Breast Lift (Mastopexy)
What were once youthful, full, and “perky” breasts, are just another memory of the past. All women will experience the general “sagging” of their breasts over time due to age, weight gain or loss, pregnancy and breast feeding. Mastopexy or breast lift is a procedure that removes excess skin and repositions the nipple and breasts higher on the chest. There is no breast tissue that is removed in a breast lift, only excess skin. Sometimes the breasts may seem smaller because of the position change and loss of excess skin. (more)
During your initial consult the surgeon will examine your breasts, take measurements and photographs. The procedure will be discussed with you in detail. The doctor will also discuss with you if you are happy with your present breast size. A Mastopexy is best preformed by a board certified plastic surgeon. Mastopexy is an outpatient surgery. A friend or family member will be able to drive you home after your surgery. You may or may not have a drain in place after the procedure. Most women will be able to return to work in a few days. There is no muscle involved in the procedure, which means that your pain is usually minimal and recovery is quick. Immediately after surgery we ask that you do not wear a bra. Your plastic surgeon will advise you when and what type of bra to wear in the weeks following your surgery. Mastopexy is considered a cosmetic surgery and our staff will provide you with the cost of the procedure at your initial visit.
Breast reconstruction is preformed for several different reasons. It is done after the removal of one or both breasts for the treatment of cancer. It can also be done alone with mastectomy for preventative treatment in women with a strong family history of cancer. In some young women one breast never develops and reconstruction is done to give symmetry to the underdeveloped side. The overall goal in reconstruction is to help a woman feel more natural and more confident in their appearance following mastectomy. There are three main procedures used for breast reconstruction. (more)
The most common is the placement of tissue expanders. Temporary implants are inserted under the muscle. Over the period of a few months the expanders are inflated with saline in the office. Once the desired size is reached there is a second surgery to remove the implants and put in a permanent implant. This type of reconstruction requires the least amount of recovery time. The other two types of breast reconstruction are done with the transfer of muscle flaps to the breast. One of them uses an abdominal muscle or a muscle from the back. The benefit of muscle flaps are that implants are not always needed and they have a more natural appearance and feel. Not every one is a candidate for muscle flap procedures. Contraindications would include: smoking, radiation treatment, abdominal surgeries, or chronic health conditions such as diabetes. When muscle flaps are used there is more recovery time needed and requires a longer hospital stay. The final stage of breast reconstruction is nipple reconstruction. There can be several months to years before this stage is started. The surgeon will want to wait until your breasts have “settled” before he reconstructs the nipple. This assures proper placement. If only one breast is reconstructed the surgeon may recommend a procedure be done to the unaffected breast. Usually it would be a breast lift, breast reduction, or breast augmentation to match the reconstructed breast. During your consultation you may feel overwhelmed with the information and questions that you have. This is a difficult circumstance for all women faced with breast reconstruction. We recommend that you bring a friend, or family member to support you during your consultation to help you recall the information we discuss. At anytime after your consultation we invite you to call our nursing staff with questions or concerns about your reconstruction. Breast reconstruction is most often covered by all insurance companies. Our office will pursue pre-approval please be sure to bring all current insurance cards with you to your appointment.
44 year old
5’5”, 135 lbs.
Went from a DD to a C cup.
54 year old
5’4”, 143 lbs
Left breast mastectomy
Diep flap reconstruction on the left breast and augmentation on right breast for symmetry
If you feel self conscious about the size of your breasts or are dissatisfied with their appearance, surgical placement of breast implants can be the answer for you. Breast augmentation will enlarge small breasts, correct asymmetrical breasts or correct loss of breast volume after nursing. Augmentation can be performed at any age, however, it is recommended that breasts be fully developed prior to the surgery. (more)
Breast augmentation generally does not interfere with the ability to breast feed. It is important that the patient is considering augmentation for their own personal satisfaction. A consultation with the surgeon is the first step in the surgical process. The surgeon will explain the surgery and discuss all risks and potential complications. He will perform an exam of the breast and discuss your expectations. One of the important decisions to be made is the desired size. Patients should have an idea of their desired size. Some patients desire an obvious change while others wish it to be a more subtle change. This is a personal decision and can vary greatly from patient to patient.
