According to the American Society of Plastic Surgeons, breast surgery is by far the most common type of cosmetic surgical procedure, with over 470,000 patients undergoing a breast surgery procedure in 2014. Nonetheless, deciding to augment your chest is a big decision and one that you should make for yourself, not someone else. Common reasons for breast surgery are to increase the size of small breasts, improve breast symmetry, restore shape and contour to the breasts, reduce overly large breasts or correct a previous procedure, and to reconstruct the breasts after surgery or illness. You may be a good candidate for breast surgery if you are in good health, fully understand what the procedure involves, and have realistic expectations about the surgery can do for you.
A breast enlargement procedure is for women who may feel self-conscious or are unhappy with the size of their breasts, have noticeably uneven breasts, or feel that their breasts are disproportionate to their body size. Breast enlargement surgery with the use of implants is a long-term solution to these concerns. Implants can enhance your self-image and improve the overall balance of your figure.
There is a lot of variation when it comes to the shape, size, and density of implants. There is not a one-size-fits-all type of breast implant. Rather, the right shape and size for you is determined by analyzing your current breast structure and desired outcome.
are filled with sterile salt water. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body.
Saline breast implants provide a uniform shape, firmness and feel, and are FDA-approved for augmentation in women age 18 or older.
are filled with silicone gel. The gel feels a bit more like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket. A leaking implant filled with silicone gel will not collapse.
Silicone breast implants are FDA-approved for augmentation in women age 22 or older.
maintain their shape even when the implant shell is broken. The consistency of the silicone gel inside the implant is thicker than traditional silicone gel implants. These implants are also firmer than traditional implants, but are thought to be less likely to break. Gummy bear breast implants are shaped rather than round. They have more projection at the bottom and are tapered towards the top. If a shaped implant rotates, it may lead to an unusual appearance of the breast.
which are circular but flat, stick out from the body further, making the breasts project more. Round implants are usually placed under the muscle and can give more fullness to the upper portion of the breast. Since round implants don’t move much, they almost always keep their round shape.
are the softest feeling. These implants can move with the breast implant pocket, which may give more natural movement. Smooth implants may have some palpable or visible rippling.
develop scar tissue to stick to the implant, making them less likely to move around inside of the breast and get repositioned.
(on top or underneath muscle)
Implants can be placed either submuscular (below the pectoralis muscle) or subglandular (on top of the pectoralis muscle). A number of factors, including current breast size, thickness of breast tissue, and recovery time are all considered when making this decision. The goal with breast augmentation is always to achieve a natural looking breast.
Patients with implants above the muscle will usually see their final results in about 3-4 weeks when the swelling has gone down, whereas patients with implants under the muscle need more time. After at least 2-3 months of healing, the pectoralis muscle will relax, the implants will drop, and the breasts will soften and begin to look natural. Patients with implants under the muscle experience more pain and typically have a longer recovery time, on average 7-10 days compared to 4-5 days above the muscle.
Dr. Knight will determine the best size, shape, and placement for your implants after reviewing your case and discussing with you your concerns and desired outcome.
Breast Lift (Mastopexy)
Over time, a women’s breast will lose its shape and firmness due to pregnancy, breast-feeding, weight fluctuations, aging, and heredity. Many women are happy with the current size of their breast but are unsatisfied with the sagging or deflated look they are now living with. They may experience a lack of self-confidence and a noticeable difference in how their clothes fit. A breast lift, also known as a mastopexy, raises the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. If there is enough breast tissue to work with, a breast lift can be done successfully without the use of implants.
Breast Lift with Implants
In cases where there is not enough breast tissue to both lift and restore fullness, implants may be used to help shape and increase the size of the breasts. Small implants can be placed at the time of a full mastopexy. Patients desiring maximum lift and significantly larger breasts require a staged procedure with a full mastopexy followed by augmentation several months later so that the breast tissue can relax to accommodate the larger size implant.
Male Breast Reduction (Gynecomastia)
Also known as gynecomastia, breast reduction for men is the surgical correction of over-developed or enlarged breasts in men.
Gynecomastia is common in men of any age. It can be the result of hormonal changes, heredity conditions, disease or the use of certain drugs. Many men with Gynecomastia experience emotional discomfort and a lack of self-confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.
Plastic surgery to correct gynecomastia is technically called reduction mammaplasty, and reduces breast size while flattening and enhancing the chest contours. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced.
Also known as reduction mammaplasty, breast reduction 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.
Overly large breasts can cause some women to have both health and emotional problems. In addition to self image issues, you may also experience physical pain and discomfort, as well as an inability to be physically active. Dr. Knight will determine the appropriate technique to use to reduce the size of your breasts after reviewing your current health status and breast composition, and discussing your desired outcome.
Women who have lost their breast(s) from illness or trauma can experience a dramatic boost in self-confidence, self-image, and quality of life through a breast reconstruction procedure. Reconstruction is achieved through several techniques that attempt to restore the breast(s) to its normal shape, appearance, and size. If only one breast has been affected, it alone may be reconstructed. However, a breast lift, breast reduction, or breast augmentation may be recommended for the opposite breast to improve symmetry of both breasts.