In order to alter the shape, size, or position of the breasts (mammoplasty) a plastic surgeons approach should always be to keep the best interest of the patient in mind. These procedures are usually for cosmetic purposes, to correct congenital anomalies, relieve symptoms (from macromastia), or correct disfigurements resulting from cancer, burns, or trauma.
There are multiple ways to for the breasts to be reshaped, reduced or lifted. A plastic surgeon can treat large or sagging breasts, enlarge small breasts, or reconstruct a breast after removal of a tumor. In order to reduce the volume of the breasts and raise them, excess tissue is removed from the underside of the breasts. The breast is then lifted, and the nipple drawn through an opening in an overhanging skin flap. To enlarge a breast, a saline-filled or silicone gel prosthesis is inserted in a pocket formed beneath the breast on the chest wall.
Breast augmentation (Augmentation Mammoplasty) is performed to enhance the appearance, size and contour of a woman’s breasts. A woman determines her desired size by fitting trial implants. Together with your surgeon you will determine implant type and size according to breast anatomy, skin elasticity and body type. The implant is presented either directly behind the breast tissue or under the pectoral muscle.
Breast Lifts (Mastopexy) 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, the excess skin must be removed and the areola and nipple are repositioned to a more youthful height. If necessary, enlarged areolas are reduced by excising skin at the perimeter.
Breast reduction surgery is often used in women with large, heavy breasts who experience significant discomfort including neck pain, back pain numbness or weakness due to the weight of the breasts. During this procedure, excess skin, fat and breast tissue is removed and the areola and nipple are then repositioned. The sutures along the incision lines will create scars, but these will fade over time.