Breast augmentation is one of the most frequently performed cosmetic surgery procedures worldwide. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy, weight loss, or surgery. The procedure may be combined with others such as a breast lift for more satisfying results.
Implants are silicone shells filled with either saline (salt water) or silicone gel (recently approved by the FDA). They are placed behind each breast, underneath either breast tissue or the chest wall muscle.
The procedure lasts about one hour and is typically performed with general anesthesia as an outpatient. After surgery the patient's bustline may be increased by one or more cup sizes.
When the implant is placed sub muscularly under the breast, there is a lower chance of contracture (contraction of the tissue capsule surrounding the implant), and mammography is more reliable. There is also less risk of visible or palpable implant edges. However, in some cases the implant has a more natural appearance when placed above the muscle, under the breast tissue. The placement of the implant will be decided upon consultation and depends on many factors.
Patients who undergo breast augmentation are generally able to return home the same day. The side effects of breast augmentation surgery include temporary soreness, swelling, and bruising, all of which subside gradually over 10 to 14 days. Most breast augmentation patients return to work within a few days after surgery; however, strenuous activities should be avoided for up to four weeks after surgery.
A woman's breasts may droop as a result of the natural effects of aging, heredity, gravity, pregnancy, breastfeeding, or weight loss. A breast lift, also called a mastopexy, is performed to return youthful shape and lift to breasts that have sagged or lost volume and firmness. A good candidate for a breast lift is any woman who has breasts that are pendulous or sag, lack substance or firmness, or if the nipples are too low and pointing downward.
Breast lifts rejuvenate the breasts by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour. A mastopexy raises and reshapes sagging breasts by removing excess skin and repositioning the breast tissue (and areola) to a higher position. Our goal is to give your breasts a firmer, rounder, and more youthful contour, rejuvenating your figure. The length and location of the scars depend on the amount of excess skin that needs to be removed to achieve the desired results.
After a mastopexy, the breasts are higher on the chest and firmer to the touch. Breast lifts can also reposition and reduce the size of the areola-the dark skin surrounding the nipple-which may have stretched or drooped.
Mastopexy is usually performed on an outpatient basis under general anesthesia and lasts from 1 to 3 hours. Most patients are immediately satisfied with their new breasts and can typically return to work in one week following the procedure. Generally, we recommend waiting 3 to 4 weeks before resuming vigorous activities.
Breast Lift with Augmentation
A breast lift (mastopexy) raises and reshapes sagging breasts by removing excess skin and repositioning the breast tissue to a higher position. The difference between this procedure and a mastopexy alone is the addition of breast implants, put in place during the same surgery. The implant is placed behind the breast tissue or under the muscle between the breast and the chest wall to enlarge and reshape the breasts.
A good candidate for a breast lift with augmentation is any woman who has breasts that are pendulous or sag, lack substance or firmness, or if the nipples are too low and pointing downward. If your breasts have also lost their breast shape and firmness due to age or pregnancy, the breast implants can restore (or even augment) your breasts to a more youthful-looking profile.
Mastopexy augmentation is usually performed on an outpatient basis under general anesthesia and lasts from 1 and a half to 3 hours. Most patients are immediately satisfied with their new breasts and can typically return to work in one week following the procedure. Generally, we recommend waiting 3 to 4 weeks before resuming vigorous activities.
A breast reduction removes excess skin and breast tissue to make your breasts more proportional to the rest of your figure. Women with large breasts who are unhappy with their appearance and/or want to treat symptoms such as back pain, discomfort during exercise, breathing problems and poor posture may benefit from breast reduction surgery. Other suitable candidates are women who are self-conscious about the large size of their breasts.
This surgery is important both functionally and aesthetically. In this procedure, we remove fat and glandular tissue from the breast while tightening skin to produce smaller breasts that are more comfortable and in healthier proportion to the rest of the body.
The side effects of the surgery include temporary bruising, swelling, and discomfort. After 2 to 3 weeks, most of our patients resume their normal activities and regular routines.
Breast reconstruction is designed to create a natural-appearing breast using either your own tissues or an implant. There are several different techniques available for breast reconstruction. The option we choose depends on your individual anatomy, medical history, and personal needs. Whether the reconstruction is performed immediately after a mastectomy (known as immediate reconstruction) where the patient wakes with a “new breast” or later (known as delayed reconstruction), this procedure has a dramatic impact on a woman’s quality of life and emotional well-being.
Women whose cancer seems to have been eradicated with mastectomy are the best candidates for breast reconstruction. Those with health problems such as obesity and high blood pressure and those who smoke are advised to wait. Others prefer to postpone surgery as they come to terms with having cancer, consider the extent of the procedure, or explore alternatives.
The reconstruction itself consists of three main stages, the first of which involves creation of the breast mound
that is symmetric to the other side and is performed during or after mastectomy under general anesthesia. Occasionally, the other breast may need to be altered to create this symmetry. Next is the nipple reconstruction which is an outpatient procedure usually performed in the office and involves creating a small flap from local skin. And finally, the areolar tattoo which matches in colour and size of the areola of the normal breast. This is also an office procedure.
There are several ways to reconstruct the breast, both using one’s own tissues and/or with the use of implants.
Dr. AlShunnar will work together with you in deciding which is the best for you.
Male Breast Reduction (Gynecomastia)
Gynecomastia, a condition of over-developed or enlarged breasts in men, is common in men of any age. It can be the result of hormonal changes, hereditary conditions, disease or the use of certain drugs.
Gynecomastia can cause emotional discomfort and impair your self confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.
Gynecomastia is characterized by:
• Excess localized fat
• Excess glandular tissue development
• A combination of both excess fat and glandular tissue
Men who feel self-conscious about their appearance are helped with breast reduction surgery. The procedure removes fat (using liposuction techniques) and/or glandular tissue (using direct excision) from the breasts, and in extreme cases removes excess skin, resulting in a contoured chest that is flatter and firmer.
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