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Breast Augmentation

ccomfs-breast-small.jpgBreast augmentation is a surgical procedure that enhances the body contour of a woman who is unhappy with her small breast size and/or reduction of breast volume after pregnancy. 

Breast augmentation is done on an outpatient basis, usually under general anesthesia or moderate sedation. The breast implant is placed through a small incision, under the breast tissue or under the muscle. The incision can be made in the natural fold of the breast, around the nipple, or in the armpit. A breast implant is composed of an outer silicone shell filled with either saline or silicone.  The outer surface may be smooth or textured, and implants come in various shapes to meet the individual woman’s needs.

When the implant is placed under the muscle, there is a lower chance of contracture (contraction of the tissue capsule surrounding the implant), and yearly mammograms are reliable. There is also less risk of visible or palpable implant edges. However, some believe the implant has a more natural appearance when placed above the muscle, under the breast tissue. Your cosmetic surgeon can help you decide which placement and type of implant will work best for you.

Breast augmentation is a relatively straightforward surgery for most of our patients. Using the latest scar-minimizing incision techniques, the procedure takes about 1-2 hours.  Dr. Retana will keep you informed throughout your surgery process, so you will know exactly what to expect before, during, and after your procedure.

You might be surprised to learn just how smooth your recovery will be after a breast augmentation. If you have a desk job, you can probably return to work in less than a week, and you’ll be feeling up to most daily activities in about 2 weeks.

 

Breast Lift

Breast lift surgery, or mastopexy, restores a more youthful appearance to a woman's breasts. Over the years, breasts can lose their shape and firmness due to pregnancy, nursing and loss of skin elasticity, causing them to sag. A breast lift will raise and reshape breasts, slowing the effects of aging and gravity. This procedure can also reduce the size of the areola, the darker skin surrounding the nipple, if the patient desires.

A breast lift does not increase the fullness of the upper portion of the breast; it simply allows removal of sagging breast tissue and repositioning of the nipple. For this reason, breast lifts are commonly performed in conjunction with breast augmentation (implants) to increase the fullness and improve the shape of the breasts. If you are planning a future pregnancy though, it is advisable to postpone your breast lift as pregnancy will likely cause further stretching and droop to the breasts.

The surgery may take between  2-4 hours. The incisions are around the nipple, vertically beneath the nipple and sometimes also horizontally in the crease of the breast. The breast tissue is recontoured and some breast tissue and skin is removed. The nipple and areola are then repositioned. The skin is closed with dissolvable sutures.

 

Breast Reduction

Many women desire to have larger, more voluptuous breasts and opt to receive breast enlarging surgeries to achieve those results. For women who are born with large, pendulous breasts or develop them over time, discover that they may not be as desirable as most women think.

Many health issues and injuries stem from these conditions and can leave serious or permanent injuries in women. Some of these conditions include:

            -Chronic back, neck and shoulder pain

            -Poor posture

            -Skin rash under the breasts

            -Deep grooves in the shoulders from bra strap pressure

            -Restricted levels of activity

            -Self-esteem problems

            -Difficulty wearing or fitting into certain bras and clothing 

Incisions are made in the lower breast resulting in three scars: one around the nipple, which usually heals very nicely; a vertical incision from the nipple to beneath the breast, which remains visible; and finally, an incision in the fold beneath the breast. Breast tissue is sculpted using a combination of sharp dissection and occasional liposuction.

The nipple remains attached to the deeper breast tissue. The remaining breast is folded around the nipple and its attachments and the incisions are closed. Care is taken to close these incisions as carefully as possible. Nevertheless, patients must realize that resultant scarring is as much a factor of tissue response as it is surgical skill, and occasionally wide scars can form despite a nice overall breast shape.

 

Breast Implant Exchange 

If your breast implants aren’t quite what you expected, we are here to help.

Breast augmentation is one of the most popular procedures in Washington DC and throughout the United States. Usually the results are beautiful. Occasionally, the results aren’t what were expected or time has brought a need for change.

Can Revision Surgery Help Me?

With any surgery, the risk exists for less-than-ideal results. If you are considering implant revision surgery, know that it doesn’t mean you did anything wrong the first time. Whether or not your complications stem from having surgery performed by a less experienced surgeon, receiving misguided advice for sizing, or just sheer luck, you didn’t do this to yourself. With the right cosmetic surgeon, chances are that with revision surgery you will be able to get the beautiful results you were hoping for the first time around.

Some of the most common reasons for implant revision include:

-Breast Implant Deflation

-Implant Malposition (poorly placed or asymmetrical implants)

-Capsular Contracture

-Desire for Size Change

 

 

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