We provide the most advanced cosmetic breast procedures, from breast augmentation with silicone or saline implants to the latest techniques in fat grafting.

Breast Augmentation

Breast augmentation is a popular elective procedure that can enlarge a woman's breasts, usually through the surgical placement of saline or silicone breast implants. There are many different options to meet each patient's individual needs, including different implant sizes, shapes and incision techniques. In every procedure, the breast implant is inserted through a short incision and placed behind the breast tissue. Healing time is approximately 1 to 2 weeks, but a patient is typically walking around within 24 hours of the surgery.

Breast Lift

Breast Lift (Mastopexy) is a surgical procedure intended to lift sagging breasts. Breast sagging, also known as breast ptosis, can affect women differently, ranging from mild or moderate ptosis to severe breast ptosis. A plastic surgeon can evaluate the condition and determine a suitable technique for lifting the breasts. A typical breast lift involves incisions around the nipple and on the lower part of the breast, which allow the surgeon to remove skin and tighten the tissue. These techniques result in elevated, more youthful looking breasts.

Breast Reduction

Women with excessively large breasts often experience pain, irritation and self-consciousness as a result. Breast reduction works to resolve these issues, serving both cosmetic and therapeutic ends: reshaping the breasts and reducing the discomfort caused by the excess tissue. The excess breast tissue breast tissue is removed, and the breast and nipple are lifted for a more youthful appearance. The operation takes about three hours and the patient should be prepared for 1 to 2 weeks of recuperation time.

Fat Grafting to the Breast

Fat grafting can correct cosmetic imperfections of the breast. During this procedure, fat is taken from elsewhere in the body using a low-pressure liposuction system. The fat is washed gently with saline and then injected into contour depressions along the margins of the breasts. This technique has limitations and risks, but for the right patient, it can be a safe and effective procedure for correcting aesthetic defects of the breasts.

Male Breast Reduction

Gynecomastia is a condition that affects men of all ages. The primary symptom is excess breast tissue, which can be sensitive or painful. If the condition cannot be resolved through lifestyle changes or medical therapy, a plastic surgeon can perform male breast reduction. The procedure typically involves liposuction and surgical removal of fat and glandular tissue. Incisions are made near the pigmented areas of the nipple, so scars are well hidden after the surgery. The operation requires one hour and the patient should prepare for 1 to 2 weeks of healing time.

Symmastia Repair

Symmastia is a serious but rare complication that can occur after breast augmentation. The problem occurs when the breast implant crosses the midline between the breasts, essentially joining the breasts together. Symmastia can be obvious or it may be subtle, becoming visible only when the patient is in certain positions. The basic causes of symmastia are oversized breast implants and over-dissection of the breast pocket. Symmastia is often seen when a patient chooses progressively larger implants in multiple breast augmentation procedures.

Correction of Capsular Contracture

After breast augmentation (or reconstruction with implants), the body can form excessively tight scar tissue around the implant. The scar tissue can place pressure on the implant, making it full, hard, and causing displacement and distortion of the breast implant. This reaction is known as capsular contracture. Surgical procedures to correct the complication can include capsulectomy, capsulotomy and placement of an acellular tissue matrix (AlloDerm or Strattice).

Correction of Implant Rippling

Rippling of the breast implant can become visible in some patients, particularly very thin patients, or those with saline implants. Correction of implant rippling or wrinkling may require a different size implant, replacement with silicone gel implants, and insertion of an acellular tissue matrix such as Strattice. To prevent rippling, plastic surgeons often recommend placement of the implant behind the chest muscle.

Correction of Malposition

Breast implant displacement (or malposition) occurs when the implant lies beyond the margins of the breast pocket. Such malpositions may also be called "bottoming out, double-bubble, symmastia or high-riding" of breast implants.

Revision Breast Augmentation

Although breast implants are medical devices designed to last a long time, patients should expect that they may need to undergo some form of revision surgery within their lifetime. Revisions may include exchange of your breast implants for a different type or different size, or reshaping the breast for a more youthful appearance. Such procedures range from simple adjustments to more complex surgical procedures, depending on the reason for a revision.

Revision Breast Augmentation with Strattice

Strattice works to reinforce the soft tissue of the breasts, and can be used to improve the results of a previous breast augmentation. The sterile, porcine-derived tissue matrix can help control the location or support the breast implant. Strattice may be recommended for treatment of symmastia, implant rippling, malposition and capsular contracture.

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