Breast Clinic

Breast Clinic is our special unit under SHAPES, where Dr.Sourabh Rawat, Plastic surgeon & Dr. Shraddha Goel, Breast Surgeon expert in ‘Breast Cosmesis’ will assist you to explore yourself!

Breasts loose shape because of pregnancy, excess weight gain or weight loss in hormonal disorders. Breast augmentation and breast reduction are the two most commonly performed cosmetic procedures.

Perky and full looking breasts seem to make a woman feel more complete. Thanks to advances in medical science, as this can be a reality for any woman.

BREAST  AUGMENTATION

Breast augmentation also known as ‘Augmentation Mammoplasty’  is a surgery to increase breast size. It involves placing breast implants under breast tissue or chest muscles.

More importantly, breast implants have been proven to be safe and does not affect functions of the breast. Implants are available in various sizes and the right choice of implant depends on the amount of existing breast tissue, the chest size, personal choice, skin envelope of the breast and any drooping of the breast.

A silicone gel or saline filled implant is placed behind the breast tissue or the breast muscle. A cut about 2” long is made at the lower part of the breast or at the areola (dark skin around the existing nipple).

This surgery is done either under local anesthesia or short acting general anesthesia and the patient can go home the same day after the operation. Subsequent normal breast feeding can be done after breast augmentation. There are no problems with one’s personal life, which actually improves after breast enlargement surgery as full looking breast enhances one’s body image and hence self-confidence, too.

Benefits

  • Enhance your appearance if you think your breasts are too small or that one is smaller than the other
  • Adjust for a reduction in the size of your breasts after pregnancy
  • Correct uneven breasts after breast surgery for other conditions
  • Improve your self-confidence

Risks

Breast augmentation poses various risks, including:
  • Scar tissue that distorts the shape of the breast implant (capsular contracture)
  • Breast pain
  • Infection
  • Changes in nipple and breast sensation
  • Implant leakage or rupture

How to prepare

You’ll need to consult with a plastic surgeon about your preferences for size, feel and appearance of your breasts. The surgeon will describe specific types of implants — smooth or textured, round or shaped like a teardrop, saline or silicone.

Before you decide to have surgery, consider the following:

  • Breast implants won’t prevent your breasts from sagging. To correct sagging breasts, you might need a breast lift in addition to breast augmentation.
  • Breast implants aren’t guaranteed to last a lifetime. The average life span of an implant is 10 years. Implant rupture is a possibility. Also, your breasts will continue to age, and factors such as weight gain or weight loss might change the way your breasts look. These issues will likely lead to more surgery.
  • Insurance does not cover breast implants. Unless it’s medically necessary — such as after a mastectomy — breast augmentation isn’t covered by insurance. Be prepared to handle the expenses, including related surgeries or future imaging tests.

Breast Reduction

Breast reduction can be defined as the surgical reduction of breast volume to achieve a smaller aesthetically shaped breast mound with concomitant relief of the potential symptoms of a large breast. Obese woman with PCOS usually have large breasts. Very large breast causes shoulder pain and or backache. Only certain segments of the breast gland are removed during the surgery. The milk carrying ducts are not disrupted by the surgery. The placement of the nipple, amount of skin and breast tissue to be removed are pre-marked. The procedure is performed under general anesthesia. The surgery takes about 3-4 hours to complete, depending upon the amount of breast reduction and the technique used. Breast reduction surgery restores the firm feel and round contour of the breast, brings back fullness in the upper pole, and re-positions the nipples to point forward and outwards.

Benefits

Breast reduction surgery is meant for women who have large breasts and want to resolve issues such as:
  • Chronic back, neck and shoulder pain that requires pain medications
  • Chronic rash or skin irritation under the breasts
  • Nerve pain
  • Restricted activity
  • Poor self-image related to large breasts
  • Difficulty fitting into bras and clothing

Risks

Breast reduction surgery has the same risks as any other type of major surgery — bleeding, infection and an adverse reaction to the anesthesia. Other possible risks include:
  • Bruising, which is usually temporary
  • Scarring
  • Removal of or loss of sensation in the nipples and skin surrounding the nipples (areolae)
  • Difficulty or inability to breast-feed
  • Differences in the size, shape and symmetry of the surgically altered left and right breasts, which might lead to further surgery to improve your appearance

How to Prepare

Your plastic surgeon will likely:
  • Evaluate your medical history and overall health
  • Discuss your expectations for breast size and appearance after the surgery
  • Provide a detailed description of the procedure and its risks and benefits, including likely scarring and possible loss of sensation
  • Examine and measure your breasts
  • Take photographs of your breasts for your medical record
  • Explain the type of anesthesia used during surgery
Before breast reduction surgery, you might also be asked to:
  • Complete various lab tests
  • Get a baseline mammogram
  • Stop smoking for a certain period of time before and after surgery
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements to control bleeding during surgery

Results

Successful breast reduction surgery can relieve pain in your upper back, neck and shoulders. It might also increase your ability to participate in physical activities and promote a more positive self-image.

Although you’ll see results immediately, remember that it can take months for the swelling to completely go down and the surgical scars to fade. The final result is generally permanent — although breast shape and size can change due to factors such as aging and weight gain or loss.

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