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Breast Lifts

July 13th, 2010

Sagging of a woman’s breasts can occur following pregnancy or any dramatic weight gain/loss.  True sagging refers to nipple position falling below the crease beneath your breast.  The “pencil  test” is the way to find out if surgery might be indicated.  By placing a pencil beneath your breast where it attaches to you chest and your nipple hangs below the pencil when you sit or stand, then you may need a breast lift.   I do not recommend breast lift surgery if nipples are above the crease or at the level of the crease.   Breast enlargement is usually sufficient to correct a simple saggy breast shape in most cases.  Breast lift surgery repositions the nipple and areola (pigmented skin around the nipple) upwards to a more natural position.   This natural position is about one half to three quarters of an inch above the crease.   Positioning them higher than this can result in an odd breast appearance.   The size of the areola can also be reduced if desired.

Breast enlargement or breast reduction may be considered at the same time as breast lift surgery.  Changing the breast size is accomplished through the same incisions made for the breast lift.   As with all breast surgery, size is a personal choice.   Some surgeons believe that combining breast enlargement with breast lift surgery enhances the final breast shape.  This is an option for patients to consider.

Scars from a breast lift are the same as breast reduction surgery and are positioned around the nipple and beneath the breast as well.   They are usually easily covered by most swimming suits.  Many women can still breast feed following breast lift surgery, if they choose to do so.

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Post Pregnancy Cosmetic Surgery

July 14th, 2009

Yesterday’s post reveals a great deal.   Women who are comfortable with their physical appearance before pregnancy are frequently bothered by the changes they see after delivery.   Most of the women we see are concerned that their breasts have decreased in size when compared to their pre-pregnancy state.  In addition, some of these women notice considerable sagging.   Finally, others are concerned that their breasts are way too big following pregnancy.   Their breasts have actually increased in size and stayed that way.   On rare occasion, women who have had breast enlargement surgery before children, come in afterwards asking to have their implants removed.

Unfortunately, it  is impossible to predict what is going to happen to a patient’s body after pregnancy.  Changes which bother one person, often do not bother the next.  The notion of a perfect breast size and shape is a very personal aesthetic.  Fortunately, there are many options available to restore breast fullness, correct sagging or reduce volume.   A patient should seek out the necessary information, so that they will be fully aware of what choices they have regarding surgical correction.

Women who choose to have post-pregnancy surgery or “mommy make-overs” are most often happy with the decision to correct breasts and sometimes tummies, that have changed and no longer appear the way they feel their best.  Often times times women report a boost in their self-esteem and general sense of well being.  Many also echo the sentiment, “Why didn’t I do it sooner?”

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