David O. Smith MD, F.A.C.S  |  6545 France Ave. S, #505  |  Edina, MN 55435  |   Call Today: 952.922.0895

Breast Augmentation

Smith, BA Bra - Image

After all of the planning, the surgery, and the recovery, it is time for the fun part—showing your new figure off! For many women, shopping for a new bra after breast augmentation is an exciting milestone. An adventure for sure, bra shopping with your new additions can be challenging as well as fun—and one thing is for certain, it will be different.

Together with Dr. Smith, we have come up with a few pointers to help you find a bra that fits perfectly with your breast implants.

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Dr. Smith performs the following breast surgery procedures at his accredited practice in Edina. Please click on one of the following procedures below for more information.

Gynecomastia is a medical condition that causes men to have the appearance of enlarged or feminine-looking breasts. While it is not often spoken about, gynecomastia is actually a fairly common condition and can be both frustrating and embarrassing for men who suffer from it. Cosmetic male breast reduction surgery is a specialty of Dr. Smith’s, and can be one of the more life changing procedures for our male patients.

Men who suffer from gynecomastia are often teased because of their condition or feel self-conscious when wearing certain types of clothing. Most will try to solve the issue themselves, spending hours in the gym and sticking to a healthy diet. However, gynecomastia is often resistant to these methods because the condition is not actually completely related to an unhealthy lifestyle. While a man’s breasts may become enlarged due to obesity, gynecomastia can affect athletic and healthy men.

Our male breast reduction procedure is a solution for men who are tired of hiding their gynecomastia and want to feel confident with the appearance of their bodies. Dr. Smith performs this surgery to reduce the size of the breasts, resulting in a taut and masculine chest. When performing this procedure, Dr. Smith will normally use a personalized combination of chest liposuction and excision of excess glandular tissue. The exact steps of your procedure will vary based on your unique condition.

At Smith Plastic Surgery, male breast reduction will cost about $3800 and includes all fees.  Please note we remove both the excess fat and breast tissue as we..  Weight should be optimal for height and under 225 pounds.

An increasing number of men are choosing to pursue the benefits of cosmetic surgery to achieve their desired physical build, which may not always be possible with traditional methods such as diet, exercise and weight lifting. Many men may be held back from achieving their aesthetic goals by factors such as age, genetics, and certain medical conditions. Male-specific cosmetic surgery procedures, such as male breast reduction, are performed by Dr. Smith in a manner that enhances a man’s physical appearance without sacrificing his masculinity.

We get great results with privacy and cost effectiveness. Call 952-922-0895 between 8am and 8pm to schedule a free next morning consultation with Dr. Smith, or leave your contact information on the form to your right. Enjoy the good life!

Click here to view our Before & After Gallery.

For additional information on male breast reduction, please refer to the following guide provided by the American Society of Plastic Surgeons.

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Many men have gynecomastia — enlarged, female-like breasts–causes by excess glandular tissue or fat (or both).

 

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Glandular tissue must be cut out, usually through a small incision near the edge of the areola.

 

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Fatty tissue can be removed by liposuction. A small, hollow tube is inserted through a tiny incision, leaving a nearly imperceptible scar.

 

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Following surgery for gynecomastia, the patient has a more masculine chest contour.

A Word About Breast Reduction in Men…

Gynecomastia is a medical term that comes from the Greek words for women-like breasts. Though this oddly named condition is rarely talked about, it’s actually quite common. Gynecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases.

For men who feel self-conscious about their appearance, breast-reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.

If you’re considering surgery to correct gynecomastia, this brochure will give you a basic understanding of the procedure–when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don’t understand.

The Best Candidates for Gynecomastia Correction

Surgery to correct gynecomastia can be performed on healthy, emotionally-stable men of any age. The best candidates for surgery have firm, elastic skin that will reshape to the body’s new contours.

Surgery may be discouraged for obese men, or for overweight men who have not first attempted to correct the problem with exercise or weight loss. Also, individuals who drink alcoholic beverages in excess or smoke marijuana are usually not considered good candidates for surgery. These drugs, along with anabolic steroids, may cause gynecomastia. Therefore, patients are first directed to stop the use of these drugs to see if the breast fullness will diminish before surgery is considered an option.

