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:

 

  1. Increase fullness and protection of your breasts
  2. Improve the balance of your figure

 

Breast Augmentation diagram

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 Augmentation Armpit incision
Breast Enlargement armpit scarring no scarring plastic surgery
Breast Enlargement armpit scarring no scarring plastic surgery

Breast Lift - (Mastopexy)

Breast lift surgery may be a good option for you if: 
  1. Your breasts have a flatter, elongated shape or are pendulous 
  2. When unsupported, your nipples fall below the breast crease
  3. Your nipples and areolas point downward 
  4. You have stretched skin and enlarged areolas 
  5. One breast is lower than the other
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Reshaping your breasts

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

  1. The nipple and areola are lifted to a natural more youthful height
  2. If necessary, enlarged areolas are reduced by excising skin at the perimeter
  3. 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

breast lift diagram dr patrick kelley panama city florida
breast lift dr patrick kelley best plastic surgery panama city florida

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

Breast Reconstruction diagram

Flap reconstruction 

Donor site – abdomen 

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

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Donor Site – Back

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

breast reconstruction reconstructive surgery plastic and facial surgery center patrick kelley
Breast reconstruction back flap plastic surgery

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 

Gynecomastia enlarged male breasts plastic surgery body contouring

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.

Patrick M. Kelley M.D.