A woman’s breasts help define her femininity, and with the vast differences in shape, size, and appearance, breasts further help to define her individualism. Therefore, changes to the breasts can be dissatisfying and make women feel as if they are losing some of their femininity and youthful vitality. Like other areas of the body, the breasts undergo changes in response to factors such as genetics, the aging process, pregnancy and breast feeding, weight gain or loss, and hormonal fluctuations. Breasts that were once firm and shapely often begin to sag and droop giving them a loose or heavy appearance. A breast lift, or mastopexy, can help restore a firmer, shapelier breast, which will improve body contours and give the breasts a perky, youthful appearance.
During a breast lift procedure - also known as a mastopexy - loose, excess skin is removed, and the remaining skin is tightened. As a result, the overall shape of the breasts is improved, and they are lifted to a new, more upright position. Your physician will assess the degree of ptosis, or sagging, of your breasts, to determine the procedure that is best for you. There are generally three degrees of ptosis classified as minor, moderate, and severe, which are determined by the position of the areola relative to the inframammary fold and the sternum. There are four basic breast lift techniques known as the periareolar, circumareolar, vertical, and anchor technique, used to correct increasing ptosis, respectively.
Four Basic Breast Lift Techniques
The periareolar, or crescent technique involves a crescent, or half-moon shaped incision made around the top of the areola. This technique is a minimally invasive procedure that achieves a small degree of lift. Therefore, it is appropriate for individuals with small breasts or minor breast ptosis.
The circumareolar, or doughnut technique involves a circular incision made around the areola. This technique is a minimally invasive procedure that achieves a small degree of lift. Therefore, it is appropriate for individuals with small breasts or minor breast ptosis.
The vertical technique involves a v-shaped incision that extends around the top of the areola and down the midline of the breast. Although this procedure is slightly more invasive, it achieves a large degree of lift. Therefore, this type of incision is appropriate for individuals with larger breasts and moderate to severe breast ptosis.
The anchor technique involves an anchor-shaped incision that extends around the top of the areola and laterally across the lower portion of the breast. Although this technique is the most invasive type of breast lift, it achieves the greatest amount of lift. Therefore, it is appropriate for individuals with large breasts and severe breast ptosis.
A breast lift procedure may last approximately one to four hours, depending on the complexity of the procedure and whether an additional procedure, such as breast augmentation, is performed at the same time. Prior to the start of your procedure, the treatment area will be cleansed and an anesthetic will be administered. Your physician will most likely administer general anesthesia in which you are asleep during the procedure. In addition, they will draw incision guidelines to indicate the areas of skin that will be removed during the procedure.
Using a scalpel, the physician carefully makes an incision along the pre-marked lines. The incision extends beyond the upper perimeter of the areola. This area marks the new upper perimeter of the areola. The area below the areola will be pulled together and tightened, resulting in a more upright breast position.
Using a variety of surgical instruments, the physician lifts the skin and separates it from the underlying tissues below. The areola and nipple are left intact, as the areas of surrounding skin are removed. In order to ensure that the breast has complete mobility, the physician may use a cautery device to undermine, or remove, tissue along the perimeter of the incision line.
Once the excess skin has been removed, the physician will suture the uppermost perimeter of the areola to the outermost perimeter of the incision. In doing so, the areola and breast tissue are lifted to a new, more upright position.
The physician will proceed to close the incision by placing sutures along the vertical midline and inframammary fold, as well as around the perimeter of the areola. Some physicians may choose to place external sutures along the incision as well. Prior to closing the incision completely, the physician may place a surgical drain inside each breast, however some physicians prefer not to use surgical drains. Lastly, steri-strips or gauze bandages may be applied in order to protect the incision sites as you heal.
Your physician may recommend that you wear a type of compression garment following your procedure. This tight-fitting garment will help to reduce swelling by preventing fluid build up, as well as provide comfort and support as you heal. You will likely have to wear the compression garment for several weeks. If surgical drains are present, they, along with any bandages, will likely be removed within a few days, while any non-dissolvable stitches may stay in place for one to two weeks. You may experience some minor pain, bruising, and swelling, as well as numbness around the areola—all of which should subside in several weeks. Although you may feel well enough to return to work in approximately one week, you should continue to avoid strenuous activity such as exercise for three or four weeks after your procedure to allow your body sufficient time to heal.