Breast augmentation is done as an out-patient procedure, meaning you return home the same day. Plastic Surgery Associate of S.D. has its’ own fully accredited operating room, therefore our patients are able to have their surgery in the confidentiality of our Clinic. After the surgery, you will need someone to drive you home. Pain medication will be given to help with any discomfort. There are no stitches to remove and you can shower the next day. Recovery is usually fairly short. Many patients return to work within a few days of surgery, with some activity restrictions. The healing process will continue for several weeks and it will be important for you to continue your follow-up visits with your surgeon.
31 years old
Right implant is a 350 cc silicone implant
Left implant is a 375 cc silicone implant
She has 400 cc implants bilaterally.
43 years old
She has 325 cc silicone implant on the right and 350 cc silicone implant on the left.
She went from an A cup to a C/D cup.
28 years old
She went from an A cup to a C cup.
She has 450 cc and 475 cc silicone implants.
24 years old
She has a 300 cc saline implant on the right, filled to 335 cc.
She has a 300 cc saline implant on the left, filled to 300 cc.
26 years old
She has 225 cc saline implant bilaterally and went from an A cup to a C cup.
33 years old
She went from an A cup to a large B cup with 275 cc silicone implants placed bilaterally.
32 years old
She went from an A cup to a C cup with 325 cc silicone implants bilaterally.
This patient went from an A cup to a D cup with 550 cc silicone implants bilaterally.
33 years old
She went from an AA cup to a DD cup with a 325 cc silicone implant on the right and a 275 cc silicone implant on the left.
Her photo is slightly turned and the left shoulder is elevated, but otherwise she has a nice shape and result.
35 years old
With 275 cc silicone implants bilaterally she went from an A cup to a B cup.
She has a birthmark under her right breast that is easier to see after the breast augmentation.
35 years old
She went from an AA cup to a C cup with 300 cc silicone implants bilaterally.
29 year old
5’2”, 118 lbs.
Went from a B cup to a DD cup
350 cc silicone implants below the muscle
Went from an A cup to a D cup
400 and 425 cc silicone implants
For women with very large breasts, breast reduction is an option available to help alleviate the variety of medical problems associated with large breasts. A reduction mammaplasty removes the excess tissue, allowing the breasts to be more proportionate in size to the rest of the body. You are a good candidate for the surgery if you are experiencing some of the problems such as back, neck and shoulder pain, rashes beneath the breasts or indentations in your shoulders caused by the weight of the breasts. (more)
Your first step is a personal consultation with the surgeon who will perform the surgery. He will examine your breasts and explain the procedure in detail. Photos will be taken for your medical record and insurance. You will discuss with the surgeon a desirable size and the method used in the surgery. Breast reduction surgery is a common procedure and a safe procedure when performed by a qualified board certified plastic surgeon. As with any surgery, there are some risks involved and always a possibility of complications. These will be explained to you at the time of your consultation. Breast reduction surgery is done in a hospital setting. You will be asleep for the procedure. Some patients spend one night in the facility while others go home the same day. You will receive pain medication to take care of any discomfort you may have. Normally after one week you will feel quite comfortable and may be able to return to work. It can take several months for your breasts to settle into their new shape. The incision lines are permanent, however, the scars will fade over time. Breast reduction can make a dramatic change in your lifestyle. It will enable you to enjoy more physical activities and a more self-confident appearance and body image. Breast reduction is one of the most popular reconstructive procedures we perform.
41 years old - 5’2”, 200 lbs.
Removed 815 grams from left breast and 915 grams from right breast
Strive to fashion breast reductions that are proportional to the patient and consistent with pre-op desires
Removed 550 grams from left breast
Removed 540 grams from right breast
Removed 5 lbs from abdomen