BREAST 

Breast Augmentation

Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures. (The American Society for Aesthetic Plastic Surgery)

When to Consider a Breast Augmentation: 

Whether you are in your early 20's and have always wanted larger breasts, or if you have already had children, breast augmentation can be right for you.

  • Implants come in all shapes and sizes and the idea is to try and provide fullness that is proportionate to their frame.

  • For some women, just adding some fat can provide the fullness in the tops of their breasts that they have lost over the years. While some women want “natural” and others want “maximum volume”, reviewing photos is helpful to try and make sure we are on the same page.

  • The Vectra 3D imaging takes the leap of faith away, as it allows us to demonstrate a simulation of a breast augmentation with a particular size and style implant. It shows the simulation with and without clothes.

 

Saline vs. Silicone- In the past we offered saline implants as well as silicone gel implants. Unfortunately, saline implants have a lot of disadvantages (rippling, less natural look and feel, deflation, higher contracture rates, etc.). The silicone gel implants that we use have been in use and studied for 20 years. They look and feel very natural and re-operation/revision rates are about 5%.

Breast Lift

A breast lift, also known as a mastopexy addresses sagging and uneven breasts, decreased breast volume and drooping nipples and stretched areolas (the darker area surrounding the nipples), recreating a youthful shape and lift to your breasts. If there is too little or too much breast volume, a breast augmentation or breast reduction might be recommended in addition to a lift. Every year, thousands of women undergo successful breast-lift surgery, experience no major problems and are pleased with the results. (American Society for Aesthetic Plastic Surgery)

When to Consider a Breast Lift (Mastopexy): 

During your consultation and exam is done along with measurements. One of the key landmarks is the inframammary fold which is the crease underneath the breast. If the nipple position sits below that, it is usually necessary to perform a mastopexy.

What is the closure like in terms of the scar pattern? In the majority of cases, there is a circle around the areola and a vertical line directly beneath it like a lollipop. Sometimes there is an additional scar along the bottom that is hidden in the crease. All of these usually heal very well.

During your consultation and exam is done along with measurements. One of the key landmarks is the inframammary fold which is the crease underneath the breast. If the nipple position sits below that, it is usually necessary to perform a mastopexy.

Breast Reconstruction

Breast reconstruction includes a variety of procedures performed to restore the form and shape of the breast, following mastectomy or lumpectomy surgery. Factors such as individual anatomy, aesthetic goals and the need for any post-surgical chemotherapy or radiation will determine your options. Discussing your cancer surgery with a plastic surgeon before undergoing mastectomy is crucial, because the proposed cancer removal surgery may significantly affect the choices and the results of any type of breast reconstruction.  (American Society for Aesthetic Plastic Surgery)

Breast Reduction

The goal of breast reduction surgery is to reduce the size of your breasts and reshape them so that they are proportionate to the rest of your body and are no longer a source of physical discomfort. This commonly requested, predictable procedure has the dual benefits of improving your appearance while relieving the physical and emotional burden of overly large breasts. (American Society for Aesthetic Plastic Surgery)

When to Consider a Breast Reduction:  

If your breasts are clearly disproportionate to your frame and result in neck and shoulder pain, shoulder grooving, poor posture, etc. ( over the age of 18). A lift is done at the same time and so the re-suspension of the breast higher on the chest takes a lot of stress off of the neck and shoulders. The amount of breast tissue that is to be removed as well as the original shape dictates the type of closure. Smaller reductions can be closed in a lollipop fashion, while larger reductions with a lot of skin excess are closed in an anchor fashion.

Breast Revision

Breast implant revision surgery, which commonly involves removal and/or replacement of saline or silicone breast implants, is performed to change the size or type of your implants and to correct any complications from your primary breast augmentation. The overall goal is to restore a youthful breast contour and appearance. (The American Society for Aesthetic Plastic Surgery)

When to consider a Breast Revision:

For many women who have had children following their initial augmentation, their breast envelope might have stretched resulting in the nipple position sitting too low.

 

For those who have saline implants, they often don’t realize how firm their implants have become. Implants should be soft and barely palpable. Saline implants also have a tendency to become laterally displaced when patients lie down resulting in a large space between their breasts. Capsular contracture is an abnormal hardening or thickening of the capsule that surrounds the implant and occurs only 6% of the time. If the breast becomes hard and firm as a result, the scar tissue can be removed, and the implant replaced.

Areola Reduction

The areola is the dark pigment that surround the nipple. It can be anywhere from 30 mm to over 100 mm. Once over 55 mm it is typically disproportionately wide and is usually decreased during the lift or reduction.

When to Consider an Areola Reduction:

When to Consider an Areola Reduction: Although it can be done as an isolated procedure, areolar reduction is usually done as part of the lift/reduction.

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COMPLETE GUIDE

4701 Bee Cave Rd., Suite 202

Austin, TX 78746

T: 512-300-2600

F: 512-300-2602

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