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Procedure - Breast

Breast Procedures

Modern breast surgery offers numerous options for enhancing, reducing, or reshaping breast tissue. Our comprehensive approach ensures each patient receives a customized treatment plan using the latest surgical techniques and technology.

BREAST AUGMENTATION

Implant-Based Augmentation

Implant Material: 
  • Natural look and feel
  • Cohesive gel technology (“gummy bear”)
  • Multiple consistency options
  • Highly durable construction 
  • Adjustable volume
  • Smaller incision required
  • Natural salt water solution
  • Easy detection of rupture 
Implant Shapes
  • Creates fuller upper pole
  • Excellent cleavage enhancement
  • Multiple projection options
  • Less rotation concern 
  • Natural slope and contour
  • Better lower pole fullness
  • Various height and projection combinations
  • Ideal for breast reconstruction
Size and Volume: 
  • Range from 150cc to 800cc
  • Custom-selected based on:
    • Chest wall measurements
    • Existing breast tissue
    • Skin elasticity
    • Patient goals
    • Body proportions 
Surgical Approaches
  • Most common approach
  • Well-hidden in natural crease
  • Allows precise pocket creation
  • Suitable for all implant types 
  • Concealed in pigment transition
  • Limited by areola size
  • Ideal for smaller implants
  • May affect breastfeeding 
  • No breast incisions
  • Best for saline implants
  • Endoscopic technique
  • Limited revision options 
  • More natural upper pole
  • Better implant coverage
  • Lower risk of capsular contracture
  • More post-operative discomfort 
  • Faster recovery
  • Less animation deformity
  • Good soft tissue coverage
  • Natural movement 
  • Customized muscle coverage
  • Optimal implant position
  • Prevents double-bubble
  • Better lower pole shape 

Fat Transfer Augmentation

Natural enhancement using your own tissue: 

Harvests fat through liposuction

Purifies and processes fat cells

Strategic injection for natural results

Multiple sessions may be needed

Provides subtle size increase

Improves breast shape and contour

BREAST REDUCTION

Reduction Techniques

  • Traditional technique
  • Maximum tissue removal possible
  • Three-part incision pattern
  • Ideal for significant reduction
  • Allows precise shape control
  • Best for severe ptosis 
  • Limited scar technique
  • Moderate tissue removal
  • No horizontal scar
  • Faster recovery
  • Better long-term shape
  • Suitable for moderate cases 
  • Minimal scar technique
  • Limited tissue removal
  • Circular scar around areola Quick recovery time
  • Best for minor reductions
  • Can include lift component 

BREAST LIFT (Mastopexy)

Mastopexy Variations

  • Reshapes existing breast tissue
  • Elevates nipple position
  • Removes excess skin
  • Improves breast projection
  • Various incision options
  • Natural-looking results 
  • Combined lift and implants
  • Single-stage procedure
  • Addresses volume and position
  • Customized implant selection
  • Comprehensive enhancement
  • Complex surgical planning 

Lift Techniques

  • Minimal lifting
  • Small scar above areola
  • Qick recovery
  • Limited correction
  • Natural-looking results
  • Best for minor ptosis 
  • Moderate lifting
  • Scar around areola
  • Reduces areola size
  • Limited tissue reshaping
  • Good for mild ptosis
  • Can include small implants 
  • Significant lifting
  • Lollipop-shaped scar
  • Better shape control
  • Long-lasting results
  • Moderate recovery time
  • Suitable for most cases 
  • Maximum lifting
  • Anchor-shaped scar
  • Complete tissue reshaping
  • Dramatic improvement
  • Longer recovery
  • Best for severe ptosis 

Recovery and Results

Recovery varies by procedure: 

Augmentation Recovery

  • 1-2 weeks initial recovery
  • Restricted upper body activity
  • Compression garments required
  • Final results at 3-6 months
  • Regular implant monitoring
  • Long-lasting outcomes 

Reduction Recovery

  • 2-3 weeks initial recovery
  • Drainage tubes possible
  • Gradual activity resumption
  • Scar management important
  • Results visible immediately
  • Continued settling for 6-12 months 

Lift Recovery

  • 2-3 weeks initial healing
  • Careful activity restrictions
  • Support garments needed
  • Progressive improvement
  • Final shape at 6-12 months
  • Maintenance of results with proper care 
Each procedure is customized to your unique anatomy and goals. During your consultation, we’ll discuss the most appropriate techniques and create a personalized surgical plan to achieve your desired outcome.

