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BREAST AUGMENTATION
Watch Breast Augmentation Video
WHO IS A CANDIDATE?
Women who desire larger breasts.
Women with a moderate degree of breast sagging and smaller breasts, whose problem can be solved by enlargement.
Women who have one breast that is noticeably smaller than the other.
INTENDED RESULTS
Larger and more shapely breasts.
A more positive self image.
PROCEDURE DESCRIPTION
The procedure is done on an outpatient basis under general anesthesia.
A small incision is made under the breast, around the nipple, or under the arm and a saline implant is inserted under the breast tissue or under the breast tissue and the underlying muscle.
RECUPERATION AND HEALING
The patient goes home in an elastic bra. The bra helps hold the breasts in the correct position.
Initial discomfort is controlled with oral medication.
Sutures are usually removed in 7-12 days.
Light activities can be resumed as tolerated. Aerobic activities can be started in about 3 weeks.
OTHER OPTIONS
An additional procedure that would enhance the result is a Mastopexy (breast lift) -- if the breasts are saggy in addition to being small.
INSURANCE GUIDELINES
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.
NOTE
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk.
Minor complications that do not affect the outcome can occur occasionally. Major complications are unusual.
We offer patient financing thru Reliance Medical Finance.
View breast augmentation photos.
BREAST LIFT
Watch Breast Lift Video
WHO IS A CANDIDATE?
If you have sagging breasts due to past pregnancies, genetics, or aging.
If the sagging is too great to be treated with an implant alone.
If your nipple-areolar complexes (pigmented areas around nipples) are enlarged.
INTENDED RESULTS
An elevated, more youthful breast contour.
Nipple-areolar complexes of the desired size and at the correct height.
PROCEDURE DESCRIPTION
The procedure is done on an outpatient basis under sedation and local or general anesthesia.
The design of the incisions can vary but usually include incisions around the nipple-areolar complex and in the crease under the breast.
The nipple-areolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position.
The insertion of an implant as well, may or may not be advisable.
RECUPERATION & HEALING
The patient goes home in a bra with only light dressings over the incision lines.
The bra is worn as a "dressing" for 2-3 weeks.
Sutures are usually completely removed within 2-3 weeks. Initial discomfort is easily controlled with oral medication.
Light activities may be started in 7-10 days.
OTHER OPTIONS
Additional procedures which may enhance the result are a small Breast Reduction or Breast Enlargement.
INSURANCE GUIDELINES
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.
NOTE
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation.
All surgical procedures have some degree of risk.
Minor complications that do not affect the outcome occur occasionally.
Major complications are rare.
We offer patient financing thru Reliance Medical Finance.
View breast lift photos.
BREAST REDUCTION
Watch Breast Reduction Video
WHO IS A CANDIDATE?
If you have large, heavy breasts, which may be the cause of breathing difficulties, back, shoulder and neck pain, poor posture, bra-strap indentations and chafing under the breasts.
If you have excessive breast size, which may decrease a sense of attractiveness and self- confidence.
If large breasts interfere with normal daily activities or with exercise.
INTENDED RESULTS
More attractive contour and smaller breast size.
Freedom from health problems associated with excessively large breasts.
Improved self image.
PROCEDURE DESCRIPTION
The procedure is done under general anesthesia on an outpatient basis or in the hospital.
Incisions are made around the pigmented area (the nipple-areolar complex) and extend vertically below the nipple and in the fold under the breast.
The nipple-areolar complex is moved upward to the desired location and excess breast tissue, fat, and skin are removed.
RECUPERATION AND HEALING
The incisions are covered with light dressings, and the breasts are placed in a bra.
The bra holds the breasts symmetrically during initial healing.
Initial discomfort subsides daily and can be controlled with oral medication.
Scars will usually fade in 6-12 months.
Surgery will probably reduce and possibly eliminate the ability to breastfeed.
OTHER OPTIONS
An additional procedure that would enhance the result is Liposuction of the axillary area to reduce excess fat deposits.
INSURANCE GUIDELINES
This procedure is commonly covered by insurance though insurance criteria are becoming more and more restrictive.
Our staff will assist you in obtaining pre authorization.
NOTE
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation.
All surgical procedures have some degree of risk.
Minor complications that do not affect the outcome occur occasionally.
Major complications are rare.
We offer patient financing thru Reliance Medical Finance.
View breast reduction photos.
BREAST RECONSTRUCTION LATISSIMUSFLAP
Watch Breast Reconstruction Video
WHO IS A CANDIDATE?
If you are missing skin and breast tissue following a mastectomy.
INTENDED RESULT
Creation of a "breast" that looks essentially normal in clothes and near normal without clothes.
PROCEDURE DESCRIPTION
A flap of skin and muscle is elevated from the upper outer back and rotated to the breast defect.
The blood supply is left intact in the armpit (axilla).
Usually, but not always, an implant is placed under the flap to provide the correct volume to the reconstructed breast.
The back defect is closed directly.
Nipple/areolar reconstruction is delayed until later and is elective.
RECUPERATION AND HEALING
Breast reconstruction is a major procedure requiring several days of hospitalization. Discomfort of the back and reconstruction site will be present for several weeks.
Full use of the area will require about six weeks of healing.
All of the sutures will be removed within a month.
OTHER OPTIONS
Additional procedures that would enhance the result are enlargement, lifting, or reduction of the opposite breast, and/or nipple (areolar) reconstruction.
INSURANCE GUIDELINES
Usually covered by insurance.
NOTE
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation.
All surgical procedures have some degree of risk.
Minor complications that do not affect the outcome occur occasionally.
Major complications are unusual.
We offer patient financing thru Reliance Medical Finance. View breast reconstruction photos.
BREAST RECONSTRUCTION - TRAM FLAP
WHO IS A CANDIDATE?
If you have loss of breast tissue and skin following mastectomy -- one or both sides. If you have loss of breast tissue only following subcutaneous mastectomy If you have a desire for larger breasts (uncommon).
INTENDED RESULTS
Reconstruction of a missing breast(s) or replacement of breast tissue.
PROCEDURE
A flap of lower abdominal wall fat, muscle (and usually skin), is transferred to the area of missing breast tissue with its own blood supply. In a standard TRAM
Flap, the blood supply is within the rectus muscle(s) which is left attached at the lower edge of the rib cage. In a Free TRAM, the blood vessels are reconnected to vessels in the axilla. In a Turbocharged TRAM, the muscle is left attached superiorly, but the inferior vessels are connected in the axilla creating a double blood supply. The abdominal donor site is closed as in a Tummy Tuck, leaving a horizontal scar and a tighter abdomen. An attempt is made to create a "normal" breast mound and shape at the first operation, but subsequent smaller procedures are frequently necessary. Nipple/areolar reconstruction is performed at a later date and is elective.
RECUPERATION AND HEALING
A TRAM Flap Breast Reconstruction is a major procedure performed in the hospital and requiring at least several days of hospitalization. Ambulation will begin the day after surgery and be reasonably comfortable within 10-14 days. Complete recovery usually takes about 6 weeks. The abdominal donor site causes the most discomfort during healing.
OTHER OPTIONS
Additional procedures that will enhance the result are enlargement, lifting, or reduction of the opposite breast, and nipple/areolar reconstruction.
INSURANCE GUIDELINES
Almost always covered by insurance.
NOTE
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.
We offer patient financing thru Reliance Medical Finance. View breast reconstruction photos.
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