Patients are able to customize how to enhance the bust of their breasts to adjust their size and/or shape.

Uses liposuction to remove fat cells from fat-abundant body areas and places it in the breasts to enhance them.

Breast Augmentation with Fat Transfer

Breast Augmentation

Breasts

Implants have been used for decades to enhance the bust for larger, shapelier, or more symmetric breasts. Breast augmentation is highly customizable and patient specific with the ability to choose incision placement, implant material, and a number of other features.

A simple procedure that may be required to repair a rupture,  switch to larger implants or downsize due to pain.

Patients choose to have a breast implant removes for a number of reasons such as a rupture or discomfort.

Breast Implant Removal

Breast Implant Removal (Explantation)

Breast implant removal surgery, or explantation, can be performed due to a number of reasons. Complications such as rupture or capsular contraction may require the removal of an implant. Other patients desire larger implants or conversely, wish to downsize due to back and shoulder pains. Implant removal is a fairly simple surgery with considerably less down time than a breast augmentation procedure.

Repositions sagging breasts to give a perkier and youthful appearance

Helps to restore shape and volume to the breasts to reverse signs of aging, weight gain/loss, and pregnancy.

Breast Lift Procedure

AIms to raise sagging or drooping breasts several centimeters through the usage of heat energy to firm the tissue.

Radiofrequency Assisted Breast Lift

Breast Lift (Mastopexy)

Most women begin to experience some degree of breast sagging as they age, especially if they have children or carry excess body weight. A breast lift surgery helps to reposition drooping breasts to achieve a perkier, more youthful appearance. The average cost for this procedure is more than $4500.

Reshapes the breast tissue to create a firmer looking bust and relieve pain in the back and shoulders.

Helps to relieve daily aches in the neck, shoulders, and back, but also results in perkier breasts as well.

Breast Reduction

Breast Reduction (Reduction Mammaplasty)

Breast reduction surgery is typically sought out to relieve the aches and pains large breasts can cause on the back and shoulders. A reduction mammaplasty can also reshape the breast tissue and reposition the nipple to create a firmer, younger looking bust.

Correct nipples that are too big, too small, or inverted with surgery or dermal fillers.

Involves decreasing the size of protruding or disproportionately large nipples and balancing the breast.

Nipple Reduction

A condition present since puberty in males and females. Inverted nipples can be pulled back to a normal position.

Inverted Nipples

Reduction of the size and shape of the pigmented skin around the nipple.

Areola Reduction

Hyaluronic acid fillers are injected into the nipple to correct nipple inversion or to keep the nipple erect.

Nipple Augmentation

Nipple Correction

Chest

Certain conditions may cause both men and women to feel self-conscious about the appearance of their nipples and surrounding pigmented skin - the areolae. From cosmetic concerns about the shape and size of the nipples or areola, to functional problems like inverted nipples that affect breastfeeding, most issues can be corrected with surgery or injections of dermal fillers.

Commonly referred to as the nipple, the areola is actually a separate part of the breast that consists of the pigmented area around the nipple. Areolae are typically several shades darker than the surrounding skin but can be much darker, lighter, or the same color as the breast. Size and color of the areolae generally does not indicate any health concerns, as areolae can come in all shapes, sizes, and colors. For some, the areolae can be a cosmetic area of concern. Some men and women are born with areolae that are asymmetrical or are subjectively large. Areola characteristics can also be affected in adulthood by pregnancy, breastfeeding, and weight gain. For those who desire a change in the areola, a reduction procedure can be performed for permanent results. 

During the procedure the patient will be placed under local anesthesia, typically with a sedative as well. Patients who are combining an areola reduction with another procedure such as a breast augmentation, breast lift, or breast reduction, general anesthesia will likely be used. The patient will be marked preoperatively with 2 concentric circles around the areola. The inner circle will denote the new size of the areola. The outer circle will be made at the edges of the areola, with the area between the inner and outer circle representing the tissue that will be excised. If the patient would like the areola to sit at a higher position on the breast, more skin will be removed at the upper portion of the areola instead of removing an even amount of tissue around the nipple. 