Frequently Asked Questions About Breast Augmentation Surgery

Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure that increases breast size or restores breast volume using implants or fat transfer. The procedure can enhance breast shape, improve symmetry, and help achieve desired proportions for a more balanced figure.

Available options include:

  • Silicone gel implants: Offer a natural feel and less rippling
  • Saline implants: Filled with sterile salt water
  • Form-stable implants (“gummy bear”): Maintain shape even if shell breaks
  • Round vs. anatomical (teardrop) shapes
  • Textured vs. smooth surfaces
  • Various sizes and projections

The surgery typically involves:

  • 1-2 hours under general anesthesia
  • Incision placement options (inframammary, periareolar, or transaxillary)
  • Implant placement either above or below chest muscle
  • Careful pocket creation and implant positioning
  • Meticulous closure techniques

Ideal candidates should:

  • Be in good overall health
  • Have realistic expectations
  • Be at least 18 for saline implants (22 for silicone)
  • Have fully developed breasts
  • Not be pregnant or nursing
  • Be non-smokers or willing to quit
  • Have stable weight

Required preparations include:

  • Comprehensive medical history
  • Physical examination
  • Breast examination and measurements
  • Mammogram if age-appropriate
  • Blood work and other necessary tests
  • Review of medications and supplements

Preparation guidelines include:

  • Stop smoking at least 6 weeks before surgery
  • Avoid blood-thinning medications
  • Arrange for transportation and aftercare
  • Prepare recovery area at home
  • Purchase recommended post-surgical items
  • Follow specific dietary instructions

Initial recovery involves:

  • Wearing a surgical bra or compression band
  • Moderate discomfort managed with medication
  • Some swelling and bruising
  • Limited arm movement
  • Sleeping in an elevated position
  • Regular follow-up appointments

Recovery timeline typically includes:

  • 1 week off work (office jobs)
  • 2-3 weeks for more physical jobs
  • No heavy lifting for 4-6 weeks
  • Return to light exercise after 3-4 weeks
  • Full exercise resumption after 6-8 weeks
  • Final results visible after 3-6 months

Post-operative care includes:

  • Wearing prescribed support garments
  • Following specific shower/bathing instructions
  • Performing recommended massage techniques
  • Taking prescribed medications
  • Attending follow-up appointments
  • Gradually increasing activity levels

Possible complications include:

  • Capsular contracture (scar tissue formation)
  • Changes in sensation
  • Infection
  • Bleeding or hematoma
  • Implant displacement
  • Asymmetry
  • Rippling or wrinkling
  • Need for revision surgery
  • Implant rupture or leakage
  • BIA-ALCL (rare form of lymphoma associated with textured implants)

Seek immediate medical attention if you experience:

  • Severe pain not controlled by medication
  • Unusual swelling or redness
  • Fever above 101.5°F
  • Shortness of breath
  • Chest pain
  • Signs of infection
  • Implant displacement

Understanding outcomes:

  • Enhanced breast size and shape
  • Improved proportion and symmetry
  • Better fitting clothes
  • Results appear gradually as swelling subsides
  • Scars fade over time
  • Long-lasting but not permanent results

Important considerations include:

  • Implants may need replacement eventually
  • Regular monitoring required
  • Cannot prevent natural aging changes
  • May affect breast cancer screening
  • Future pregnancies may affect results
  • Not a solution for severely drooping breasts

Implant longevity:

  • Not considered lifetime devices
  • May need replacement after 10-15 years
  • Regular monitoring recommended
  • MRI/ultrasound screening as advised
  • Replace if complications develop
  • Some women never need replacement

Coverage details:

  • Usually considered cosmetic and not covered
  • Reconstruction after mastectomy typically covered
  • Financing options often available
  • Cost varies by implant type and complexity
  • Consultation may have separate fee
  • Future maintenance costs should be considered

Total expenses typically include:

  • Surgeon’s fees
  • Anesthesia fees
  • Facility costs
  • Implant costs
  • Surgical garments
  • Medications
  • Follow-up visits
  • Possible future procedures

Breastfeeding considerations:

  • Most women can breastfeed
  • Discuss plans with surgeon
  • Incision placement may affect ability
  • Regular monitoring during pregnancy
  • Possible changes in sensation
  • May affect milk production

Screening considerations:

  • Special mammogram techniques required
  • Inform technician about implants
  • Additional views may be needed
  • Regular screening important
  • Some tissue may be harder to visualize
  • Alternative screening methods available

Activity guidelines:

    • Gradual return to exercise
    • Modified techniques for chest exercises
  • No high-impact activities initially
  • Listen to your body
  • Follow surgeon’s specific timeline
  • Long-term activity restrictions minimal

Frequently Asked Questions About Breast Reduction Surgery

Breast reduction surgery, also known as reduction mammoplasty, is a procedure that removes excess breast tissue, fat, and skin to achieve a breast size more proportionate to your body. The surgery also helps alleviate physical discomfort and improves the shape and position of the breasts.

Common reasons include:

  • Neck, back, and shoulder pain
  • Difficulty exercising or participating in activities
  • Skin irritation under breasts
  • Poor posture
  • Difficulty finding properly fitting clothes
  • Self-consciousness about breast size
  • Asymmetry between breasts

The procedure typically involves:

  • General anesthesia for 2-4 hours
  • Incisions around the areola and vertically down the breast
  • Removal of excess tissue, fat, and skin
  • Reshaping of remaining tissue
  • Repositioning of nipple and areola
  • Careful closure to minimize scarring

Different surgical approaches include:

  • Traditional anchor or inverted-T incision
  • Vertical (lollipop) technique
  • Liposuction-assisted reduction
  • Short-scar techniques
  • Free nipple graft (for very large reductions)

Before considering surgery, some alternatives include:

  • Weight loss if overweight
  • Supportive bras and clothing
  • Physical therapy
  • Pain management techniques
  • Exercise and posture improvement
  • However, these may not address all concerns

Ideal candidates should:

  • Be in good overall health
  • Have fully developed breasts
  • Be at a stable weight
  • Be non-smokers or willing to quit
  • Have realistic expectations
  • Be experiencing physical symptoms
  • Not be planning pregnancy soon

Required preparations include:

  • Comprehensive medical history
  • Physical examination
  • Breast examination and measurements
  • Mammogram if age-appropriate
  • Blood work and necessary tests
  • Review of medications and supplements

Preparation guidelines include:

  • Stop smoking at least 6 weeks before surgery
  • Avoid blood-thinning medications
  • Arrange for transportation and aftercare
  • Prepare recovery area at home
  • Purchase recommended post-surgical items
  • Follow specific dietary instructions
What should I expect immediately after surgery?

Initial recovery involves:

  • Wearing a surgical bra or compression garment
  • Moderate discomfort managed with medication
  • Some swelling and bruising
  • Limited arm movement
  • Drains may be present for several days
  • Regular follow-up appointments
Recovery timeline typically includes:
  • 1-2 weeks off work
  • No heavy lifting for 4-6 weeks
  • Return to light exercise after 3-4 weeks
  • Full exercise resumption after 6-8 weeks
  • Continued improvement in shape over 6-12 months
  • Final results visible after complete healing 

Post-operative care includes:

  • Wearing prescribed support garments
  • Keeping incisions clean and dry
  • Following shower/bathing instructions
  • Taking prescribed medications
  • Attending follow-up appointments
  • Gradually increasing activity levels

Possible complications include:

  • Changes in nipple/breast sensation
  • Delayed wound healing
  • Infection
  • Bleeding or hematoma
  • Asymmetry
  • Scarring concerns
  • Difficulty breastfeeding
  • Loss of nipple/areola tissue (rare)
  • Need for revision surgery

Seek immediate medical attention if you experience:

  • Severe pain not controlled by medication
  • Unusual swelling or redness
  • Fever above 101.5°F
  • Shortness of breath
  • Chest pain
  • Signs of infection
  • Opening of incisions

Understanding outcomes:

  • Smaller, more proportionate breasts
  • Relief from physical symptoms
  • Improved ability to exercise
  • Better fitting clothes
  • Scars that fade over time
  • Long-lasting results with stable weight

Important considerations include:

  • Permanent scarring
  • Possible changes in sensation
  • May affect breastfeeding ability
  • Cannot prevent natural aging changes
  • Future weight changes may affect results
  • Pregnancy can alter results

Coverage details:

  • Often covered if medically necessary
  • Documentation of symptoms required
  • Minimum tissue removal may be required
  • Prior conservative treatment history needed
  • Coverage varies by provider
  • Pre-authorization usually required

Requirements typically include:

  • Photos documenting breast size
  • Records of physical symptoms
  • History of conservative treatments
  • Documentation from primary care physician
  • Mammogram results if applicable
  • Physical therapy records if relevant

Total expenses typically include:

  • Surgeon’s fees
  • Anesthesia fees
  • Facility costs
  • Surgical garments
  • Medications
  • Follow-up visits
  • Insurance deductibles/copays

Breastfeeding considerations:

  • Ability varies by surgical technique
  • Discuss plans with surgeon
  • Some women can successfully breastfeed
  • Cannot guarantee breastfeeding ability
  • Consider timing if planning pregnancy
  • Regular monitoring during pregnancy

Screening considerations:

  • Inform technician about surgery
  • New baseline mammogram needed
  • Regular screening important
  • Some changes in breast tissue expected
  • May need additional views
  • Scars can be documented for future reference

There are several established techniques, each with specific advantages:

  1. Wise Pattern (Anchor/Inverted-T) Technique:
    • Creates an anchor-shaped incision
    • Provides maximum access to breast tissue
    • Allows significant reduction and reshaping
    • Best for very large breasts
    • Offers excellent control of final breast shape
    • Results in an inverted-T shaped scar
  2. Vertical (Lollipop) Technique:
    • Creates a circular incision around areola and vertical line down
    • Eliminates the horizontal scar under the breast
    • Suitable for moderate reductions
    • Creates better projection
    • May result in improved long-term shape
    • Usually leads to less scarring
  3. Short Scar Technique:
    • Modified version of vertical technique
    • Minimizes overall scar length
    • Best for moderate breast reductions
    • May have longer healing time
    • Can result in temporary puckering at scar end
    • Not suitable for very large reductions
  4. Liposuction-Assisted Reduction:
    • Used alone or in combination with other techniques
    • Best for fatty breast tissue
    • Minimal scarring
    • Limited reshaping ability
    • Cannot address excess skin
    • Ideal for small reductions

Technical considerations include:

  • Measurements from sternal notch
  • Assessment of breast footprint
  • Consideration of final breast size
  • Use of surgical marking templates
  • Evaluation of tissue quality
  • Patient’s height and build

Factors influencing technique selection:

  • Amount of tissue to be removed
  • Breast composition (glandular vs. fatty)
  • Skin quality and elasticity
  • Degree of ptosis (sagging)
  • Patient’s body frame
  • Healing considerations
  • Patient’s aesthetic goals

Vascular considerations include:

  • Preservation of medial and lateral blood supply
  • Careful planning of pedicle design
  • Maintenance of dermal attachment
  • Assessment of nipple-areola viability
  • Monitoring of tissue perfusion
  • Careful handling of breast tissue

The process involves:

  • Careful weight and volume measurements
  • Systematic approach to tissue removal
  • Preservation of important structural elements
  • Maintenance of breast shape
  • Balance between sides
  • Consideration of final breast projection

Symmetry techniques include:

  • Pre-operative marking in standing position
  • Intraoperative measurements
  • Sequential tissue removal
  • Comparison of breast weights
  • Assessment in sitting position
  • Fine adjustments during closure

Important factors include:

  • Pedicle selection (superior, inferior, or central)
  • Blood supply preservation
  • Nerve preservation when possible
  • Appropriate diameter sizing
  • Position marking techniques
  • Tension-free placement

Shaping techniques involve:

  • Internal tissue rearrangement
  • Creation of breast pillars
  • Consideration of breast footprint
  • Management of tissue thickness
  • Assessment of projection
  • Creation of natural slope