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One of the primary goals of any aesthetic procedure is to restore aged or otherwise injured structures to a rejuvenated and youthful appearance. In many respects, quality breast surgery is as much a product of intelligent preoperative preparation and planning as it is an excellent technical skill. Breast implants continue to evolve; we now have shaped, highly cohesive implants with a high fill ratio.
A breast lift restores a firmer, perkier, and more aesthetically pleasing shape to sagging breasts. This not only can improve a patient’s appearance by restoring her youthful, feminine proportions but also helps bras and swimsuits fit more comfortably and attractively. A cosmetic surgeon can create a more youthful breast contour by removing excess, stretched-out skin, reshaping the breast tissue, and raising the nipple & areola into a more forward position. The stretched, large areolae can also be reduced during breast lift surgery, creating an overall better proportioned, natural-looking breast.
Breast reduction is a cosmetic surgery procedure that reduces the size and weight of large, heavy breasts, helping to create a more aesthetically pleasing breast contour that is better proportioned to a patient’s body. Women who have large, pendulous breasts suffer from neck pain, back pain, shoulder pain, and discomfort from bra straps. The most common method of breast reduction is excision, and several such surgical techniques are available where general anesthesia is usually needed. Women, even with ideal symmetry, may still be distressed by well-healed scars resultant from traditional procedures. With liposuction, from thirty to fifty percent of breast volume can be removed with good elevation, along with reduction of the size of the areola without post-surgical wound side effects or the disfiguring inverted T-shaped scar Prof. Moawad added.
Today, fat grafting has gained an essential role in the plastic surgeon’s armamentarium as a safe and easy-to-use tool for an experienced surgeon. Fat grafting has the advantage of using autologous tissue that allows natural reshaping and volume augmentation and the double benefit of removing unwanted fatty deposits in donor sites by liposuction. The technique of autologous fat-graft injection to the breast is applied for the correction of breast asymmetry; of breast deformities; congenital defect correction” micromastia, and tuberous breast deformity, breast reconstruction: for post-mastectomy breast reconstruction (as a primary and as an adjunct technique; trauma-damaged tissues (blunt, penetrating), disease (breast cancer), explanation deformity (empty breast-implant socket).); for the improvement of soft-tissue coverage of breast implants and the aesthetic enhancement of the bust.
Gynecomastia is a condition of over-developed or enlarged breasts in men that can occur at any age. The state can result from hormonal changes, heredity, obesity, or the use of certain drugs. Gynecomastia can cause emotional discomfort and impair your self-confidence. Some men may even avoid certain physical activities and confidence to hide their condition. Gynecomastia is characterized by; excess localized fat, excess glandular tissue, sometimes excess breast skin, and it may present on one breast or both breasts. A cosmetic surgeon can help men reduce the appearance of enlarged chests with surgery. If the issue is isolated to fat, liposuction alone may be enough to achieve the desired results. However, the breast tissue, which is denser than fat, can be surgically removed in some cases. The incision location will vary but may include the areola, under the breast, or at the armpit.
Breast reduction is a cosmetic surgery procedure that reduces the size and weight of large, heavy breasts, helping to create a more aesthetically pleasing breast contour that is better proportioned to a patient’s body. By removing excess breast tissue, fat, and sagging, stretched skin, a cosmetic surgeon can make the breasts smaller, lighter, and firmer and improve breast symmetry and eliminate sagging. Although breast reduction is often performed to address medical issues, patients who do not have the symptoms of macromastia (large breasts) can still pursue breast reduction as an aesthetic procedure. Patients choosing to undergo breast reduction surgery for cosmetic reasons may cite any number of factors, including social stigmas and wardrobe concerns.
Breast enlargement is typically done through the placement of silicone breast implants. The exact procedure is tailored to meet a woman’s individual needs. The choices include intravenous sedation and general anesthesia. The filling type, shape, profile, and size of the implants are discussed thoroughly in the pre-operative consultation. A breast implant will be inserted into a pocket either under the muscle or directly over the muscle. This will depend on the type of implant, degree of enlargement, and body type. Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive, or surgical tape to close the skin. Oversized implants not only detract from the aesthetic appearance but are also physically destructive over time. Modern breast augmentation is about volume distribution, not just the addition of volume. The good shape should prevail over volume.
Over time, breast implants can change shape or size, and the overlying breast tissue can also vary, creating an appearance or feel to the breast that is less desirable than the first result. Also, many breast implants have a lifetime warranty on the actual implant device, but after ten years the costs associated with having surgery to replace the implants are no longer covered. Because of this, many women will elect to replace or update their breast implants at or around the 10-year time frame. Breast implant revision surgery is not a standard or routine procedure and needs to be explicitly tailored to the patient’s goals and desires.
Breast implant removal surgery aims to remove breast implants from breast augmentation or breast reconstruction patients. During these procedures, the surgeon may also remove silicone material from implant leaks and the breast capsule, which is the scar tissue that forms after the placement of a breast implant. Often, the scar tissue that forms after installing an implant is soft and does not need to be removed, but it may harden, causing pain and discomfort. This is often a reason to have the implants and scar tissue removed. Breast implants are not lifelong devices, and it is vital to have them exchanged or removed every 10-15 years. This decision is typically based on the individual and the patient’s needs and desires.
