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Breast Augmentation with Mastopexy (Breast Lift) in Manhattan, New York by Dr. Beraka
Best Candidates for Combined Breast Augmentation-Breast Lift:
- Women whose breasts
are both small and have a lot of sagging. If you only
have a little sagging, you probably need implants only.
- Women whose breasts
have "emptied out" or "collapsed" because
of pregnancies or weight loss.
What's Special About
My Approach:
- Please see the separate
pages on my website about breast augmentation and about breast
lift (mastopexy).
- The key is to know
how to decide who will get a great look with breast augmentation
alone and who really needs the combined operation.
- I perform MINIMAL
SCAR breast augmentation-mastopexy. You will have
either just a scar around the nipple or a "lollipop" scar. A
long scar in the fold under the breast is never necessary.
- I
perform the mastopexy by actually moving the breast tissue
higher up on your chest. This produces a long lasting
result. I do not rely on tightening the skin. Very often,
mastopexies are performed just by tightening the skin,
but the skin streches and with this approach, the sagging
comes back and you get wide, stretched scars.
The
Procedure:
The
goal of combined breast augmentation-mastopexy surgery
is to create breasts which look perky and natural and which
remain this way for the long term. The breast tissue is
moved up on the chest wall and the right sized implant
is placed under the pectoral muscle.
The procedure is done under light anesthesia as on out-patient. It can be done in our fully accredited office surgical suite or in the hospital
Scars:
With
modern techniques, scars can be kept very short. You will
have either a scar just around the nipple or a 'lollipop"
scar which goes around the nipple and then extends down
from the nipple. No other scars are ever necessary. The
scars fade with time.
Implant
Choices:
-
I am one of the silicone breast implant investigators and therefore I can offer selected patients a choice between silicone implants and saline implants. I will tell you which one I think is best for you.
- Most
breast augmentations are currently performed with saline
implants, which are implants filled with saline or physiologic
salt water.
- If
you are undergoing a simultaneous breast lift or if you
currently have implants that you want replaced, then
we have the option of using silicone implants. I will
tell you which one I think is best for you.
- Both
saline and silicone implants have been determined to
be entirely safe.
Implant
Facts:
There
are three basic facts which you need to know about any
implant:
- Implants
can leak. The risk of leaking is very low for the first
ten years, but you may need to have your implants replaced
because of leaking sometime in the future.
- Implants
may occasionally become firm. The process is called capsular
contracture, and typically it does not bother the patient.
- Postoperative
mammograms must be done by a specialist mammographer
since special views are needed.
Nipple
Sensation and Breast Feeding:
Combined
breast augmentation-breast lift does not interfere with
feeling in you nipples or with your ability to breast feed.
Recovery
Time:
- You
will have some swelling and perhaps a little bruising
for a few days. After the first week, you may resume
your normal activities including sexual relations.
- Most
Patients take three to four days off from work.
- Vigorous
athletic activity such as dance or aerobic classes should
be avoided for three weeks after breast surgery.
Update on advancements in our program to minimize scars.
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