The skin around the areola will then be infiltrated with a local anesthetic. Incisions will be made as per the preoperative markings and the excess tissue will be undermined and removed. Next, the wound will be closed, typically with a dissolvable circular stitch that closes with a “purse string” effect. It is common for additional permanent stitches to be placed to reduce tension and future stretching of the areola. The nipple will then be covered with a simple dressing. Most patients return to work within 1-2 days of the procedure and should avoid strenuous or sexual activities for 7-10 days.

An areola reduction can be performed to permanently change the size and shape of the areola. Here is a quick guide for what to expect before, during, and after an areola reduction. 

The areola is the pigmented skin around the nipple. Areolae can be a variety of colors and sizes, ranging from light pinks to deep browns and every shade between. Some men and women are born with large or asymmetrical areolae. Others notice changes in the areola after pregnancy, breast feeding, or after dramatic changes in weight. An areola reduction can be performed to permanently change the size and shape of the areola.

Fat grafting has been called a natural form of augmentation, most well known for its results garnered during a Brazilian butt lift. The same concept can be applied to breast augmentation. Unwanted fat deposits are first liposuctioned from the patient, the fat is purified, and then injected into the breasts. Fat grafting is a good alternative for patients who are concerned that their body may not accept a foreign material. Since the fat is patient derived, there is no worry that the injected material will be rejected. 

Before the breast augmentation, a liposuction procedure will be performed first. Fat can be harvested from anywhere on the body but is most commonly taken from the stomach or thighs. Once retrieved, the fat will be cleansed and purified. Purifying the fat ensures the maximum amount of fat takes to the breasts. Specialized syringes will be used to inject the breasts with small amounts of the purified fat in different areas. Evenly placing the fat across the breasts helps to ensure the most fat will survive. However, not all of the fat will take to the new location, and more fat will likely be injected to overcompensate for the expected loss.

An alternative to implants, breast fat transfer uses liposuction to remove fat cells from the stomach, hips, and other fat-abundant body areas, and then places it in the breasts. Here is a quick guide for what to expect before, during, and after a breast augmentation with fat transfer. 

An alternative to implants, breast fat transfer uses liposuction to remove fat cells from the stomach, hips, and other fat-abundant body areas, and then places it in the breasts. Other terms for this procedure include: fat grafting, fat injections, lipotransfer, natural breast augmentation, and autologous fat transfer.

Allows women to enhance their busts with customizable options for size, material, and placement.

The decision to have a breast augmentation surgery with implants can be for a number of reasons. Breast implants can enlarge naturally smaller busts or reshape breasts that have been affected by weight loss, pregnancy, or aging. Augmentation surgeries can be completely customized by the patient with a number of options for size, projection, material (saline, silicone, or a hybrid implant), placement (over or under the pectoral muscle), and incision location (along the areola, under the breast, through the underarm, and even the navel). 

Before a breast augmentation procedure, a thorough consultation with a plastic surgeon is necessary to determine size, material, incision location, and placement of the implant. These decisions will be made based on a number of factors including patient preference, type of implant, degree of enlargement desired, patient's body type, and surgeon's recommendations. Once the patient is comfortable with their surgeon and proposed methods, surgery can be scheduled. 

During surgery the patient will be placed under general or local anesthesia with sedation. Incisions will be made as per the preoperative plan with efforts made to be as inconspicuous as possible and minimize visible scarring. The implant will be inserted either under the pectoral muscle or above the muscle and behind the breast tissue. Incisions will be closed with sutures and adhesive or surgical tape. Results from a breast augmentation are immediately visible.

Breast Augmentation with Implants

Breast augmentation surgery with implants allows women to enhance their busts with a variety of options for size, material, and placement for complete customization to each individual patient. Here is a quick guide for what to expect before, during, and after a breast augmentation with implants. 

