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Dr. Alejandro Lopez Gaxiola
 

Breast Surgery


Breast Implants

Breast augmentation can enhance the shape and size of a woman's breast helping to increase breast size, achieve symmetry, improve shape of breast, improve appearance due to sagging, disfigured. Breast implants are also very helpful for patients who have undergone a mastectomy and require breast reconstruction.

Implants are either saline solution or silicon gel. Silicon gel is the most commonly used implant in this type of procedure because silicon implants are now made with three layers. The filling is made of a cohesive silicon gel, ensuring better aesthetic results and more consistency in the new mammary gland.

This procedure is done not only for cosmetic reasons but to reconstruct deformities.

The doctor`s rely on the fat injections to shape the breasts for an aesthetic, natural-looking result. Most of the patients might notice some bruising swelling and redness in the donor and injection sites.

Breast reduction is a procedure to reduce and change the shape of the breasts. It is performed on patients who feel that the natural size of the breasts is too big and wish to give their body a more discrete and aesthetic appearance.

BREAST REDUCTION: Patients who undergo breast reductions frequently refer relief from the discomfort caused by the excessive weight of large breasts. Breast reduction generally removes the symptoms and improves the size and shape of the breasts. Reduction makes the breast size more proportional to the body shape and therefore makes wearing clothes better and easier.

Am I a good candidate for breast surgery?

You are a candidate for breast reduction if you have one or more of the following conditions:

  • Breasts that are too large in proportion to your body shape.
  • Hanging or heavy breast, with areolas and nipples that point downwards.
  • One breast larger than the other.
  • Back, neck, or shoulder pains caused by the excess weight of the breasts.
  • Skin irritation under the breast.
  • Sinking skin marks on your shoulders made by bra straps.
  • Limited fiscal activities due to the size and weight of the breasts.
  • Inconformity with the size of your breasts.
  • Breast reduction can be done at any age, although plastic surgeons generally recommend waiting until the breasts are fully developed. Pregnancy and breast feeding can unpredictably affect the size and shape of the breasts. However, many women decide to have breast reduction surgery before having children and they feel ready to undergo any posterior changes that may come from maternity. If you plan to breast feed you baby in the future, it may be convenient to discuss that with your plastic surgeon.
  • During the consultation, you will be asked about the size that you wish your breasts to be, as well as any other modifications that you would like to be done.
  • This will help the surgeon understand your expectations and how realistic these may be.
  • How does my surgeon evaluate if I am eligible for breast reduction surgery?

Your plastic surgeon will examine your breast, take measurements, and may take photographs for your medical record. The size and shape or your breasts, the quality of your skin, and the placement of you areolas and nipples will be carefully evaluated.

You should be prepared to discuss your medical history. This includes information about any medical condition, drug allergies, medical treatments you may have received, previous surgeries, including breast biopsies, as well as any medications you take regularly. It is very important that you give your doctor complete information.

It is important that you inform your surgeon if you plan you lose a significant amount of weight, especially if you have noticed that your breast size reduces when you lose weight. This way, your surgeon will evaluate if it is convenient for you to stabilize your weight before surgery.

Where will my scars be?

The most commonly used method for breast reduction implies three incisions. One is around the areola. A second incision is made vertically from the bottom and center of the areola to the center of the inferior fold of the breast. The third incision follows the natural curving of the breast throughout its inferior fold.

One common breast reduction technique removes excess breast tissue, fat and skin through the incisions shown. The nipple and areola remain attached to the underlying tissue but are shifted to a higher position. The size of the areola is often reduced at the same time.

Once the excess breast tissue, fat and skin is removed, the areola and nipple are repositioned in a higher location. The areola, which in larger breasts is generally stretched out, is also reduced. The skin that was originally over the nipple is lowered and brought together to mold the breast. Liposuction can be done to improve the contour of the breast under the arm, at armpit level.

Generally the nipples and areola remain joined to the breast tissue from beneath, allowing the sensitivity to remain. The ability to breast feed may also be preserved by this method, although it is not guaranteed.

Skin that formerly was located above the nipple is brought down and together to reshape the breast.

What are the most used techniques in breast reduction surgery?

