Cosmetic and Plastic Surgeons

When considering breast enhancement, it is important to understand your goals of cosmetic surgery. For example, are you looking for a larger breast size, more proportioned breasts, or simply just to turn back the clock. In addition, it is important for you to select a breast implant surgeon who you can communicate with, who understands your goals and expectations and who gives you a feeling of confidence. Your relationship with your doctor will be important as you move forward together to decide the appropriate surgical approach and implant design that is right for you.

Your final result from a breast augmentation will be determined far more by your choice of plastic surgeon than by which breast augmentation technique is used or which breast implant you choose. Not only is this your most important choice, it is also the hardest one to make. One thing on your side is that this is elective surgery, and totally non-urgent. If you make a pact with yourself to wait until you are 100% comfortable, you will have the breathing space to choose the right plastic surgeon for yourself. Be informed and learn more about plastic surgery and what it has to offer.

Breast augmentation is a procedure to enhance the size of your bust by using saline breast implants or silicone breast implants. By inserting breast implants a plastic surgeon can increase a woman's bust line. Advances in breast implant technology and surgical techniques make breast augmentation a popular option among women. The breast implant can be placed either partially under the pectoralis major muscle (submuscular) or on top of the muscle and under the breast glands (subglandular) depending on the thickness of your breast tissue and its ability to adequately cover the breast implant.

Breast augmentation is a procedure performed to enlarge the breasts and improve its overall shape. Breast implants can be inserted through incisions under the breast (inframammary fold), around the areola (periareolar), or through the armpit (transaxillary). The type of implant used, the placement of incision and the size of the implant are influenced by individual physical characteristics and the patient’s preference. These factors will be evaluated during your initial consultation and the information gathered will be used in choosing the optimal implant size and style for you.

Breast enhancement or augmentation is one of the most popular procedures which women seek. It may enhance small breasts, fill out deflated breasts after pregnancy, and make breast size differences less. All of which may bring a psychological boost to women who are unhappy with this part of their figure. The procedure is done on an outpatient basis and usually under general anesthesia. A small incision must be make around the lower part of the nipple, under the breast, or under the arm.

When the implant is placed sub muscularly under the breast, there is a lower chance of contracture (contraction of the tissue capsule surrounding the implant), and mammography is more reliable. There is also less risk of visible or palpable implant edges. However, in some cases the implant has a more natural appearance when placed above the muscle, under the breast tissue. A board certified plastic surgeon can help you decide which placement and type of implant will work best.

Introduction
Over the years, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman's breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breastlift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts--at least, for a time.

Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume--for example, after pregnancy--breast implants inserted in conjunction with mastopexy can increase both their firmness and their size.

The Surgery
The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.

Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the "doughnut (or concentric) mastopexy," in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed.

For a breast lift in Encino California contact board certified plastic surgeon Dr. Saul Berger.

Breast lift Atlanta, also known as mastopexy, is an effective way to lift and reshape breasts that have lost volume and elasticity. A popular procedure at our Georgia office, breast lift Atlanta can help you look and feel more confident in your clothes and significantly improve self-image.

Patients wishing to increase breast volume may also consider having breast implant surgery at our Atlanta area office in conjunction with breast lift Atlanta to further enhance results.

Usually performed under general anesthesia, the breast lift Atlanta procedure can take anywhere from one to four hours, depending on the extent of the surgery. The goal for our Georgia office staff for all breast lift Atlanta procedures is to lift and reshape the breast to obtain a more youthful, yet natural looking appearance. This is achieved by removing excess, sagging skin and repositioning the nipples. Dr. R. Morgan Davoudi will discuss several different surgical approaches and, after a thorough examination and consultation, he will recommend the breast lift Atlanta technique that will work best for you.

Breast lift Atlanta usually takes one and half to three and half hours. The most common breast lift Atlanta procedure involves an anchor shaped incision across the base of the breast as well as incisions around the areolas and an incision between the areola and the base of the breast. The incision outlines the area from which the breast skin will be removed and defines the new location for the nipple. The nipple and areola are moved to a higher position with the removal of excess skin. The skin surrounding the areola is then brought down to reshape the breast. Maximal correction of the breast shape is possible but at the cost of more scarring.

