Breast Augmentation (Augmentation Mammaplasty)
Breast augmentation is the most frequently performed cosmetic surgery procedure 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.
Implants are silicone shells filled with saline (salt water) and 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.
Mastopexy (or Breast Lift) reshapes the breasts and repositions the areolas. This procedure is usually performed on women who have been pregnant multiple times and breastfed their babies, or on bariatric surgery patients who have lost a significant amount of weight. In either case, the deflated look or excess skin in the breast area can be disconcerting to the individual, who may desire aesthetic improvement. When performed on bariatric surgery patients, the procedure is usually combined with breast augmentation (enlargement) to better fill the empty space vacated by the fat loss.
The breast lift operation is performed under general anesthesia or heavy sedation combined with a local anesthetic. The skin below the breast is generally removed to excise excess skin from the area. The nipple is then moved higher up on the breast to better situate it in relation to the new breast positioning. The skin above the breast is pulled around to create a swell and to tighten the remaining area of skin around the glands and fatty tissue of the breast for a more youthful appearance. The areolas can also be resized if necessary. Some doctors may also place small drains to help reduce swelling for the first day or so following surgery; these drains will be removed soon after in a follow-up visit less than three days after surgery.
The full recovery time of this procedure is usually around a month, but patients can generally return to desk jobs within 10 to 14 days. A supportive bra must be worn everyday for the full recovery period to ensure proper healing. Pain medication is prescribed for the week following surgery, as well as antibiotics to reduce the likelihood of infection. Although scarring is likely, most of the scars associated with breast lift surgery are readily hidden by a normal bra. These scars will fade over time to become almost invisible to the naked eye.
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.
Male Breast Reduction (Gynecomastia Treatment)
Although rarely discussed, enlarged male breasts is a common condition.Gynecomastia affects approximately 40 to 60 percent of men.There is often no known cause for gynecomastia, although there has been some correlation with various drugs or medical conditions.
Men who feel self-conscious about their appearance are helped with breast reduction surgery. The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a contoured chest that is flatter and firmer.
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