Breast Surgery

• Breast Augmentation
   
• Breast Uplift
   
• Breast Reduction
   
• Breast Reconstruction
   
• Other Breast Surgery

Facial Surgery Body Sculpting Ancillary Services

Breast Augmentation/Enlargement/Enhancement

If you are like many women seeking breast augmentation, you have been considering the operation for many years. Some of you are looking to have natural appearing breasts that bring your body into balance while others are looking for a significant increase in size without that telltale bulge above. Breast augmentation is the 2nd most common plastic surgery procedure performed today. It is performed to enhance breasts which appear to be too small as a result of poor development, or post pregnancy shrinkage. It may also be used to correct breasts which are asymmetrical. The result can be not only enhanced physical appearance, but improved self esteem and inner confidence. 

The procedures involve placement of an implant to enlarge the size of the breast. There are many different variables, such as location of the incision, the size, shape, and type of implant, as well as the location of the implant (under or over the muscle), which will be discussed with you. Dr. Friedlander prefers to place the implant behind the muscle, as this may decrease the potential for capsular contracture and will interfere less with future mammograms. She will discuss saline implants, with you, as well as silicone implants, if you qualify.

Postoperative swelling is normal. As the swelling disappears, the implants will look smaller. They are not. It is simply the swelling going away. The implants also settle into their position on the chest after several weeks. Most women are able to resume work 5-7 days after the procedure, but no strenuous activity is permitted for 4 weeks.

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Breast Lift/Mastopexy

Pregnancy, weight change, and hormonal fluxes (menopause) can lead to breasts which are smaller in size and which sag or droop. A breast lift can correct this and restore the breast to a more youthful appearance by adjusting the nipple position and tightening the breast tissue. The areola (pigmented area around the nipple) is frequently reduced in size during a mastopexy. The cup size does not change with an uplift alone, but can be increased if the surgery is performed in conjunction with breast augmentation.

Dr. Friedlander will discuss the variables, including the size and shape of your breasts, as well as the condition of your skin. She will advise you of the best procedure. When only a small amount of sagging is present, the incisions can be made only around the areola. However, more frequently an incision will be required around the areola and vertically between the areola and the fold and finally in the fold itself. An implant can be inserted with any of these approaches. If the breast appears to sag, but the position of the breast and nipple are correct, then only an implant may be necessary. This distinction can be confusing and will be reviewed by Dr. Friedlander, if necessary.

You will be sore for a few days after the surgery. However, you will be able to return to work after approximately one week. You should refrain from strenuous activity for four weeks.

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Breast Reduction

Breast reduction is a wonderful procedure for eliminating symptoms of neck pain, back pain, shoulder pain, bra strap grooving, and recurrent irritation below the breasts caused by overdeveloped, disproportioned breasts. This procedure is frequently covered by your insurance carrier and a predetermination of benefits is obtained. The goal of the procedure will be to create smaller breasts, more in proportion with the remainder of the body, which will ultimately improve the symptoms listed above. It will also correct postural disturbances which have prevented you from comfortably working out or enjoying sports activities over the years.

This surgery is appropriate for teenagers with overly developed breasts that have stopped growing, as well as for mature women.

This procedure is done on a same day surgery basis. It involves elevating the nipple to a proper position and removing excess breast skin and tissue. Scars are placed around the areola, vertically extending to the fold, and within the fold itself. The scars will sometimes vary, depending upon the amount of tissue to be removed. In some instances, liposuction alone can be used to improve the breast size and eliminate symptoms.

Most women are sore for a few days after the procedure. They are able to return to work approximately 1 week after the surgery, and they must refrain from heavy or strenuous activities for at least 4 weeks after the surgery.

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Breast Reconstruction

Breast reconstruction is one of the most rewarding surgical procedures performed by plastic surgeons. There are several different procedures which can be used to create the form and shape of a breast, which will closely approximate the opposite side. They will establish a more normal appearance and, more importantly, allow you to regain your self esteem. Today, breast reconstruction is usually initiated at the time of mastectomy. It may involve the creation of a breast mound entirely using your own tissue (TRAM flap) or it may involve using a tissue expander, which is a balloon placed temporarily under the chest muscle. This balloon is expanded or stretched as it is filled with saline. This stretches the skin slowly to create a pocket large enough to accommodate a permanent implant. There are also other procedures which use the skin and muscle of the upper back to protect an implant. All of these procedures are complex and will be reviewed with you in detail during your consultation with Dr. Friedlander. There will be plenty of time to ask questions and, as with all procedures discussed on this web site, she will show you photographs of each of the procedures.

Women of any age are entitled to look and feel whole after undergoing mastectomy. Breast reconstruction is covered by your insurance carrier. Breast reconstruction to improve asymmetry caused by a partial mastectomy (lumpectomy) may also be covered.

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