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Am I a Candidate for Breast Enlargement?

October 1st, 2013


Reader Question-  Marsha writes: “I’m very small chested and have always wanted to boost my size a little. Like and A cup to a B. I’m almost 50 years old now. Is it too late for me? I’m 5’4″, 120 lbs and have no health conditions. I’ve been divorced for a couple of years and would like to feel better about my body and improve my chances of finding love again at this stage of life.  Thanks!”

Women consider cosmetic surgery for a variety of reasons and yours are not uncommon. Almost 400,000 women had breast augmentation (enlargement) and/or breast lift procedures last year. Breast surgery remains the #1 requested elective cosmetic surgery procedure and my patients frequently comment that they experience a boost in self-confidence following surgery. Studies show that there is truth to the notion that when you feel good about your appearance, your confidence level and personal satisfaction increases.

Generally speaking, there is no age cut-off for healthy patients. I recommend that your next step might be to consult with a board certified plastic surgeon, because we have extensive training and are held to the highest standards in medicine. To find a qualified plastic surgeon in your area, please contact the American Society of Plastic Surgeons.

Looking at before and after photos is another excellent way to judge the aesthetics of a surgeon. Most cosmetic plastic surgeons offer complimentary consultations. Thank you for your question.

Image:  Mirror, Mirror on the wall.  Who’s the fairest of them all? From Disney’s movie “Snow White.”

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Breast Reduction: Ranked High in Patient Satisfaction

June 15th, 2013

Image: Mayo Clinic

Just as some women may experience a decrease in breast size over time, some will notice an increase in breast size, others simply want a change.  When a woman is uncomfortable with having too much breast tissue, there are several options to correct this condition.  A  dramatic  increase in size may have resulted due to an increase in overall weight gain or a pronounced sagging of the breast tissue.  This may cause physical discomfort, including  symptoms like neck pain, back pain, shoulder grooving and irritation beneath the breasts.  Patients routinely turn  to breast reduction or breast lift surgery to reduce their symptoms, along with their breast size and or position.  Patient satisfaction rates are particularly high for this cosmetic surgery.  

Reducing breast size can be done with direct surgical removal of breast tissue or by using liposuction.   Liposuction is effective only when there is a significant amount of fat in the breasts.   Liposuction does not adjust nipple position, which requires removing and re-positioning the nipple.  Traditional breast reduction surgery reduces breast size through excision of breast tissue, while repositioning the  nipple and areola (pigmented skin around the nipple).  The size of the areola  can also be reduced.  Breast reduction scars, which are similar to breast lift surgery, are placed around the nipple and beneath the breast as well.  Scars will be less noticeable as they continue to heal.

I recommend any breast tissue that is removed should be sent for examination by a pathologist.   This laboratory examination includes a  visualization under a microscope after tissue  staining, to determine the presence of conditions or abnormalities which might increase chances of breast cancer.   On rare  occasions, breast cancer is diagnosed this way.

My patients choose of their desired final breast size, based on decisions made during our office consultation.  A range of implant “sizers” are helpful in this regard.
  The appropriate time to schedule reduction surgery following pregnancy is determined by normal involution of breast tissue and the end to breast-feeding.   Generally this takes six months to a year after delivery or three months after ending breast-feeding.  There is a possibility that some women will not be able to breast feed again after breast reduction surgery.   Therefore, if breast-feeding  is an important consideration, I advise my patients to postpone breast reduction surgery until they are finished having children.  According to statistics released today by the American Society of Plastic Surgeons (ASPS), more than 120,000 patients have chosen breast reduction/ lift surgery last year.  



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