Most women seeking cosmetic augmentation want naturally looking but fuller breasts. We will listen to you to determine your goals, as not every patient wants the same postoperative size. We will have you try on various sizes of implants and we will choose a size together. We will also tell you about saline and silicone implants, putting the implant above or below the muscle, and the various incisions that are possible for you. Round and contoured implants will also be discussed so that you can be fully aware of your choices and participate in all decision making. We will also point out any features of your breasts, such as asymmetries or nipple position, that you may want to consider in your decision making process. We are committed to well informed patients and we will be happy to answer all your questions. Augmenation evaluations often take a full hour, so schedule plenty of time.
Oversized breasts can lead to multiple medical problems, such as back pain, neck pain, scars in your bra lines, rashes underneath your breast, and chronic headaches. Hundreds of scientific studies document the relief of these symptoms from breast reduction. Breast reduction is often covered by insurance if certain criteria are met. We will evaluate your breasts and write to your insurance company to determine coverage. Reduction patients may stay in the hospital for one night and are off work for 1 to 2 weeks. Reduction patients are among the most grateful women that we have because they feel so much better, have more energy, and are more able to exercise.
Women that have undergone a mastectomy due to breast cancer can have their breast(s) rebuilt. There are two ways to rebuild a breast: using implants or tissue expanders, or using your own tissue, such as your abdomen, buttock, or back. Each way has advantages and disadvantages, and we will review these for your anatomy, goals, and needed cancer therapy. We work with the breast surgeon and generally do reconstruction at the same time as the mastectomy.
Implants are generally a two stage procedure, with insertion of a tissue expander at the time of mastectomy, and then a subsequent small operation to place the permanent silicone implant when the expander is inflated to the desired size. Implant based reconstruction offers a short recovery period, with one night in the hospital and a 1 to 2 week recovery period. Today’s silicone is far different from the 1980s—it is formed like a soft jelly candy and is not a liquid that would drip on the floor if punctured. Studies show no association of silicone with any disease, and all silicone in the United States is medical grade and approved by the FDA.
Using your own tissue gives you the advantages of a naturally feeling reconstruction that will change normally with weight gain and age. It also can make use of that extra tissue in your abdomen and give you a tummy tuck. This is a longer procedure and recovery, but it uses no foreign implants and will be stable with time. The latest microvascular techniques use little muscle so that abdominal recovery is faster.
Breast feeding, aging, and weight loss can all cause the breasts to sag. This can cause difficulty with exercise, chaffing, and appearance. A breast lift removes skin to give you a new skin brassiere. It can be combined with an implant if enlargement as well as lifting is desired.
Many men suffer from breast development in their teens, twenties, and later in life. This can be distressing and prevent men from participating in sports and relationships. Modern techniques can usually remove this tissue through liposuction, so that scars and recovery time are minimized. We will work with your insurance company to determine if this is a covered benefit for you.