Breast Augmentation Surgery involves using breast implants to restore breast volume after weight reduction or pregnancy OR to increase the volume of the breast to a more shapely appearance. Incisions are made in inconspicuous areas to minimize visible scarring. The 3 most popular approaches are: inframammary (breast fold) incision, transaxillary (armpit) incision, and periareolar (around the areola) incision. Each has its own benefits and disadvantages. Implant type, size, and placement (subpectoral or subglandular) will be determined not just by your desired increase in size but more importantly on your breast anatomy, skin elasticity, and body type. My personal preference is the inframammary incision with a submuscular or subpectoral placement. Surgery is done under anesthesia and takes about 1-2 hours to perform. Results of breast augmentation are immediately visible. Bruising and swelling are expected after surgery. Over time, post-surgical swelling will resolve and incision lines will fade.

The shape and size of the breasts prior to surgery will influence both the recommended treatment and the final results. Implant sizes are chosen based on the patient's breast diameter, amount of skin laxity, and tightness of the pectoral or chest muscles. If the breasts are not the same size or shape before surgery, it is UNLIKELY that they will be completely symmetrical afterward. If the skin is too tight or the chest muscles are well developed, this may prevent placement of larger implants.

Breast Augmentation is a surgical operation performed to enlarge the breasts for a number of reasons: to enhance the body contour of a woman, who for personal reasons feels that her breast size is; too small, to correct a loss in breast volume after pregnancy, to balance breast size, when there exists a significant difference between the size of the breasts, as a reconstructive technique for various conditions, replacement of breast implants for medical or cosmetic reasons.

The lifespan of breast implants is not known. Although it is not recommended that they be replaced at any given time in the future after insertion, no guarantees can be given that they will last for the lifetime of the patient. Long term studies are needed before this information is obtained. Basically, if there are no problems with the implants, they can be maintained as is.

Open capsulectomy with breast implant exchange is a surgical operation performed to treat scarring which occurs around breast implants and to place new breast implants. Individuals with old, damaged or broken implants may consider open capsulectomy surgery with breast implant exchange as a procedure to maintain the long-term results from their original surgery. You may be advised by your surgeon to consider replacing of your breast implants with new ones, irrespective of how long you have had them. In some situations, you may be advised to consider new breast implants with a textured outer surface. Breast implants do not have an indefinite lifespan and will eventually require replacement surgery.

Scar tissue, which forms internally around a breast implant, can tighten and make the breast round, firm, and possibly painful. Excessive firmness of the breasts can occur soon after the original surgery or years later. The incidence of symptomatic capsular contracture can be expected to increase over time. Capsular contracture may occur on one side, both sides or not at all. Calcification can occur within the scar tissue that surrounds breast implants. Treatment for capsular contracture may require surgery, implant replacement, or implant removal.

Depending on the extent of the scarring problem, it may be necessary to place the implant in a deeper location, underneath the pectoralis muscle on the chest. Incisions for the open capsulectomy procedure may be placed in different locations than those used for the original surgery. If the breasts are not the same size or shape before surgery, it is unlikely that they will be completely symmetrical afterward.

The shape and size of the breasts prior to surgery will influence both the recommended treatment and the final results. Implant sizes are chosen based on the patient's breast diameter, amount of skin laxity, and tightness of the pectoral or chest muscles. If the breasts are not the same size or shape before surgery, it is UNLIKELY that they will be completely symmetrical afterward. If the skin is too tight or the chest muscles are well developed, this may prevent placement of larger implants.

Breast Augmentation Surgery involves using breast implants to restore breast volume after weight reduction or pregnancy OR to increase the volume of the breast to a more shapely appearance. Incisions are made in inconspicuous areas to minimize visible scarring. The 3 most popular approaches are: inframammary (breast fold) incision, transaxillary (armpit) incision, and periareolar (around the areola) incision. Each has its own benefits and disadvantages. Implant type, size, and placement (subpectoral or subglandular) will be determined not just by your desired increase in size but more importantly on your breast anatomy, skin elasticity, and body type. My personal preference is the inframammary incision with a submuscular or subpectoral placement. Surgery is done under anesthesia and takes about 1-2 hours to perform. Results of breast augmentation are immediately visible. Bruising and swelling are expected after surgery. Over time, post-surgical swelling will resolve and incision lines will fade.

The shape and size of the breasts prior to surgery will influence both the recommended treatment and the final results.Implant sizes are chosen based on the patient's breast diameter, amount of skin laxity, and tightness of the pectoral or chest muscles. If the breasts are not the same size or shape before surgery, it is UNLIKELY that they will be completely symmetrical afterward. If the skin is too tight or the chest muscles are well developed, this may prevent placement of larger implants.

Based on our skype consult, you have a condition called Breast Ptosis or sagging breasts. To correct this will involve making an incision around the areola and removing excess skin to lift your breasts up to a more natural position on your chest wall. So aside from the incision on your breast fold for the augmentation, there will be another incision around the areola to facilitate a lift. This will also serve to reduce the size of your areolas.

Also known as Reduction Mammaplasty, breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts. Discomfort associated with large breasts can include chronic back, neck, and shoulder pain, as well as painful shoulder grooves from bra straps. Large breast size may also limit women’s abilities to perform routine daily activities and may cause significant emotional distress. By reducing breast size and restoring a more youthful breast shape, breast reduction surgery can relieve many of these symptoms.