You will be able to notice a dramatic difference in the shape and position of your breasts immediately following your procedure. You may continue to notice a change in the appearance of your breasts as swelling subsides and they settle into their new positions. In fact, it may take up to one year before the final results from your procedure are apparent. Although a breast lift cannot stop the aging process, it can help you not only improve the position of your breasts, but restore the fuller, shapelier appearance that you desire for years to come.
Breast Lift with Implants
Another option to consider is a breast lift with implants which can help correct sagging or drooping breasts while at the same time increasing cup size. One of the benefits of a breast lift combined with breast augmentation is that the implants are not as affected by gravity and therefore will remain firm and perky for many years to come. During a breast lift procedure, loose, excess skin is removed and the remaining skin is tightened. As a result, the overall shape of the breasts is improved, and they are lifted to a new, more upright position. In combination, breast implants and a breast lift result in total rejuvenation, not only increasing the size of
the breast, but restoring a firmer, perkier appearance as well.
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Breast augmentation, or augmentation mammoplasty, is one of the most common plastic surgery procedures performed today. Over time, factors such as age, genetics, pregnancy, weight changes, sun exposure, and gravity can cause the size and shape of the breast to change. Women who are dissatisfied with the size of their breasts, or have experienced changes in breas
t appearance can achieve a fuller, shapelier breast with breast augmentation. During breast augmentation, a breast implant is placed inside a pocket formed in the breast tissue. This can help to increase or balance the size of the breast, restore breast volume, or restore the shape of the breast after partial or total loss.
Breast augmentation procedures typically last approximately one to two hours. Prior to the start of your procedure, the treatment area will be thoroughly cleansed. Depending on the surgeon’s preferences and the nature of the procedure, a local anesthetic in combination with intravenous sedation or general anesthesia will be used.
There are three different techniques that surgeons may use while performing a breast augmentation.
In the areola technique, a single small incision is usually placed along the perimeter of the areola. This is one of the most common incisions used in breast augmentation. The armpit technique places the incision in the natural fold of the armpit, therefore there will be no scar on the breast. In the under the breast technique, the inframammary incision is placed along the crease of the lower portion of the breast.
Once an incision has been made, using an instrument known as a retractor, the surgeon will open the incision in order to gain better access to the breast tissue below. The surgeon will carefully separate the breast tissue with a minimally invasive cautery device and a scalpel, in order to reach the area of the breast in which the pocket will be formed. Using an instrument known as an elevator, and their fingers, the surgeon will carefully create a pocket in which to place the breast implant.
Most saline implants are filled during surgery. Therefore, saline implants are usually inserted into the breast empty. A tube attached to a valve on the breast implant allows the surgeon to fill the implant. Once the implant is inserted into the pocket, the surgeon will use a syringe to fill the implant with a sterile saline solution. When the implants are filled, your surgeon will visually inspect your breasts to ensure that they are symmetric. They may add additional saline solution to one or both breast implants, adjust the pocket and the position of the breast implant itself to ensure that the desired look is achieved. Once satisfied, the surgeon will remove the tube used to deliver the saline solution, sealing the implants.
Types of Implants
Saline implants are made of a silicone rubber shell and are filled with sterile saline solution, or salt water. Sterile saline solution has the same salt concentration as the body, which means that the solution presents very little health risk.
Silicone implants (approved by the FDA in 2006), are made of a silicone rubber shell and are filled with silicone gel. There is no significant evidence that suggests silicone implants increase your risk for breast cancer, connective tissue disorders, or autoimmune disease.
Breast implants differ by shape, texture, and profile. Breast implants may be round or contoured, and may have a smooth or textured surface. The breast implant profile may be standard, moderate, or high. Lastly, breast implants vary by size, or volume. The type, style, and size of breast implants you choose are determined by your lifestyle, body contours, the amount of breast tissue you have, and the cup size and appearance that you would like to achieve. Be sure to talk with your doctor in depth about choosing the breast implant option that is right for you.
