Breast Cosmesis

At PCOSmetic Gyne Clinic, Dr.Sourabh Rawat, Plastic surgeon & Dr. Shraddha Goel, Cosmetic Gynecologist & Breast Surgeon expert in ‘Breast Cosmesis’ will assist you to re-explore yourself!

Breasts lose 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, 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 do 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 in 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 a full looking breast enhances one’s body image and hence self-confidence, too.

Benefits of Breast Augmentation

  • 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 like removal of one breast in cancer.
  • Improve your self-confidence

Risks of Breast Augmentation

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 lifespan 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 or post delivery woman 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 of Breast reduction

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 of Breast Reduction

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 further due to factors such as aging and weight gain or loss.

Book your appointment at PCOSmetic Gyne Clinic to get the Personalised care and Breast Surgery to have Perfect Dream Figure!!

Breast lift

Breast lift, also known as Mastopexy is lifting up the sagging breasts. In this surgery, surgeon removes the excess skin and tightens the surrounding tissue to reshape and support the new breast contour.

The enlarged areola and nipple during pregnancy can be reduced too with this surgery.
A breast lift can rejuvenate your figure with a breast profile that is more youthful and uplifted. A woman’s breasts often change over time, losing their youthful shape and firmness.
These changes and loss of skin elasticity can result from:

Pregnancy
Breastfeeding
Weight fluctuations
Aging
Heredity

What Not to expect with Breast Lift

Breast lift cannot significantly change the breast size. It can only lift and tighten the sagging breast.

If you want your breasts to look fuller, consider breast lift and breast augmentation surgery.
If you want smaller breasts, consider combining breast lift and breast reduction surgery.

FAQs

The cause could be benign or malignant, and we can assure you after proper examination only. Middle aged women usually develop fibrosis in the soft tissue of breast and that is called fibro-adenosis, which has successful medical treatment available.

Pregnancy will change the size and shape of a woman’s breasts due to shift of hormones. These changes may affect the cosmetic appearance of any augmented breast, whether they have implants or not. It is usually recommended that pregnancy be postponed until 6 months after the surgery. 

Breast-feeding with implants is still possible and has been shown to be safe for the baby and the mother. Placement of the implant below the breast tissue, as in sub-glandular placement, does not affect the ability of the breast to produce milk. Similarly, submuscular placement, or implant placement below one of the chest muscles preserves proper breast functioning.  Incision around nipple to insert implant may cause difficulty in breastfeeding, so prefer infra-mammary (below breast) or trans- axillary (through arm-pit) incision. Discuss your future plans prior to surgery.

This is one of the most frequently asked questions by women considering this surgery. Many studies have shown that women who get implants are not at an increased risk for getting breast cancer. In addition, implants do not delay the detection of breast cancer.

If you feel your breasts are sagging due to weight fluctuation or childbirth, aging, then also you may receive implants together with an additional surgery of breast lift or Mastopexy. This surgery will lift the drooping breast and improve the breast contour. Breast implants alone will not correct the sagging breasts.

This is a little disadvantage of the surgery as most women will have loss of some feeling or sensation following breast augmentation surgery. For most of them, this lasts 6-12 months before returning to normal. 15% of women, however, have permanent alterations in nipple sensation.

Long term changes in physical functioning are not expected. Depending on the size of the implant, most women find no trouble performing most physical activities following the surgery. Weight lifting or lifting heavy objects will not affect the implant once the area has properly healed and that require 6- 8 weeks.

This is quite a difficult situation and answer for the patient to understand. But an open discussion with the breast surgeon; about the size you desire and if it will suit your figure can be worked out during your consultation. “Breast size” as measured by bra-size is variable and is often not a good way to measure final size. As a general rule, every 125-150cc of implant volume equals an increase in a single cup size. However, every patient’s body is different. By working with your surgeon, you can set obtainable and healthy expectations together. It is helpful for you to bring in a bra the size you would like to be to help in finding the right sized implant for you.

 The average life span of an implant is about 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.

Both types of implants have a distinct feel to them once they are placed. The great thing about implants today is that you have options. Silicone implants have been curated to feel more like the actual natural breast, and are soft to touch. Saline implants on the other hand are usually firmer, but in cases of a rupture, the saline solution can be safely absorbed by the body. Some women will choose saline due to the smaller incisions, while other choose silicone as they feel more natural. The decision can be reached during consultation with your surgeon.

In general, you can expect to lose around one or two cup sizes. During your initial consultation, we will evaluate your aesthetic goals and breast composition to give you a good idea of what results you can realistically expect.

This depends on the nature and work level at your job. It usually requires 6 weeks for proper healing of sutures, so ideal time to return is post 6 weeks.

At your consultation you will receive a detailed summary of all costs associated with breast augmentation, reduction or breast lift surgery at PCOSmetic Gyne Clinic, Jaipur.

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