Breast augmentation in Manhattan New York is performed to increase breast fullness and volume for women with small breasts or those who have experienced a decrease in breast size due to pregnancy or weight loss. There is a wide variety of implant designs, shapes, sizes, and textures, all of which have certain advantages and disadvantages. A breast implant is basically a soft, silicone envelope with various fillers that is surgically implanted under the tissues of your chest to simulate natural breast tissue.

The breast implant used for primary breast augmentation is made of a silicone shell filled with a saline solution. Saline filled adjustable implants that are similar to the standard saline filled implants with the addition of a small connector tube through which the surgeon can adjust the size via injection. This implant requires a second incision to remove the injection port in an additional breast augmentation procedure. Under certain conditions, including breast reconstruction, breast lift and other secondary breast procedures, silicone gel implants are now approved by the FDA.

Breast augmentation Manhattan New York may be performed under local anesthesia with intravenous sedation, or general anesthesia. General anesthesia may be recommended for women desiring implant placement below the muscle. The breast augmentation Manhattan New York surgery consists of making an incision, lifting the breast tissue, creating a pocket in the chest/breast area, and placing an envelope containing a soft, implant material underneath. An incision may be made either in the crease below the breast, around the areola, or under the armpit. The implants can be placed either under the chest muscle or directly under the breasts. Placement considerations include the anatomy of your breasts, breast feeding, and your personal preference. All of the options will be discussed in detail to allow you to make an informed decision. For breast augmentation Manhattan New York contact board certified plastic surgeon Eric Sadeh.

New York plastic surgeon Eric Sadeh offers breast augmentation Manhattan New York using saline and silicone breast implants, breast lift surgery, and breast reduction surgery. Located in New York City serving Manhattan, Queens and Forest Hills.

Background
Many women consult Dr. Sayah because of overly large or sagging breasts, a condition resulting in neck and shoulder pain, deep grooves in the shoulders from brassiere straps, skin rashes, and increased menstrual discomfort. In addition, these patients often experience emotional distress when friends (and even total strangers) thoughtlessly comment on the size of their breasts. Other women are bothered by sagging breasts, and while the size of their breasts may be acceptable, the undesirable shape makes them feel unattractive.

Enlarged breasts are often the result of hereditary factors or weight gain. Hormones also play a part in some cases where the breast tissue is actually more sensitive than normal to certain female hormones. Sagging breasts result from poor skin tone, stretching of ligaments during pregnancy and breast-feeding, weight changes, heredity, and the aging process. Either of these conditions can be corrected with the same basic operative procedure, and thousands of women each year undergo successful surgical alteration of their breasts.

During your initial consultation, you will be encouraged to discuss your desires, fears, expectations, and goals. In addition to reducing breast size, Dr. Sayah will strive to create a more aesthetically pleasing breast by improving shape and balance and creating breasts which are proportional to your chest and shoulders. No woman has breasts which are perfectly symmetrical in volume, shape, or position. Dr Sayah will aim for improved breast symmetry in addition to a more youthful appearance (firm breasts with proper uplift).

Procedure
A more shapely breast (lifted and reduced in size) is created by elevating the nipple (which normally remains connected to its nerve and blood supply) to a more acceptable position. If the nipple is enlarged, its size is reduced. The breast and torso are measured to determine the amount of reduction required, and a pattern is drawn on the breast. If necessary, the internal breast tissue is reduced and molded into a normal size and shape. Sometimes, during uplift operations, a small implant may be placed to add extra support and shape to the breast. Dr. Sayah will discuss this with you before surgery.

New techniques in plastic surgery aim to reduce the length of incisions and scars in performing breast lifts and reductions. In traditional techniques the final incision lines are made around the areola (dark circle around the nipple), down the bottom center and horizontally under the breast and resulting in an “anchor scar.” More modern methods used by Dr. Sayah have limited the incisions to either just around the areola (small circular scar) or around the areola and down the center of the breast resulting in a “lollipop scar.” In particular cases, a significant breast reduction can be achieved by sculpting the breast using liposuction (liposculpture). All incisions are closed in multiple layers in order to minimize widening of the scars.

A comfortable bandage is fitted after surgery and worn for 48 hours. We recommend continued support of the breasts with a well-fitted, comfortable bra after reduction to prevent sagging. A small drain may be used to collect fluid for a day or two after the procedure to help decrease swelling and discomfort.