Breasts

Breast augmentation is also called breast enlargement or breast enhancement in simpler terms. Its a surgical procedure to increase the size of the breasts and improve the shape making them perkier and more appealing. In a lot of females with lack of breast tissue, it can serve to enhance femininity and increase their self confidence.

Breast augmentation can be done as a stand alone procedure or combined with other procedures like body sculpting.

How does he do it?

Breast augmentation is usually done using silicone (preferred) or saline implants. These are inert substances which do not react with the body and do not cause any harm to the general health of the patient.

Implants can be placed either above the muscle (subglandular) or under the muscle (submuscular or dual plane).

The surgery is done under general anesthesia as a day care surgery and most patients go home the same night after the surgery.

A pressure garment is supposed to be worn for a month following the surgery to help reduce the swelling and provide comfort to the patient.

Candidates :

1. Women with small breasts.
2. Women after weight loss or pregnancy who have lost volume in the breasts
3. Women with some sagging of breasts due to pregnancy, weight loss or aging process.
4. Asymmetrical breasts
5. Reconstruction of breasts after breast removal surgery due to mastectomy or breast cancer.

Note : Women with excess sagging of the breasts would need an additional procedure like a “breast lift” besides implant to lift the breast tissue and the nipples as well as give volume to the breasts.

Dr. Ganatra performs breast augmentation frequently in patients who desire natural feel of the breasts and fuller, perkier breasts proportionate to their body structure. 

Breast reduction is an extremely common procedure done for females with disproportionately large breasts. These can be a serious cause of discomfort and social embarrassment. This procedure not only makes the breasts smaller but also shapes them to make them perkier. 

Candidates for the procedure are large sagging breasts, back pain/neck pain/ shoulder pain/ breast pain, bra strap grooving, change in posture, etc.

Dr. Ganatra performs breast reduction either with a Lollipop scar (a circular and a vertical scar) or an inverted T shaped scar (a circular, vertical and a horizontal scar). 

Note : Very rarely, in women who have undergone a breast lift before, or who have bigger not not sagging breasts, Dr. Ganatra performs a liposuction of  breasts to reduce the volume of the breasts.

However he does not consider liposuction to be a great treatment for breast reduction as it cannot remove the glandular part of the breasts and also it can cause more sagging of the breasts.

Breast lift also known as mastopexy is a common procedure done for females with sagging breasts. In a breast lift, only the excess skin is removed and the breast tissue is lifted up (repositioned), without removing much breast tissue unlike breast reduction in which the goal is to debulk or reduce the volume of the breasts.

Candidates for breast lift are females with sagging breasts (but good volume) which can happen commonly after pregnancy or with age.

Dr. Ganatra performs breast lift either using an incision around the areola (per-areolar lift) or using an incision around the areola and a vertical incision down to the fold (Lollipop scar) or a circular, vertical and a horizontal scar (Inverted T shape scar).

Note :

Breast lift can be done with or without implants or fat transfer. The decision for the same depends upon the patient’s wishes, future plans for pregnancies and breast feeding, and her body proportions.

Breast lift (mastopexy) with implants is also known as augmentation mastopexy. In this surgery, the excess skin is removed and the breast tissues are repositioned and an implant is placed, either under the muscle or above the muscle.

Candidates for breast lift with implants are females with sagging breasts and poor volume in the breasts which can happen after pregnancy and breast feeding or with age.

Dr. Ganatra performs breast lift with implants either using an incision around the areola with an incision in the breast fold to insert the implants (per-areolar lift) or using an incision around the areola and a vertical incision down to the fold (Lollipop scar) or a circular, vertical and a horizontal scar (Inverted T shape scar).

The decision for the same depends upon the patient’s wishes, future plans for pregnancies and breast feeding, and her body proportions.

Note :

Breast lift with implants can be done in a single stage like mentioned above or in two stages. In the two staged method, the breasts are first lifted up (breast lift). Once the breast tissue and the scars are stabilized, after 6 months, the second stage is performed in which the implants of desired size can be inserted. 

Female breasts have fatty and glandular tissue elements. Liposuction is mainly done for the fatty tissue element.

Very rarely, in women who have undergone a breast lift before, or who have bigger not not sagging breasts, Dr. Ganatra performs a liposuction of  breasts to reduce the volume of the breasts.

However he does not consider liposuction to be a great treatment for breast reduction as it cannot remove the glandular part of the breasts and also it can cause more sagging of the breasts

Not every woman would prefer having implants in their breasts. Fat is natural body tissue that can be injected in the breasts to give volume to the breasts.

In this procedure, fat is harvested from a part of the body with the help of liposuction and processed and injected in the breasts in a safe and artistic manner. 

Advantages of breast fat transfer :

1. Fat is removed from the areas which have excess annoying fat.
2. Silicone implants have their own set of complications and risks which are avoided with this procedure.
3. Fat once settled feels natural.
4. Minimal scars needed to perform this procedure (virtually scarless)

Disadvantages of breast fat transfer : 

1. Not all the fat stays. Only 40-50% of the fat is retained, the rest is absorbed by the body. So the results could be unpredictable.
2. Fat transfer might need multiple sessions to reach the desirable size.
3. Fat transfer cannot give the projection that implants can give.
4. Implants stay the same size regardless of whether the patient becomes skinny or gains weight.

Dr. Ganatra very commonly performs fat transfer to the breasts using his signature 4-quadrant customized technique to shape and sculpt the breasts and make them look voluptuous and perky.