Breast augmentation, also known as augmentation mammoplasty, breast enlargement or breast implants, increases or restores breast size. Breast augmentation does not correct severely drooping breasts. If you want your breasts to be lifted due to sagging, a breast lift may be required in conjunction with breast augmentation. Breast lifting can often be done at the same time as an augmentation or may require a separate procedure.
There are a few different methods that can be used for breast augmentation which will determine incision location and implant placement. Breast augmentation can be performed using silicone gel implants, saline implants or fat transfer to:
• Increase the size of your breasts
• Change the shape of your breasts
• Restore volume to your breasts
• Increase fullness and projection of your breasts
• Improve the balance and proportion of your figure
• You believe your breasts are too small for your body
• You feel self-conscious wearing a swimsuit or form-fitting or low-cut tops
• Clothes that fit your hips are too large at the bust line
• Your breasts have become smaller or less firm after you’ve had children
• Your breasts have become smaller due to weight loss.
• Aging has affected the size and shape of your breasts
• One of your breasts is noticeably smaller than the other
• One or both breasts failed to develop normally
Silicone gel−filled breast implants had been under scrutiny for years, but after gathering detailed and meticulous data through extensive research, the FDA approved them for use in cosmetic breast enhancement surgery. As a result of their extensive research, the FDA found no link between silicone gel breast implants and connective tissue disease, breast cancer or reproductive problems. For more information, please see the FDA breast implant information provided on their site.
A breast lift, also known as a mastopexy, is a surgical procedure that can rejuvenate your figure by providing 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, gravity and heredity.
A breast lift raises and firms sagging and uneven breasts by removing excess skin and tightening the surrounding tissue. A breast lift recreates a youthful shape and lift by correcting:
• Breasts that are pendulous but adequate in size
• Breasts that lack substance or firmness
• Nipples and areolae (the darker skin surrounding the nipple) that point downward, especially if they are positioned below the breast crease
• Breasts that appear different from each other; one breast may appear firm and well positioned while the other does not
• Breasts that are not equal in size
• Areolae that are enlarged or stretched
• You feel that your breasts sag
• You feel that your breasts have lost their shape or volume
• You feel your breast have a flatter elongated shape or are pendulous
• Your nipples fall below the breast crease when unsupported
• Your nipples point downward
• You have stretched skin and enlarged areolae
• If one breast is lower than the other
• If Dr. Brown thinks that breast implants alone are unlikely to achieve the contour you desire
There are different approaches to breast lifting surgery, which will determine the placement of your incisions. Breast lift surgery does not significantly change the size of your breasts or round out the upper part of your breast. If there is too little or too much breast volume, a breast augmentation or breast reduction might be recommended in addition to a lift.
A breast reduction, or reduction mammoplasty, is a surgical procedure that reduces the size of your breasts and reshapes them so that they are proportionate to the rest of your body and are no longer a source of physical discomfort. Overly large breasts can cause some women to have both health and emotional problems, including self-image issues, physical pain and discomfort. The weight of excessive breast tissue may impair your ability to lead an active life. Breast reduction surgery has the dual benefits of improving your appearance while relieving the physical and emotional burden of overly large breasts. Breast reduction can be considered an option once breast development is complete.
A breast reduction removes the excess fat, glandular tissue and skin from breasts to correct:
• Breasts that are too large, heavy and pendulous
• Breasts that hang low and have stretched skin
• Nipples that rest below the breast crease when unsupported
• Enlarged areolae (the darker skin surrounding the nipple) caused by stretched skin
• Your breasts are too large for your body frame and create neck, back, or shoulder pain
• You have heavy breasts with nipples and areolae that point downward
• One breast is much larger than the other
• You are unhappy and self-conscious about the large appearance of your breasts
• You have backaches, neck aches, or skin irritation under your breasts
• You have difficulty breathing and notice grooves in your shoulders from your bra straps
• You have poor posture or numbness in parts of your breasts and upper chest from excessive breast weight
• You find it nearly impossible to buy clothes that fit your upper body
• You are unhappy with your appearance because of your breast size
The technique used will be determined by your breast composition, the size and shape of your breasts, and amount of reduction desired. Another breast reduction option, which is appropriate only in a select group of women, is liposuction alone.