Breast Augmentation
Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. It can give women with small or unevenly-sized breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. 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 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 one to two hours and is typically performed with general anesthesia. After surgery the patient’s bustline may be increased by one or more cup sizes.
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Breast Lift (Mastopexy)
A breast lift, or mastopexy, is performed to return youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy, loss of the skin’s natural elasticity or simply the effects of aging and gravity. The procedure can also reduce areolar size (the dark skin surrounding the nipple), and it can be combined with breast reduction or augmentation for added firmness or volume. It is usually done under general anesthesia, and lasts from one to three hours.
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Mastopexy with Breast Augmentation
A mastopexy, or breast lift, with breast augmentation is a combination procedure that lifts sagging breasts while also increasing the cup size of the breast. Aside from improving the size and overall appearance of the breasts, a mastopexy with implants benefits patients by keeping breasts firm and perky for many years. Gravity does not have the same effect on implants as it has on natural breast tissue, so implants will retain their height and shape more easily.
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Breast Reduction
Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery is usually done to provide relief from these symptoms. Performed under general anesthesia, the two- to four-hour procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body.
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Nipple Reconstruction
Nipple and areola reconstruction can provide a boost in self-confidence to patients who have inverted or stretched nipples or who lack one or both nipples due to mastectomy (surgical removal of the breast), injury or a congenital defect. It is often the final step in breast reconstruction surgery, where the nipple is created after the breast mound has settled into place so that the new nipple matches the appearance and position of the natural one as closely as possible. Nipple reconstruction may be performed using one of several techniques, including tissue and cartilage flaps, skin grafts and tattooing.
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