Cosmetic surgical enhancement of breasts aims to restore and modify undesirable breast size and shape as required by individual towards a perceived aesthetic ideal. Changes due to pregnancy, the effects of gravity and ageing can be reversed in most patients and more youthful breasts restored without altering natural appearance or function

 

BREAST COSMETIC PROCEDURES:

Breast augmentation

Small, sagging or “empty” breats may be enlarged, filled and the shape improved by placing silicone gel implants under the breast tissue or the chest wall muscle.

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Breast lift

Sagging breasts of adequate size may be lifted and made firmer to improve breast shape and reduce stretched areolas without enlargement. This operation is often requested after pregnancy, breastfeeding or weight loss which leaves the breasts smaller, sagging and flaccid. Breast lift makes patients less bra dependant and improves fitting of underwear and clothing.

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Breast augmentation and Breast lift

Should one’s breasts be small, shapeless, droopy and if a fuller upper pole of the breast is required, a breast lift operation can be done in addition to implant placement to make the breasts firmer, fuller and to enhance the upper breast in the cleavage area. This combination procedure requires more operation time and combines the benefits but also the potential complications of both augmentation and breast lift.

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Breast reduction

Large sagging breasts may be reduced in size and made firmer to produce a more proportionate size and improved breast shape.

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Male breast reduction

Enlarged male breast tissue may be removed by excision of glandular tissue through an incision around the areola and pectoral fat collections may be removed by liposuction.

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Breast asymmetry

Asymmetrical breasts may be corrected by various operations depending on breast size and extent of asymmetry. Breast implant placement, breast lift or reduction operations are often combined to correct the differences. Absence of breasts and absent chest wall muscles may be improved by placing implants or other reconstructive operations.

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Breast deformity correction

The shape and size of the deformed breasts can be improved by a variety of operations which are highly individual depending on the particular breast deformity. Breast implant placement, breast lift or reduction operations and variations thereof are combined to restore the breasts to the best possible shape and size. Large, protruding nipples and areolae can be reduced in size and more natural proportions restored.

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BREAST RECONSTRUCTION AFTER CANCER SURGERY

Breast deformities left after various forms of breast cancer surgery may be reconstructed and restored to a natural appearing breast, matching the remaining one. As it is difficult to match a large, droopy or very small opposite breast by breast reconstructive procedures, the opposite breast often requires adjustment as part of the reconstruction as well in order to achieve a natural symmetrical result. Currently most breast reconstruction operations are started at the time of mastectomy if the cancer treatment will allow this.

 

BREAST COSMETIC PROCEDURES:

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BREAST RECONSTRUCTION AFTER MASTECTOMY FOR CANCER

The extent of the breast reconstruction operation is determined by the extent of the cancer surgery, which varies from partial mastectomy/lumpectomy (removing part of a breast only), subcutaneous mastectomy (removing the internal breast tissue but leaving the skin envelope and nipple/areola) to complete mastectomy (removing all breast tissue with nipple/areola and a varying amount of skin).

 

Currently an immediate start to the breast reconstruction at the time of mastectomy is advised for most patients but in some cases reconstruction is best delayed for a year after mastectomy until all cancer treatment is complete.

 

Breast reconstruction options are as follows:

 

Immediate breast reconstruction:

Prosthetic placement with or without tissue expanders.
Latissimus dorsi back flap with breast implant placement.
Abdominal DIEP free flap.

Delayed breast reconstriuction:   

Prosthetic placement with or without tissue expander.

Latissimus dorsi back flap with breast prosthesis
placement.

Abdominal TRAM flap.

Abdominal DIEP free flap.                                                       

                                     

Breast cancer patients have to deal with the threat and implications of the cancer, potential mutilation of their breasts and a sense of loss of womanhood, all of which results in a period emotional upheaval after the cancer surgery. Breast reconstruction can help patients to work through some of these issues and restore a sense of “whole”, self-esteem and confidence.