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Breast Surgeries

Breast re-shaping surgeries include Breast Augmentation mammoplasty, Breast Reduction surgeries, and Mastopexy (Uplift), Breast Reconstruction, Latissimus Dorsi flaps, TRAM/DIEP flaps (using the patient’s own tissue to provide optimum results.

Breast Augmentation

  • Breast augmentation is performed to enhance the appearance, size and contour of a woman's breasts.
  • Indications: if breast is too small in relation to their body contour, some other women desire augmentation after size loss associated with pregnancy and lactation & others desire to correct an asymmetry in breast size.
  • Breast augmentation is performed with implants that can be placed over or under the pectoralis chest muscle.
  • The incision can be placed in the axilla (armpit), areola or lower breast.
  • Breast augmentation can be assisted with endoscopes.
  • Women should be aware, however, that breast implants may interfere with the detection of cancer and that breast compression during mammography may cause implant rupture.
  • A breast implant is a silicone shell filled with either saline (a salt water solution) or silicone gel. A woman determines her desired size by fitting trial implants. Currently, saline filled implants are used on an unrestricted basis.
  • Breast augmentation is a relatively straightforward procedure. As with any surgery, some uncertainty and risk are associated with breast augmentation surgery.

Breast reduction

  • Indication: Large, heavy, pendulous breasts can be uncomfortable. The excess weight can cause neck pain, back pain, skin irritation, bra strap indentations, numbness or weakness.
  • Breast reduction is known as reduction mammoplasty. The procedure involves removal of excess skin, fat and glandular tissue.
  • With this type of surgery, scarring can be extensive.
  • Normal breast sensation, nipple-areola sensation and milk production are usually preserved.
  • Possible side effects include: pain and lumpiness from scar tissue and the inability to breastfeed

Breast reconstruction

  • Breast reconstruction seeks to recreate a breast with the desired appearance, contour and volume. The nipple-areola component also is recreated.
  • Normal breast sensation and the ability to breastfeed are lost when the sensory nerves or milk glands and ducts have been removed or significantly injured.
  • The appearance, contour and volume of the breast can be recreated with implants or with a woman's own tissue.
  • If an implant is used, the implant is sized to match the opposite breast.
  • A breast also can be recreated using a woman's own tissue. At times, a segment of the lower abdominal wall can be used. Other tissue options for autologous (using your own tissue) reconstruction include the back muscle and skin or a segment of a buttock.

Breast lifts

  • In some women, the skin is not strong or resilient enough to support the weight of the breast, causing the breasts to sag.
  • With this condition, called ptosis, there is too much skin compared to breast tissue. To give the breast a lift, or what is known as mastopexy, the excess skin must be removed.

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