Submuscular or Subglandular Breast implants can be placed in two general locations, known as submuscular and subglandular placement. Submuscular placement refers to an implant that is placed partially or completely beneath the pectoralis muscle, against the chest wall. In contrast, subglandular placement refers to an implant that is placed beneath the breast tissue, but above the pectoralis muscle. Your surgeon will help determine the implant placement that is best for you.
The incisions will be closed using sutures in the breast tissue. Sutures, skin adhesive or surgical tape may be used to close the skin. Your surgeon may choose to use non-dissolving sutures, which will be removed in seven to ten days. The scars from the incisions will fade slowly over several months, but it may take up to a year for them to refine completely. As with any surgery, you will most likely experience some pain and swelling after surgery. The majority of the swelling will likely subside within a few days. However, some swelling may persist for several weeks.
Your physician may place you in a special bra or compression garment to aid in the healing process. Compression garments provide support and comfort, minimize swelling, and help to maintain the position of the implants. This is why it is important that you wear the compression garment as recommended by your physician.
You will most likely be able to return to work within three to seven days after your procedure. However, it is important that you avoid any strenuous activity and lifting for approximately three to four weeks. Doing so may delay healing and could damage the implants. You will be able to notice the final results from your procedure once the implants have settled and the swelling has subsided completely. It is important to realize that your breasts will continue to change shape over time. However, the results from breast augmentation are typically long-lasting, which means that your breasts will maintain the fuller, shapelier appearance that you desire for years to come.
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Breast reduction surgery is typically performed to create a more proportional chest curvature with your overall body shape, and to alleviate problems with activities, health, and clothing. The procedure can also help achieve symmetry where breasts are not equal in size. The plastic surgeon can change the shape and firmness of the breasts to create a more aesthetic appeal. The procedure carries tremendous psychological effects and most women who undergo breast reduction are very satisfied with the results.
It is also important to note that this surgery isn't just for women, either. Men who have conditions such as gynecomastia (where male breasts are enlarged abnormally) also may seek a breast reduction.
After the area has been thoroughly cleaned and anesthesia has been administered, an incision is made along the surgical markings previously drawn by your plastic surgeon.. Flaps are created on both sides of the breast and the excess skin, fat, and glandular tissues are extracted. In most cases the nipples are moved to a higher position on the breast, but remain attached to the nerves and blood vessels. For very large breasts, however, the nipples may need to be moved and grafted to a completely new location. In these cases, the nipples are removed from the underlying connecting tissues and you will lose sensation in the nipple and areola.
The nipple and areola are usually moved to a new position. The position of the nipple is usually vertically level with the crease on the underside of the breast. After surgery, the flaps of skin (that were once above the nipple) are refolded around and beneath the breast, pulled to the front of the breast around the nipple, and sutured in place. The reduction of breast tissue and skin reduces the weight of the breast and reshapes it into proportion.
Upon completion of the procedure, stitches remain around the areola and nipple area, in a vertical line beneath the nipple and horizontally under the breast. If the breasts were not too overly large, then some surgical techniques can avoid the horizontal scar altogether.
Your surgeon may use drainage tubes and the incision site is then sutured. Your breasts will be wrapped in special gauze. If required, you may also wear a surgical bra.
You will need to take at least one week off from work or school. Some patients require two weeks, but each situation varies. Your surgeon will instruct you on follow up appointments to remove bandages and sutures.
If you are a physically active person, you will not be able to resume your activity for at least one month after surgery.
Following your surgery it is normal to feel tired and experience some breast pain.
Your surgeon will give you an oral painkiller to ease you through the first few days after surgery. Heavy lifting should be avoided as it can cause surgical scars to worsen.
Travel For Care has partnered with the Top Plastic/Cosmetic Surgeons in Monterrey in order to offer you their vast experience and latest techniques at very attractive prices. Discover the benefits of coming to Mexico for an inexpensive Breast Reduction.