How much scarring will I have with my breast lift?
Women who have had children commonly develop some sagginess to their breasts. This can also occur genetically and with age. The most common concern in these women is to reestablish upper breast fullness by performing the breast lift procedure.
To uplift and give fullness to a woman’s breast, an implant is required as well as repositioning her breast tissue. The skin is then tightened around her new breast shape. There are 3 types of incisions to uplift (mastopexy) a woman’s breast. These include the periareolar, vertical or horizontal T (at inframammary crease) incisions. Depending on the patients desires, her anatomy, and the amount of lift and shaping that is necessary, one or 2 types of incisions will be made.
It is important to realize that these breast lift scars fade well over a years time. I have found women to be extremely pleased with their elevated breasts and reconstructed upper breast fullness. These women believe minimal scarring involved to achieve their goals is quite acceptable.
Please contact our office with any questions or concerns, or to schedule a complimentary consultation, 714-738-4282.
Robert M. Wald, Jr., MD
The Aesthetic Institute
Benefits of Fat Injections
Fat has long been used as a soft tissue filler to add volume to the face and lips. Many patients like the idea of using their own fat, rather than a pharmaceutical filler, to restore volume that has been lost through the aging process or to “plump up” areas that lack dramatic contours. One of the benefits of fat injections is that because fat is removed from your own body, there is no possibility of an allergic reaction. There is also evidence that stem cells are abundantly present in the fat. These stem cells may have a rejuvenated skin ability beyond volume enhancement alone.
Fat can be safely injected into the face by a skilled plastic surgeon. It can also be injected in other areas of the body to fill in dents or depressions. Recent evidence also shows that fat can be injected into the breasts, both for volume and to enhance the healing qualities of radiated or damaged tissue. This appears to be a new and exciting area of fat injections.
Recovery from fat injection is much longer than recovery following injection of most pharmaceutical soft tissue fillers. Following fat injections there will be significant bruising and swelling that may last several days to several weeks. The size and location of treat areas will determine the severity of post-treatment symptoms and the time needed for complete recovery.
Breast Asymmetry Surgeon
Actual patient with corrected breast asymmetry.
According to the statistics in Plastic Surgery, 88% of all women have different size breasts, also known as breast asymmetry. This includes breasts that are different shapes and sizes, nipples and inframammary creases at different levels, and variability in cleavages. When I see a woman in consultation, it is very important that I relate these anatomical features to her. Because it is impossible to correct all these differences, a surgical plan is developoed according to the woman’s priorities. I have found a careful and well thought out surgical plan enables my patients to have excellent results and an improvement in their preoperative asymmetries. Please contact our office with any questions or concerns, or to schedule a complimentary consultation.
Please contact our office with any questions or concerns, or to schedule a complimentary consultation.
Dr. Robert Wald
Even though breast enlargement is a more common procedure, breast reduction is a life changing surgery. Large, pendulous breasts can be the curse of numerous health conditions including back, neck, and shoulder pain. Skin rashes can occur beneath the breasts and grooves can occur in the shoulder from bra straps. Postural problems can occur which may impair physical activity.
By removing breast tissue, weight is removed from the chest relieving most of the woman’s discomfort. This surgery will allow the woman to stand upright, exercise normally and be without constant pain. This surgery creates one of the most immediate and dramatic changes in body image. The breasts become smaller, lighter, firmer, and in better proportion to the rest of the body. Clothing choices are expanded. In most cases, normal nipple sensation and the ability to breast feed will be maintianed.
In my experience, I have found this to be one of my most satisfying surgeries.
A common problem among adolescents and older men is the development of excess fat or glandular tissue in the male breast. An estimated 40-60% of men suffer from this condition, which can occur in either one or both breasts, at some time in their lives. The cause of gynecomastia is not well understood, but it is suspected that hormonal changes often play a role. Anabolic steroids that contain estrogen, marijuana use, and prescribed hormones are a factor in some instances. Massive weight loss can also result in hanging breasts that detract from a man’s appearance.
