Breast

Women may decide to undergo plastic surgery to enlarge or reduce their breasts, to achieve a balance in size or shape for their breasts, or to reconstruct one or both breasts after mastectomy. Men may also seek to reduce breast size. Whatever the motivation, breast surgery is safer and easier now than ever before. Please review the list of services we provide to help you make an informed decision and achieve the most satisfying results.


Breast Augmentation (including endoscopic axillary augmentation)

Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. It can give women with small or unevenly-sized breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy or surgery. The procedure may be combined with others such as a breast lift for more satisfying results.

Breast implants are silicone shells filled with either saline (salt water) or silicone gel (recently approved by the FDA). They are placed behind each breast, underneath either breast tissue or the chest wall muscle. The procedure lasts one to two hours and is typically performed with general anesthesia. After surgery the patient's bustline may be increased by one or more cup sizes.

See How Breast Augmentation with Saline is Done

See How Breast Augmentation with Silicone is Done


Mastopexy (breast lift)

A woman's breasts may droop as a result of the natural effects of aging, heredity, gravity, pregnancy, breastfeeding, or weight loss. A breast lift, also called a mastopexy, is performed to return youthful shape and lift to breasts that have sagged or lost volume and firmness.

Breast lifts rejuvenate the breasts by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour. After a mastopexy, the breasts are higher on the chest and firmer to the touch. Breast lifts can also reposition and reduce the size of the areola-the dark skin surrounding the nipple - which may have stretched or drooped.

Mastopexy is usually performed on an outpatient basis under general anesthesia and lasts from 1 to 3 hours. Most patients are immediately satisfied with their new breasts and can typically return to work one to two weeks following the procedure.

See How a Mastopexy is Done


Augmentation Mastopexy (breast augmentation with breast lift)

A breast lift with augmentation is a combination procedure that restores a youthful shape and lift to the breasts, while also increasing their size. Breast lifts rejuvenate the breasts by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour, while breast augmentation can change the size and fullness of the breast for an overall improved appearance. By combining these procedures, patients can enjoy fuller, perkier breasts and eliminate the need for multiple procedures and costs.

The breast lift and augmentation procedure is performed using techniques similar to a standard breast lift, except that a saline or silicone implant is also inserted during the same procedure. There are several incision techniques available for this procedure; your surgeon will decide which one is best for you.

See How Augmentation Mastopexy is Done


Breast Reduction

Large breasts can negatively impact a woman both physically and emotionally, causing symptoms such as chronic back pain, rashes, poor posture, low self-esteem and restricted activity. Many women seek treatment to reduce the painful effects of their large breasts, while also improving their self-confidence and overall quality of life. Also known as reduction mammaplasty, breast reduction surgery reduces the size of large, disproportionate breasts by removing excess fat, tissue and skin for a more desirable appearance and relief of physical and emotional symptoms.

During the breast reduction procedure, the surgeon makes either two circular incisions around the nipple or an anchor incision that circles the nipple and extends down the breast and along the breast crease. Fat and glandular tissue is then removed, while excess skin is tightened to produce a smaller, natural-looking breast. In some cases, the nipple and areola may need to be removed and then repositioned higher on the breast.

The results of a breast reduction are visible right away and will continue to improve as swelling and bruising subside. Scars will continue to fade over time, becoming less and less noticeable.

See How Breast Reduction is Done


Gynecomastia Surgery (male breast reduction)

Gynecomastia is a common condition that affects nearly half of all men, resulting in localized fat and/or glandular tissue in the breasts. For most cases of gynecomastia, the cause is unknown, but this condition may be linked to certain medications or diseases. Many men are embarrassed by this condition and seek treatment to achieve a smooth, contoured chest through male breast reduction.

Male breast reduction may be performed using liposuction, surgery or a combination of the two, depending on the amount and type of tissue found in the breasts. If the breasts consist of mostly fatty tissue, liposuction may be used to suction out fat from an incision in the nipple or underarm areas. For breasts with an excessive amount of glandular tissue, excision surgery may be performed, which requires cutting away the excess fat, skin and tissue through a larger incision. Your surgeon will determine which technique is best for you based on your individual goals for surgery.

After breast reduction surgery, patients will usually be able to return home the very same day. Post-operative symptoms may include swelling and discomfort, which can be managed through pain medication and compression garments worn for the first few days after surgery. Patients will be able to return to work once they feel well enough, but should avoid sexual activity and strenuous exercise for a week or two while the chest heals. For most patients, breast reduction surgery produces a flatter, more well-defined chest that can last for many years, as long as patients maintain a stable weight.


Fat Transfer

Also called micro-lipoinjection or fat transplantation, autologous fat transfer involves the removal and relocation of the patient's own body fat to plump up an area that has lost volume as a result of surgery, injury, aging or another cause. Fat is removed through liposuction, often from the abdomen, buttocks or thighs. It is then processed and injected into the area being treated. Both sites are numbed with local anesthesia.

The procedure is commonly used for breast augmentation. Because the transplanted fat comes from the patient, it does not carry a risk of allergic reaction or rejection. Other advantages include a short recovery time, long-lasting results and effectiveness on any skin type.

To learn more about our Aesthetic & Reconstructive Plastic Surgery Services, please contact us at 408-559-7177 today to schedule an appointment.


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