Augmentation

Breast enlargement, known as augmentation mammoplasty, can enhance the body contour of a woman who is unhappy with her breast size. This procedure may also be used to improve the loss of breast volume following pregnancy and nursing. Additionally, the operation may help balance breast asymmetries. Saline filled or the newly FDA approved silicone gel implants may be surgically implanted by three standard routes with placement either above or below the chest muscle. The standard routes are periareolar (around the areola), inframammary (lower breast folds) and transaxillary (arm pits). Also, saline implants may be placed transumbilically (via the navel).

The implant is composed of an outer flexible, silicone shell and filled with either saline or silicone gel. The outer surface may be smooth or textured. Implants also have various sizes, profiles and shapes to meet the individual needs of each woman.

While breast augmentation will enlarge the breasts, the surgery will not alter underlying basic defects in breast shape and form. Major asymmetries may be improved but will not be completely corrected with breast enlargement alone. A noticeable difference in the size, shape or orientation of the two breasts is considered normal and is actually the rule. If breast size and/or nipple position asymmetries are severe, additional procedures to further improve symmetry may be necessary. This procedure is done safely under twilight sedation and tumescent (local) anesthesia.

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Breast Lift

As women age, the breasts lose shape and firmness. The skin gradually loses its elasticity and no longer holds the breasts in a youthful, upright position. Pregnancy, breast feeding, weight gain and loss also add to the loss of skin elasticity. Women who have sagging breasts (ptosis) my benefit from breast lift (mastopexy). If there are also problems of excess volume or size of the breasts, a reduction may also be done at the same time. Volume loss may be corrected by breast augmentation at the same time. Asymmetries may also be improved.

Excess skin is removed, the nipple areolar (dark skin around the nipple) complex is lifted and the breasts are recontoured to create a more youthful appearance with firmer breasts. Depending on preoperative size, appearance and assymetries, the nipple areolar complexes may also be reduced. There are incisions made directly on the breasts which may extend around the nipple areolar complex, into the front of the breast and into the breast fold, depending on the degree of droop, asymmetry and volume considerations. This procedure is done safely under twilight sedation and tumescent (local) anesthesia.

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Breast Reduction

Breast reduction is designed to reduce the size of a woman’s breasts. It may also improve the overall appearance or shape of the breast and help balance breast asymmetries. It helps in treatment of physical complaints such as neck, shoulder and back pain experienced by many women with large breasts.

Skin, along with breast tissue and fat are removed to create smaller, shapelier breasts. An added benefit where ptosis (droop) exists is a simultaneous uplift of the nipple areolar complex to a more normal position. The areola (darker skin which surrounds the nipple) may also be reduced in size and made more symmetric. This procedure is done safely under twilight sedation and tumescent (local) anesthesia.

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