Plastic surgery offers a solution for men who are troubled by this embarrassing condition. Through the use of ultrasonic liposuction most cases of gynecomastia can be corrected. The excess skin shrinks and contracts following liposuction leaving a smooth and normal contour to the breast area. Only in severe cases will skin and glandular tissue be required to be removed to create a firmer, flatter, and better contoured male breast.
Patients who are faced with breast cancer and require a mastectomy, have many options for reconstruction. Our techniques continue to improve. One of the newest techniques is the use of alloderm or strattice dermal sheets of prepared tissue. By using these materials at the time of mastectomy with tissue expanders, a more natural breast shape and contour can be achieved. Immediate expansion of the overlying breast skin is accomplished. In patients that are candidates for skin sparring and nipple/areola preservation, a breast implant may be placed immediately and avoid the need for prolonged expansion.
These regenerative tissues help mask implant palpability and visibility and bottoming out of the implant. In my experience, I have found these new tissues to be beneficial and improve my results in breast reconstruction.
Dr. Robert Wald
The Miracles of Breast Reduction
In our society, large breasts are quite fashionable and emotionally uplifting to the patient. However, breasts can be too large causing multiple problems. The problems include shoulder strap grooving, back, neck and shoulder pain, headaches and occasionally shortness of breath. Some patients complain of poor posture and an inability to exercise because of the pain in their chest areas.
With breast reduction surgery, most of the symptoms disappear or are markedly diminished. This surgery is covered by most insurance companies when there is evidence of these problems. This surgery is performed as an outpatient and the patient is back to work within two weeks.
The patient must must accept scars on her breasts but these scars fade nicely over one year. I am amazed how much this surgery changes a woman life. These patients are now able to exercise, fit in normal size bras, and live their daily life without pain. It is for this reason, that I have found this surgery to be one of my most gratifying procedures.
Dr. Robert Wald
Women following childbirth develop aesthetic problems in their breasts, abdomen, and thighs. With pregnancy, women’s bodies stretch causing thinning of tissue, sagginess and stretch marks. Unfortunately, despite diet and exercise, the stretched and loose skin can only be corrected with surgery. Breasts also deflate following nursing which causes a decrease in breast size.
In order to correct these problems, breast augmentation, tummy tuck and liposuction may be indicated. All of these procedures may be done at the same time minimizing recovery time and cost.
Recovery time for all these procedures is approximately 2 weeks. Exercise may be resumed at 4 weeks. Women with young children should have help for one week. After this surgery, women are back to their pre pregnancy appearance.
A lot of women are candidates for breast lifts. Overtime and following childbirth, the breast envelope stretches causing breast ptosis or droopiness. Most women complain of the lack of upper pole fullness and the change in breast shape.
To correct these problems, a breast lift is required. The women must accept scars, either around the areola or in a lollipop or T-shape. In most cases, an implant is required to enhance the fullness in the upper breast. Textured implants are usually placed to help support the overlying breast tissue. Placing an implant without a lift will only cause larger, droopy breast. Overtime, as we age, the breast will continue to stretch. This may require a secondary procedure to re-tighten the breast skin.
Breast reduction surgery is generally recommended for woman experiencing health problems associated with very large heavy breasts. Several medical conditions have been associated with large breasts including back and neck pain, skin rashes, breathing problems, shoulder indentations from tight bra straps and poor posture. It is also associated with a decrease sense of attractiveness and self confidence.
Breast reduction is usually performed to relieve physical symptoms and may be covered by insurance. Insurance companies usually require photographs and a letter from the plastic surgeon prior to any surgical intervention. If it can be shown the medical necessity is indicated, then the surgical procedure would be covered.
Many techniques are available for breast reduction. Traditionally and inverted “T” approach is used. This includes incisions around the areola down the center of the breast and in the infra mammary crease. Today much smaller incisions are available. Depending on the patients breast shape, size and amount of sagginess, a donut shaped vertical scar technique may be used. In my practice, almost all incisions have healed beautifully with minimal scarring.
Robert M Wald Jr. M.D.