There are several ways this operation can be carried out. The most common type of breast reduction is carried out through an anchor shaped cut which extends from the nipple down to the breast fold. After removing the excess skin and breast tissues, the nipple and areola with their blood supply are moved into their new position. Sometimes liposuction is used to shape or contour the breast. In some cases, when the breasts are very large and drooping, the nipple and areola are completely detached at the beginning of surgery and then grafted back at the new site after the excess skin and breast tissue are removed. Surgical technique is dependent on the surgeon’s experience as well as the body habitus of the patient. Depending on the patient’s requirements, the approach to breast reduction will often times vary.

Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. Surgery is done under anesthesia and takes about 2-3 hours to perform. Results of abdominoplasty are immediately visible. Bruising and swelling are expected after surgery. Over time, post-surgical swelling will resolve and incision lines will fade.

A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and navel (just below the pantyline). The shape and length of the incision will be determined by the degree of correction necessary. Through this incision, weakened abdominal muscles are repaired and sutured and excess fat, tissue and skin is removed. A second incision around the navel may be necessary to remove excess skin in the upper abdomen.

The ideal candidates for surgery are patients in relatively good physical shape, but have excess skin or fat in the abdominal area that is resistant to exercise. This includes the laxity of underlying muscles due to pregnancy which makes it very difficult for mothers to return their abdominal area to a flat appearance. For these women, the skin and muscles have stretched beyond the point where they can naturally return to their normal location and shape. Other candidates can include patients who have lost a lot of weight through diet and excercise or bariatric surgery, and have excess skin in the abdominal area. The normal aging process can also cause skin to sag or lose elasticity, making many older patients excellent tummy tuck candidates.

Also known as Blepharoplasty, eyelid surgery improves the appearance of the upper eyelids, lower eyelids, or both, and gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. The contours of the eyelid skin and fat pockets account for a large part of the expressiveness of the face. If the lids grow droopy or bulging, the face may project an inappropriate look of fatigue and lack of vigor despite adequate rest and good health. Blepharoplasty is a operation that can reinvigorate an aging face. When the eyes appear bright and alert, the effect of a sagging jaw line or neck becomes less apparent. On the other hand, "textbook" procedures can sometimes yield just the opposite. If the eyes are left hollowed or tight, the whole face will appear older and unnatural.

The incision lines for eyelid surgery are designed for scars to be well concealed within the natural structures of the eyelid region. Droopy conditions of the upper eyelid can be corrected through an incision within the natural crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin. Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelids is removed.

Blepharoplasty can be done in conjunction with a temporal lift, forehead lift, and a facelift. This will depend on the actual requirements of the patient and my assessment. The procedure is usually done under local anesthesia.

Brachioplasty surgery is a surgical procedure to remove excess skin and fatty tissue from the upper arms. Brachioplasty is not a surgical treatment for being overweight. Obese individuals who intend to lose weight should postpone all forms of body contouring surgery until they have been able to maintain their weight loss. There are a variety of different techniques used by plastic surgeons for brachioplasty. Brachioplasty can be combined with other forms of body-contouring surgery including suction-assisted lipectomy or performed at the same time with other elective surgeries.

A long incision is usually used which extends from the elbow until the area of the armpit. Excess skin is removed and the incision is placed partly hidden in the medial portion of the arm.

The ideal candidates for surgery are patients in relatively good physical shape, but have excess skin or fat in the arms that is resistant to exercise. Other candidates can include patients who have lost a lot of weight through diet and excercise or bariatric surgery, and have excess skin in the arms. The normal aging process can also cause skin to sag or lose elasticity, making many older patients excellent upper arm lift candidates.

Liposuction is a surgical technique to remove unwanted deposits of fat from specific areas of the body, including the face and neck, upper arms, trunk, abdomen, buttocks, hips and thighs, and the knees, calves and ankles. This is not a substitute for weight reduction, but a method for removing localized deposits of fatty tissue that do not respond to diet or exercise. Liposuction may be performed as a primary procedure for body contouring or combined with other surgical techniques such as facelift, abdominoplasty, or thigh lift procedures to tighten loose skin and supporting structures.

The best candidates for liposuction are individuals of relatively normal weight who have excess fat in particular body areas. Having firm, elastic skin will result in a better final contour after liposuction. Skin that has diminished tone due to stretch marks, weight loss, or natural aging will not reshape itself to the new contours and may require additional surgical techniques to remove and tighten excess skin. Body-contour irregularities due to structures other than fat cannot be improved by this technique. Liposuction by itself will not improve areas of dimpled skin known as "cellulite."

Suction-assisted lipectomy surgery is performed by using a hollow metal surgical instrument known as a cannula that is inserted through small skin incision(s) and is passed back and forth through the area of fatty deposit. The cannula is attached to a vacuum source, which provides the suction needed to remove the fatty tissue.

In some situations, a special cannula may be used that emits ultrasonic energy to break down fatty deposits. This technique is known as ultrasound-assisted lipectomy. Depending on your needs, your plastic surgeon may recommend suction-assisted lipectomy alone, or in combination with ultrasound-assisted lipectomy.

There are a variety of different techniques used by plastic surgeons for liposuction and care following surgery. Liposuction may be performed under local or general anesthesia. Tumescent liposuction technique involves the infiltration of fluid containing dilute local anesthetic and epinephrine into areas of fatty deposits. This technique can reduce discomfort at the time of surgery, blood loss, and post-operative bruising.

Support garments and dressings are worn to control swelling and promote healing for at least 6-8 weeks.

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