All Surgery Carries Some Uncertainty and Risk

When male breast-reduction surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, as with any surgery, there are risks. These include infection, skin injury, excessive bleeding, adverse reaction to anesthesia, and excessive fluid loss or accumulation. The procedure may also result in noticeable scars, permanent pigment changes in the breast area, or slightly mismatched breasts or nipples. If asymmetry is significant, a second procedure may be performed to remove additional tissue.

The temporary effects of breast reduction include loss of breast sensation or numbness, which may last up to a year.

Planning Your Surgery

The initial consultation with your surgeon is very important. Your surgeon will need a complete medical history, so check your own records ahead of time and be ready to provide this information. First, your surgeon will examine your breasts and check for causes of the gynecomastia, such as impaired liver function, use of estrogen-containing medications, or anabolic steroids. If a medical problem is the suspected cause, you’ll be referred to an appropriate specialist.

Your plastic surgeon may, in extreme cases, also recommend a mammogram or breast x-ray. This will not only rule out the very small possibility of breast cancer, but will reveal the breast’s composition. Once your surgeon knows how much fat and glandular tissue is contained within the breasts, he or she can choose a surgical approach to best suit your needs.

Don’t hesitate to ask your surgeon any questions you may have during the initial consultation- including your concerns about the recommended treatment or the costs involved. Treatment of gynecomastia may be covered by medical insurance–but policies vary greatly. Check your policy or call your carrier to be sure. If you are covered, make certain you get written pre-authorization for the treatment recommended by your surgeon.

Preparing for Your Surgery

Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating, drinking, and taking certain vitamins and medications.

Smokers should plan to stop smoking for a minimum of one or two weeks before surgery and during recovery. Smoking decreases circulation and interferes with proper healing. Therefore, it is essential to follow all your surgeon’s instructions.

Where Your Surgery Will Be Performed

Surgery for gynecomastia is most often performed as an outpatient procedure, but in extreme cases, or those where other medical conditions present cause for concern, an overnight hospital stay may be recommended. The surgery itself usually takes about an hour and a half to complete. However, more extensive procedures may take longer.

Type of Anesthesia

Correction of enlarged male breasts may be performed under general or, in some cases, local anesthesia plus sedation. You’ll be awake, but very relaxed and insensitive to pain. More extensive correction may be performed under general anesthesia, which allows the patient to sleep through the entire operation. Your surgeon will discuss which option is recommended for you, and why this is the option of choice.

The Surgery

If excess glandular tissue is the primary cause of the breast enlargement, it will be excised, or cut out, with a scalpel. The excision may be performed alone or in conjunction with liposuction. In a typical procedure, an incision is made in an inconspicuous location–either on the edge of the areola or in the underarm area. Working through the incision, the surgeon cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars. If liposuction is used to remove excess fat, the cannula is usually inserted through the existing incisions.

If your gynecomastia consists primarily of excessive fatty tissue, your surgeon will likely use liposuction to remove the excess fat. A small incision, less than a half-inch in length, is made around the edge of the areola–the dark skin that surrounds the nipple. Or, the incision may be placed in the underarm area. A slim hollow tube called a cannula which is attached to a vacuum pump, is then inserted into the incision. Using strong, deliberate strokes, the surgeon moves the cannula through the layers beneath the skin, breaking up the fat and suctioning it out. Patients may feel a vibration or some friction during the procedure, but generally no pain.

In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour. In these cases, excess skin may have to be removed to allow the remaining skin to firmly re-adjust to the new breast contour.

Sometimes, a small drain is inserted through a separate incision to draw off excess fluids. Once closed, the incisions are usually covered with a dressing. The chest may be wrapped to keep the skin firmly in place.

After Your Surgery

Whether you’ve had excision with a scalpel or liposuction, you will feel some discomfort for a few days after surgery. However, discomfort can be controlled with medications prescribed by your surgeon. In any case, you should arrange to have someone drive you home after surgery and to help you out for a day or two, if needed.

You’ll be swollen and bruised for a while–in fact, you may wonder if there’s been any improvement at all. To help reduce swelling, you’ll probably be instructed to wear an elastic pressure garment continuously for a week or two and for a few weeks longer at night. Although the worst of your swelling will dissipate in the first few weeks, it may be three months or more before the final results of your surgery are apparent.

