Breast Surgery

Breast Enlargement - (Augmentation Mammoplasty)

Breast augmentation surgery involves using implants to increase the size of your breast volume that has been lost due to weight reduction or pregnancy. Breast augmentation can:

Increase fullness and protection of your breasts
Improve the balance of your figure

3. Enhance your self image and self confidence

Implant choice- Round, smooth, silicone implants provide more projection.

Fat grafting uses liposuction to take fat from the abdomen and inject it into the breast. This is an option for women looking for a relatively small increase in breast size using their own fat

Transaxillary incisions leave no scar on the breast

Submuscular placement (under the pectoral muscle) offers a number of advantages

Transaxillary incisions (underneath the arm)

These incisions leave no scar on the breast

Breast Lift - (Mastopexy)

Breast lift surgery may be a good option for you if:

Your breasts have a flatter, elongated shape or are pendulous
When unsupported, your nipples fall below the breast crease
Your nipples and areolas point downward
You have stretched skin and enlarged areolas
One breast is lower than the other

Reshaping your breasts

The underlying breast tissue is lifted and reshaped to improve breast contour and firmness

The nipple and areola are lifted to a natural more youthful height
If necessary, enlarged areolas are reduced by excising skin at the perimeter
Excess breast skin is removed to compensate for a loss of elasticity

Breast enlargement is never a substitute for breast lifting, although the 2 are frequently performed together

Reduction Mammoplasty

The emotional discomfort and self-consciousness often associated with having large pendulous breasts is as important an issue to many women as the physical discomfort and pain

After the incision is made, the nipple, which remains attached to its original blood and nerve supply – is then repositioned. If necessary, the areola is reduced by excising skin at the perimeter. Underlying breast tissue is reduced, lifted, and shaped

For extremely large pendulous breasts a free nipple graft technique may be necessary

4.) Breast Reconstruction - (following mastectomy for cancer)

Breast reconstruction surgery can be achieved through a variety of techniques

Implant and ADM

A breast implant is placed submuscularly immediately following mastectomy typically an acellular dermal matrix (ADM) is used to provide an “internal bra” at the same time

Flap reconstruction

Donor site – abdomen

TRAM flap – abdominal muscle tissue, skin and fat are used to create breast shape

Donor Site – Back

LD flap – back muscle, skin, fat and usually a small implant are used to create breast shape.

CORRECTION OF ENLARGED MALE BREASTS (GYNECOMASTIA)

Glandular and fatty tissue is removed through a small incision near the edge of the areola

Only in extreme cases is it necessary to remove skin

I sincerely appreciate my patients graciously allowing the use of their photos for educational purposes. They may help alleviate the anxiety of a patient considering plastic surgery as well asmsupport others with their decision to proceed with plastic surgery.