There are many variations in the design of the incisions made in breast reduction surgery. The size and shape of the breasts, as well as the quantity you want reduced are factors that help your surgeon decide which technique is best for you.

In some cases, a vertical incision that goes from the areola to the inferior fold of the breast, or a horizontal incision under the breast, can be prevented.

Rarely, if the breasts are excessively large, the areola and nipple need to be completely removed and reapplied on a higher location. In such cases, there may be a loss of sensibility and the ability to breastfeed, in order to achieve the breast size desired.

Understanding the risks.

Fortunately, significant complications from breast reduction surgery are rare. Every year, thousands of women have successful breast reductions, with minimal problems and satisfactory results. However, anyone who considers undergoing this procedure needs to be informed of the risks and benefits.

How should I prepare myself for surgery?

Depending on your age or if there is a history of breast cancer in your family, your surgeon may recommend a preoperatory and a postoperatory mammogram. This will help detect any future changes in your breast tissue. After surgery, you should continue practicing breast self examinations. The procedure will not increase the risk to develop breast cancer.

If you smoke you will be asked to stop smoking before your surgery date. Aspirin and other anti-inflammatory medications may increase the risk of bleeding; therefore they should not be taken for a while before surgery. Your surgeon will instruct you on these aspects before surgery.

The procedure may be done on ambulatory patients or in those remaining in the hospital. If you wish to remain in the hospital or surgical unit, you probably may only need to spend one night. If you are released from the hospital the same day or the day after you will need someone to take you home and help you for one or two days after the surgery.

What will the surgery day be like?

Your surgery will take place in the hospital's operating room.

Different types of anesthesia may be used; the most common is the peridural block with a light sedation, which will make you sleep during the entire procedure. In many cases, tiny drainage tubes remain in the breast after the surgery to help prevent fluid from accumulating inside. The breasts are covered with gauze, as well as elastic bandages or a surgical bra.

Any drainage will be removed and changed, along with the gauze and bandages, one or two days after surgery. You will be instructed on how to use a special bra for a few weeks, until the swelling and the change in color of the breasts reduce. Generally, the stitches are taken out in stages after a three week period, beginning the week after surgery.

When can I go back to my normal activities?

Often, patients are able to go back to work two weeks after surgery, depending on their job. In many cases you may go back to your regular activities after a few weeks, including some type of moderate exercise. You may continue having minor and periodic discomforts, which is normal. If any intense pain should occur, it should be reported to your doctor.

Any sexual activity will need to be suspended for a week at the least; your surgeon may even ask you to wait for a longer period of time. After this period, you will need to be extremely careful when manipulating your breasts for at least six weeks.

Results.

Surgery will make your breasts smaller and firmer, and without the extra weight of large breasts, you will enjoy different sporting and physical activities.

The scars from your surgery will heal and become less visible with time. However, it is important to know that the scars will not disappear completely, and will be more visible in some people. Fortunately, the scars will be in areas covered by clothing, even in clothes with plunging necklines.

Breast reduction often offers a dramatic change in appearance. For this reason it may take some time to adapt to a new body image. Most women feel very satisfied with the new size of their breasts and feel very happy about the surgery's result. Actually, the level of satisfaction in this type of surgery is one of the highest of all plastic surgery procedures.

How long will the results last?

The size of your breasts will be consistent, unless you gain or lose a significant amount of weight or become pregnant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If after a few years you become unsatisfied with the appearance of your breasts, you can have a lifting procedure to restore a youthful look.

Checkups

You will return to your surgeon's office to have periodic checkups to evaluate your progress. Once the postop checkups have concluded, many surgeons will advice their patients to have periodic follow-up consultations to observe and discuss long-term results.

Keep in mind that your relationship with your surgeon doesn't end when you leave the operating room. If you have any questions or concerns during your recovery, or need any additional information, you should call your surgeon.

Better known as a breast lift, mastopexy is a surgical procedure to lift and reshape sagging breasts and is performed when the patient doesn't want to increase the size of her breasts. However, there are occasions when breast implants are also inserted at the time of lifting if the patient wants to increase her size too.

Is the rebuilding of the breast and involves the use of implants or relocated flaps of the patient`s own tissue. Breast reconstruction is a large undertaking that usually takes multiple operations.