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Breast augmentation

Breast augmentation is a cosmetic surgery procedure to increase breast size and enhance breast shape. The surgery is done by the placement of silicone or saline breast implants and sometimes fat tissue from other body areas of patient. 

Breast augmentation

he main aim of breast augmentation surgery is to increase the volume and to reshape them providing symmetry. 

The surgery mostly done for breast fullness lost after pregnancy, breastfeeding and weight lost. Also, the aims of the surgery are Feeling more confident, enhancing self-image, and adding balance to better complement curvy hips.

    The Implants are Saline, Silicone Gel, or Highly Cohesive Silicone Implants. The volume of them changes from 150cc to 800 cc. The size depends on your existing breast size, your personal goals, and your cosmetic surgeon’s recommendations. There are some differences in cost, feel, and incision requirements. The choice of implant type depends on patients need, anatomy, level of asymmetry etc. Your cosmetic surgeon will choose best type for you. 

    One common question that patients have before breast augmentation is, “What will my scars look like?” The resulting scars are easily hidden and inconspicuous, even to the patient herself. Depending on your anatomy and your desired outcome, your cosmetic surgeon will use one of the following incision techniques to place your breast implants:

  1. a.    Inframamary, a short incision made in the crease underneath the breast. This leaves a thin scar that is easily concealed within the crease. The use of this type of incision includes wider access point, allowing a cosmetic surgeon to place larger silicone implants or highly cohesive implants with precision.

  2. b.    Peri-areolar incision is made around the outer edge of the areola. The resulting scar is located within this natural transition in pigmentation. The surgeon will often use this incision type if they are also performing a mild to moderate breast lift at the same time.

  3. c.    Trans-axillary., a small incision made within the armpit. The breast implant is placed by using a specialized camera and instruments to ensure optimal placement. This incision leaves a small scar in the armpit but achieves a breast augmentation with no scar on the breast itself.

  4. d.    Transumblical, an incision just above the belly button. Advantage of the transumbilical technique is single scar with no scarring on the breast itself.

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Breast Lifting

A breast lift restores a firmer, perkier, and more aesthetically pleasing shape to sagging breasts. Cosmetic surgeon do breast lifting by removing excess skin, reshaping the breast tissue, and raising the nipple & areola into a more forward position.

The reasons for the breast lifting surgery are restoring a better breast shape following pregnancy and breastfeeding, improving breast contour after significant weight loss, helping a woman get the breast profile she has always wanted.

You can ask yourself some questions to get a general idea about how a breast lift might help improve your breast shape. Do my nipples seem to point downward? Does the nipple/areola sit below the crease underneath my breast? Am I happy with my breast size when wearing a bra? Are my breasts asymmetrical or unusually shaped?

The type of breast lifting will vary based on a patient’s existing breast tissue, the amount of excess skin to be removed, and her personal goals.

  1. a.    Crescent Lift: Minimal Scarring to Correct Minimal Sagging. The crescent lift technique is used for women who have a very small amount of sagging. It’s a small incision running halfway around the top half of the edge of the areola.

  2. b.    Peri-Areolar Lift, Corrects Mild Sagging with a Single Scar. This involves a circular incision running around the edge of the areola, and like the crescent lift, is commonly performed in conjunction with breast augmentation. This lift can also be effective in helping reduce areola size. The resulting scar traces the edge of the areola.

  3. c.    Vertical Lift, Corrects Moderate Sagging & Provides More Extensive Reshaping. This type of breast lift is commonly used to remove excess skin and reshape the entire breast with modest, easily hidden scars. A vertical lift involves 2 incisions: one around the edge of the areola, and one running vertically from the bottom of the areola to the inframamary fold.

  4. d.    Inverted T or “Anchor” Lift, Dramatic Reshaping to Correct Extensive Sagging. If woman has a considerable sagging, an anchor lift is done to remove a significant amount of excess skin and sagging tissues, may yield the best results. This technique involves 3 incisions: one around the edge of the areola, one vertically from the bottom of the areola to the breast crease, and one along the inframammary fold, hidden in the breast crease. Its also used with combination with a breast reduction. The anchor lift comes with some visible scarring. These scars will fade significantly with proper care, and are easily hidden by a bikini top.

Breast lift surgery is performed as an outpatient procedure using general anesthesia or local anesthesia + intravenous sedation. It takes about 1-2 hours to perform. You will go home shortly after surgery. Your breasts will be bandaged or placed in a surgical bra. The patients experience some pain and swelling after breast lift surgery. While you’ll be able to get up and walk around the house the same day of surgery, take it easy for the first few days. You have to sleep on your back for the first several weeks or more. If you normally sleep on your side or stomach, invest in some extra pillows to help keep you from turning over. Many patients return to work within the first week after surgery. You have to limit exercise other than walking for the first 2-6 weeks after a breast lift. Soreness and swelling should gradually subside over the first several months after a breast lift, and most patients are permitted to begin wearing underwire bras again after about 8 weeks.

Breast Reduction

Breast reduction is done for reducing the size and weight of large, heavy breasts and helping to create a more pleasing breast contour. Many patients choose breast reduction to alleviate physical symptoms such as back, neck or shoulder pain, or discomfort while exercising. The cosmetic benefits of breast reduction are breast will be lifted and firmer, bras will fit more comfortably, your overall silhouette will be more balanced with better proportioned breasts.

There are mainly three different surgical techniques for breast reduction

  1. a.    Liposuction for Breast Reduction: In certain cases, breast reduction can be performed using liposuction alone. The advantages are less invasive procedure, virtually undetectable scars on the breast, and lasting results. Its used for the patients who have a slight to moderate reduction in breast size, have good skin elasticity and little to no sagging.

  2. b.    Vertical or “Lollipop” Breast Reduction: Patients who need a moderate reduction in breast size and have more noticeable sagging are often good candidates for a vertical breast reduction. There are two incisions in this technique, one is around the edge of the areola, and a second incision running vertically from the bottom of the areola to the inframammary fold. 

  3. c.    Inverted-T or “Anchor” Breast Reduction: The inverted-T breast reduction involves 3 incisions: one around the edge of the areola, one vertically from the areola to the breast crease, and one made along the crease underneath the breast. Because this technique allows for the maximum degree of tissue removal and reshaping, cosmetic surgeons will typically use this approach if a patient needs a more significant breast size reduction and/or has considerable sagging or asymmetry to correct.

 

Breast reduction surgery is an outpatient procedure using general anesthesia or intravenous sedation with local anesthesia. You will be able to get up and walk around the same day of surgery, although you should have a trusted adult with you during the first 24 hours. While you may be permitted to shower a few days after surgery, you will probably need help getting dressed, as you will not have full range of motion in your chest and shoulders at first. Most patients can return to a desk job within 1 week. You have to wait 3 to 4 weeks before resuming exercise other than walking.

 

 

  1. 4.    Fat Transfer Breast Augmentation

Fat transfer breast augmentation essentially uses liposuction to take fat from other parts of your body and inject it into your breasts. This is a breast augmentation option for women who are looking for a relatively small increase in breast size and would prefer natural results.

  1. 5.    Breast Implant Removal

  2. 6.    Breast Implant Revision

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