Breast Clinic

Breast 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.Long term experience with breast enhancement surgery has demonstrated that this operation has a high patient satisfaction rate.
Who is a candidate?
  • Women who want larger breasts.
  • Women who want to improve their breast shape.
  • Healthy women without connective tissue diseases.
  • Healthy women without breast malignancy.
breast-agm
Intended results
  • Larger and shapelier breasts.
  • Less asymmetry and size difference.
Procedure description
Breast Augmentation is usually performed in an accredited surgical facility under general anesthesia or conscious sedation with local anesthesia.
Surgical scar(s) are usually hidden as much as possible in skin folds.
Saline or silicone implants may be placed either above or below the chest muscle.
Recuperation and Healing
  • Discomfort is controlled with oral medications and long-acting local anesthesia.
  • A soft bra or compression garment is usually worn for several days postoperatively.
  • Patients are usually discharged to the care of a responsible adult and recover at home.
  • All sutures are usually removed in 1-2 weeks.
  • Light activity may be resumed in 7 days. Sports activities may be resumed in 3-6 weeks (depending on your surgeon).
Other options
  • Breast lift if sagging is an issue.
  • Areolar reduction.
Note
The specific risks and suitability of this procedure for a given individual can be determined only at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Male Breast Reduction (Gynecomastia)

Excess male breast development is called gynecomastia. This condition may occur in men due to a variety of causes including weight gain or loss, use of certain drugs like hormones or steroids, fatty tumors, genetic predisposition or hormonal imbalances. In many cases, no cause is found.
In cases where there is one sided enlargement, medical testing may be necessary prior to consideration of surgical treatment. If a mass is found, this must be addressed and may require testing, imaging and biopsy (pathological evaluation).
Treatment of gynecomastia involves stopping the use of the causative agent if possible, control of weight and may include either conventional or laser assisted liposuction-liposculpture alone or direct excision supplemented with liposuction-liposculpture. Often scars are hidden in the breast folds and around the areola (darker skin around the nipple).
The choice of techniques is individually determined and depends on the size of the breast tissue, the assessment of the amount of fat versus actual breast tissue and the amount of breast droop.
Who is a candidate?
  • Men who have unwanted breast development.
  • Men who are healthy.
  • Men who want to improve their physique.
  • Men who have realistic expectations.
man
Intended results
  • Less chest fat and breast tissue.
  • Improved male physique.
  • More self-confidence.
Procedure description
  • Male breast reduction is usually performed in an accredited outpatient surgical facility under local anesthesia, conscious sedation with local anesthesia or general anesthesia.
  • Direct surgical excision of tissue may be required along with liposuction-liposculpture.
  • Several adjacent anatomical body areas may need to be addressed and treated in addition to the breasts, for improved results.
Recuperation and healing
  • Discomfort is controlled with oral medications and long-acting local anesthesia.
  • A special postoperative garment is usually worn for several weeks according to your cosmetic surgeon’s instructions.
  • A postoperative care facility or closely monitored overnight home care is standard practice.
  • The patient may be is seen the next day for a follow-up visit.
  • There will normally be postoperative tumescent fluid drainage for several days.
  • Sutures may be required with liposuction, and are required following direct surgical procedures. Removal is usually within 1-2 weeks.
  • Light activity may be resumed in two days. Sports activities may be resumed in 2 to 4 weeks (depending on your cosmetic surgeon’s instructions).
Other options
  • Medical therapy and follow-up with an endocrinologist (medical doctor who specializes in hormones) may be appropriate in certain cases.
  • Diet and exercise with a trained dietician and/or exercise therapist may be helpful.
  • A combination of the above therapies, including psychiatric support, can be beneficial.
Note The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of risk. Minor complications which do not affect the overall cosmetic results occur occasionally. Major complications are rare.

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 areolae (darker skin which surrounds the nipple) may also be reduced in size and made more symmetric.
Who is a candidate?
  • Patients who want smaller breasts.
  • Patients with extensive breast asymmetry.
  • Healthy patients without breast cancer.
  • Patients who possess realistic expectations.
  • Patients who will tolerate breast scars.
  • Patients who complain of chronic neck, shoulder and back pain from excessive breast size.
  • Patients with large breasts who experience chronic skin irritation along their bra straps and under the breast folds.
breast-mini
Intended results
  • Less chest fat and breast tissue.
  • Improved male physique.
  • More self-confidence.
Procedure description
  • Male breast reduction is usually performed in an accredited outpatient surgical facility under local anesthesia, conscious sedation with local anesthesia or general anesthesia.
  • Direct surgical excision of tissue may be required along with liposuction-liposculpture.
  • Several adjacent anatomical body areas may need to be addressed and treated in addition to the breasts, for improved results.
Recuperation and healing
  • Discomfort is controlled with oral medications and long-acting local anesthesia.
  • A special postoperative garment is usually worn for several weeks according to your cosmetic surgeon’s instructions.
  • A postoperative care facility or closely monitored overnight home care is standard practice.
  • The patient may be is seen the next day for a follow-up visit.
  • There will normally be postoperative tumescent fluid drainage for several days.
  • Sutures may be required with liposuction, and are required following direct surgical procedures. Removal is usually within 1-2 weeks.
  • Light activity may be resumed in two days. Sports activities may be resumed in 2 to 4 weeks (depending on your cosmetic surgeon’s instructions).
Other options
  • Medical therapy and follow-up with an endocrinologist (medical doctor who specializes in hormones) may be appropriate in certain cases.
  • Diet and exercise with a trained dietician and/or exercise therapist may be helpful.
  • A combination of the above therapies, including psychiatric support, can be beneficial.
Note The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of risk. Minor complications which do not affect the overall cosmetic results occur occasionally. Major complications are rare.

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 tissue burden of loss of skin elasticity.
Women who have sagging breasts (ptosis) may 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.
Who is a candidate?
  • Women who have sagging breasts.
  • Women who want to improve their breast shape.
  • Healthy women without underlying breast disease.
  • Women who will tolerate breast scars.
breast-lift
Intended results
  • Higher breasts (lifted).
  • Tighter breast envelope (increased skin tightness).
  • Improved breast symmetry.
  • More pleasing breast shape.
  • More youthful appearance.
Procedure description
Mastopexy operations are usually performed in an accredited outpatient surgical facility under general anesthesia or conscious sedation with local anesthesia.
There are several types of mastopexy procedures depending on the severity of ptosis (breast droop). In most cases incisions are made around the nipple areolar complex and in front of the breasts. Sometimes they may extend into the breast fold.
The nipple areolar complex is lifted to a more youthful position.
Recuperation and healing
  • Postoperative discomfort is usually controlled with oral medications and long-acting local anesthesia.
  • A soft bra or compression garment is usually worn for at least several days postoperatively.
  • A postoperative care facility or closely monitored overnight home care is standard practice.
  • The patient may be seen the next day.
  • External sutures are usually removed between 2-3 weeks after surgery.
  • Light activity may be resumed in 7 to 10 days. Sports activities may be resumed in 6 weeks (depending on your cosmetic surgeon).
Other options
  • Breast reduction or breast augmentation may be required with your mastopexy for the best results.
  • Breast contouring may be appropriate with mastopexy (speak to your cosmetic surgeon).