Breast augmentation surgery with implants allows women to enhance their busts with a variety of options for size, material, and placement for complete customization to each individual patient.

The decision to have breast implants removed can be triggered by a number of factors. For individuals that have experienced negative side effects in the wake of augmentation surgery such as capsular contraction, removal can happen soon after the implants have been inserted. For others, the reason to remove their implants may include dissatisfaction with the implants size, projection, or asymmetry during healing. Mothers who have had augmentation surgery before having children may experience breast sagging and volume loss after pregnancy and desire implant removal to then replace with an implant that better suits their postpartum body. No matter the reason, or whether or not the implant will be replaced, removal surgery can help patients feel more confident in their own bodies. 

During the procedure, the surgery will begin by reopening the same incision by which the implant was originally inserted, making it so no new scars will result by removing the implant. The implant will be carefully removed and scar tissue will be excised, if needed. Any scar tissue that is left behind will deflate and collapse upon itself during the healing process. Incisions will be closed and drains will be inserted to collect blood and fluids from the surgical site. The chest will be wrapped in a compressive garment postoperatively and should be worn constantly for at least 1 week.

Patients choose to have breast implants removed for a variety of reasons ranging from implant malfunction to dissatisfaction with results. Here is a quick guide for what to expect before, during, and after a breast implant removal procedure.

Patients choose to have breast implants removed for a variety of reasons ranging from implant malfunction to dissatisfaction with results. If the implant is not being replaced during a removal surgery, it is common for a breast lift to be done at the same time to address any excess skin caused by stretching.

There are 4 different techniques that can be used during a breast lift procedure: crescent, peri-areolar, vertical, or inverted T. The names of these lifts describe the shape of the incision made during surgery. The crescent lift offers patients minimal scarring but is used to correct very minimal sagging. The incision is made on the upper portion of the nipple, running halfway around the edge of the areola in the shape of a crescent moon. Excess skin is removed and when the incision is closed, a slight lift is achieved. The crescent lift, while infrequently used, is typically only performed when a breast augmentation is also being performed, using the same incision to insert the implant. 

The second method is the peri-areolar lift. This method can correct mild sagging with only one continuous scar. The peri-areolar lift, also referred to as the “donut” lift, creates a circular incision around the entire edge of the areola. Like the crescent lift, the donut lift is also typically performed alongside an augmentation procedure. Patients who opt for this method can also benefit from a reduction in areola size as well as a discreet scar hidden within the edges of the areola. 

The vertical, or “lollipop”, lift is a technique used to correct moderate sagging and can also address breast shape. Unlike the previous two methods, the lollipop lift requires two incisions: one around the perimeter of the areola while the second incision runs vertically from the bottom of the areola to the inframammary, or breast fold. 

For patients with severely sagging breasts, the inverted T or “anchor” lift may provide the best results. This lift requires three separate incisions and is much like the lollipop lift, but with an additional incision running horizontally within the breast crease. This method is commonly used for patients who are receiving a breast reduction alongside a breast lift procedure. 

In order to determine which technique should be used for your individual needs, it is important to have a consultation with a board certified plastic surgeon. Your doctor will be able to evaluate your unique case and help you decide if surgery is needed, what incision would be best to achieve your goals, and whether additional surgeries such as an implant or reduction are necessary.

Breast Lift

Breast Lift Solutions

A breast lift, also referred to as a mastopexy, helps to restore shape and volume to the breasts. Here is a quick guide for what to expect before, during, and after a breast lift procedure. 

A breast lift, also referred to as a mastopexy, helps to restore shape and volume to the breasts. Natural aging, weight loss, and pregnancy can all affect how the breasts are positioned, causing drooping or volume loss. A mastopexy procedure can be performed with or without implant although nipple repositioning is typically necessary.

