Cosmetic Surgery Breast Cosmetic Surgery

Breast Reduction or Reduction Mammoplasty

• Surgical procedure involving reduction in the size of breasts by excising fat, skin, and glandular tissue to obtain a smaller, lighter and firmer breast with repositioned nipple and areola.
  
  Candidates for Surgery
  
  Women with very large, pendulous breasts may experience back and neck pain, skin irritation or dermatitis, skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders. Unusually large breasts can make a woman-or a teenage girl-feel extremely self-conscious.
  
  Surgical Risk
  
  Breast reduction is not a simple operation, but it's normally safe when performed by a qualified plastic surgeon. As with any surgery, there is always a possibility of complications, including seroma, hematoma, infection, or anesthesia complications
  
  Type of Anaesthesia
  
  Breast reduction is nearly always performed under general anesthesia.
  
  After Your Surgery
  
  A small tube may be placed in each breast to drain off blood and fluids for the first day or two. Although you may be up and about in a day or two, your breasts may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything heavy for three or four weeks. Your stitches will be removed in one to two weeks.

Breast Augmentation

• Breast augmentation or breast implant surgery is a very popular cosmetic breast surgery procedure.
  Breast enlargement or breast enhancement is achieved through placement of breast implant thereby bringing about a change in the figure. This will drastically improve the appearance and self image.
  
  Skin Incision
  Breast implants for augmentation may be placed via various types of incisions:
  
• Inframammary - an incision is placed below the breast in the infra mammary fold(IMF).
• Periareolar - an incision is placed along the areolar border.
• Transaxillary - an incision is placed in the armpit and the dissection tunnels medially. This approach allows implants to be placed with no visible scars on the breast.
  
  Implant Placement
  
• Subglandular- implant between the breast tissue and the pectoralis muscle. This position closely resembles the plane of normal breast tissue and is felt by many to achieve the most aesthetic results.
• Subpectoral (dual plane) - the implant is placed underneath the pectoralis major muscle after releasing the inferior muscular attachments. As a result, the implant is partially beneath the pectoralis in the upper pole, while the lower half of the implant is in the subglandular plane.
  
  Implant Selection
  Size and type of the implant is dependent upon the frame of the body and to the degree of enhancement the individual desires.
  
  Anesthesia and Aftercare
  Breast reduction is nearly always performed under general anesthesia.
  The procedure is done as a day case and few follow up visits are required.

Breast Lift or Mastopexy

• Breast ptosis or breast droop is the condition when the nipple have drooped to the level of the crease beneath your breast . The severity of the ptosis increases as with nipple drooping below this level. You can have your own assessment by looking in the mirror and carefully inspecting the breast.
  
  In such situation, breast implant surgery does not work (you might wrongly feel that implant insertion may take care of the problem).
  
  Procedure
  Mastopexy procedure will reposition the breast along with the nipple and areola to the desired position thus correcting the breast ptosis and resulting in a aesthetically pleasing appearance of the breast. There will be a scar around the areola (hardly noticeable with passage of time) or may extend from the areola to the crease.
  
  Anaesthesia and Aftercare
  Operation is performed under general anesthesia and generally completed in two to three hours time.
  Overnight hospital stay is required.

Gynaecomastia (enlarged male breast gland)

• Gynaecomastia is a condition in males when the mammary glands are abnormally developed resulting in breast enlargement.
  
  It can result in embarrassment, cruel teasing, and social trauma. Affected men try to hide it with thick shirts, avoiding bare chested activities such as swimming or work outs, and withdraw from public exposure.
  
  Underlying cause of gynecomastia is unknown in majority of the cases.
  
  Type of anaesthesia
  
  The operation can be carried out either under local anesthesia or general anesthesia.
  
  Procedure
  
  Treatment consists of sculpturing of chest wall with tumescent liposuction and surgical excision of residual breast gland.
  
  After the surgery
  
  Compression garment is applied after the surgery which is to be worn for a period of 6-8 weeks. There can be minimal bruising which generally subsides within 7 days. Stich removal is done in a week time.

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