast shape. The goal of revision surgery is to help restore a more youthful contour and attractive appearance.

    Length

    One to two hours, depending on the condition to be treated.

    Anesthesia

    Local anesthesia and intravenous sedation may be used, although general anesthesia may be more desirable.

    Inpatient/Outpatient

    Either, depending on patient preference.

    Possible Side Effects

    Discoloration and swelling may occur initially, changes in nipple or breast sensation.

    Risks

    Risks include adverse reactions to anesthesia, blood accumulation that may need to be drained surgically, and infection.

    Recovery

    The patient should be able to return to work within seven to ten days depending on the type of work. Special care must be taken to be gentle with your breasts for at least one month after surgery.

    Results

    Depends on the patient’s breast laxity or sagginess after having had children or losing weight. Generally stable. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman’s breasts