Over time, large breasts can cause painful neck, shoulder, and back aches. Larger breasts can also prematurely sag due to the extra tissue pulling the breasts and nipples downwards. It is common for a breast reduction procedure to incorporate a breast lift to adjust the position of the breasts as well as an implant to improve breast shape and volume. A surgical breast reduction can help patients who desire a more dramatic reduction. For minor sagging, patients may be better suited for the less invasive radiofrequency assisted breast lift. 

A breast reduction surgery utilizes the same incisions as a breast lift but focuses on removing excess breast tissue. There are 3 methods of incision: peri-areolar, vertical, or inverted T. Incision method will be chosen based on the needs of the patient. For individuals who require mild reduction and lifting, the peri-areolar or “donut” lift is ideal. A circular incision will be made around the areola with a bigger concentric circle made around the breast. The apex of the second circle will indicate the new location of the nipple. The skin between the two circles will be removed as well as excess breast tissue. Once the incision is closed, the patient will have smaller, perkier breasts as well as a reduced areola size and a hidden scar within the boarder of the areola. 

The vertical, or “lollipop”, incision is a well known technique used to correct more moderate sagging and breast shape concerns. The lollipop incision combines the peri-areolar incision with an additional incision that runs from the bottom of the areola to the breast fold. Once the skin is removed, the shape resembles that of a keyhole. Breast tissue will be removed and once the incisions are closed, the resulting lollipop shape is visible.

For patients who need a reduction but also have severely sagging breasts, the inverted T or “anchor” incision may provide the best results. The anchor method has the same incisions as the lollipop technique but has an additional horizontal incision that runs along the breast fold.  The anchor shaped scar is visible once the breast tissue is removed the incisions are closed. 

Typically, the nipple will not be removed and grafted during a breast reduction surgery unless the patient has extremely large and pendulous breasts. While it is more difficult to conceal the scars from a breast reduction surgery, following proper aftercare will help to improve and fade scars over time.

For patients with large breasts that cause neck, shoulder, and back pain, a breast reduction surgery will not only relieve daily aches, but result in perkier breasts as well. Here is a quick guide for what to expect before, during, and after a surgical breast lift. 

For patients with large breasts that cause neck, shoulder, and back pain, a breast reduction surgery will not only relieve daily aches, but result in perkier breasts as well. During a breast reduction areola shape and size can also be addressed.

Nipple inversion severity is evaluated on a scale of 1 to 3. The level of inversion will be assessed by your physician, during an initial consultation, before deciding on the best course of action.

Level 1: sometimes referred to as ‘shy nipple,’ Level 1 is the most minor level of inversion. It is assigned when the nipple responds to stimulation — it may protrude temporarily before returning to an inverted position.

Level 2: the nipple remains inverted at all times, but can be pulled out without too much resistance.

Level 3: this is the most severe level of nipple inversion. The nipple will remain inverted despite attempts to stimulate it. This is usually a result of scarring or tissue constriction.

Patients who are having inverted nipple surgery in order to breastfeed can have a procedure designed to partially preserves the milk ducts. Inverted nipple repair with partial preservation of milk ducts usually involves a local anesthetic and a sedative before surgery. An incision is typically placed around the areola (the dark-skinned area surrounding the nipple), followed by the nipple and areola tissue being lifted from the breast and stitched into a new shape. The lifted nipple and tissue is not disconnected from the breast with this technique.

Inverted nipple surgery with milk duct detachment is typically reserved for patients who are not planning to breastfeed. The procedure can be performed using a local anesthetic in combination with a sedative. An incision is made at the base of the nipple, detach the milk ducts, and reshape the nipple for the desired results.

Both inverted nipple surgery techniques generally take only about an hour to complete on an outpatient basis.

Approximately 10-20% of the female population has inverted nipples, a condition that is also present in some men. For the majority of patients, the issue has been present since puberty and does not indicate any underlying medical issues. Inverted nipples may be pulled back into the breast or be flat on the breasts surface. They are a result of the nipple being ‘pulled in’ due to the milk ducts being too short to allow the nipple to protrude.

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