In the meantime, it is important to begin getting back to normal. You’ll be encouraged to begin walking around on the day of surgery. You may return to work when you feel well enough–which could be as early as a day or two after surgery. Any stitches will generally be removed about one to two weeks following the procedure.

Your surgeon may advise you to avoid sexual activity for a week or two and strenuous exercise for about three weeks. You’ll be told to stay away from any sport or job that risks a blow to the chest area for at least four weeks. In general, it will take about a month before you’re back to all of your normal activities.

You should also avoid exposing the resulting scars to the sun for at least six months. Sunlight can permanently affect the skin’s pigmentation, causing the scar to turn dark. If sun exposure is unavoidable, use a strong sunblock.

Your New Look

Gynecomastia surgery can enhance your appearance and self-confidence, but it won’t necessarily change your looks to match your ideal. Before you decide to have surgery, think carefully about your expectations and discuss them frankly with your plastic surgeon.

The results of the procedure are significant and permanent. If your expectations are realistic, chances are good that you’ll be very satisfied with your new look.

Women who struggle every day with disproportionately larger breasts know that bigger is not always necessarily better. Several physical problems—back, neck, or shoulder pain—and lifestyle challenges—difficulty exercising, poor-fitting clothing, or self-consciousness—are commonly associated with overly large breasts and often make daily life more difficult than it should have to be. Breast reduction surgery has helped many women to achieve a more balanced and natural breast size while significantly improving pre-existing physical pain and alleviating lifestyle challenges.

At Smith Plastic Surgery, Dr. Smith will carefully observe your condition to determine if a breast reduction can provide you with the relief and outcome you desire. He treats each of his patients as a unique individual, working together to approach her breast reduction surgery in the best possible way.

Depending on your condition and reason for breast reduction, your surgery may be classified as either a cosmetic or a therapeutic procedure. Therapeutic breast reduction procedures may be covered by insurance for the treatment of upper back or neck pain.

Dr. Smith performs a different procedure for cosmetic breast reduction. Typically, our patients ask for more appropriate moderate reductions, which is not always covered by insurance and costs roughly $6500 (covers all fees and post op care). The incision Dr. Smith will make is often keyhole shaped, instead of the harder to conceal long anchor shapes. Many variations are possible to closely approximate your wishes. We can use a short scar Pitanguay procedure developed in Brazil to fine tune your results and restore your beautiful feminine figure.

We get great results with privacy and cost effectiveness. Call 952-922-0895 between 8am and 8pm to schedule a free next-morning consultation with Dr. Smith, or you may leave your contact information on the form to your right. Enjoy the good life!

Click here to view our Before & After Gallery.

For additional information on breast reduction surgery, please refer to the following guide provided by the American Society of Plastic Surgeons.

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Heavy breasts can lead to physical discomfort, a variety of medical problems, shoulder indentations due to tight bra straps, and extreme self-consciousness.

 

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Incisions outline the area of skin, breast tissue, and fat to be removed and the new position for the nipple.

 

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Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions, giving the breast it’s new contour.

 

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Scars around the areola, below it, and in the crease under the breast are permanent, but can be easily concealed by clothing.

 

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With smaller, better proportioned breasts, you’ll feel more comfortable and your clothes will fit better.

If You’re Considering Breast Reduction…

Women with very large, pendulous breasts may experience a variety of medical problems caused by the excessive weight. These include back and neck pain, skin irritation, 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.

Breast reduction, technically known as reduction mammaplasty, is designed for such women. The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body.

If you’re considering breast reduction, the following will give you a basic understanding of the procedure–when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don’t understand.

The Best Candidates for Breast Reduction

Breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Most women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort.

In most cases, breast reduction isn’t performed until a woman’s breasts are fully developed; however, it can be done earlier if large breasts are causing serious physical discomfort. The best candidates are those who are mature enough to fully understand the procedure and have realistic expectations about the results. Breast reduction is not recommended for women who intend to breast-feed.

All Surgery Carries Some Uncertainty and Risk

Breast reduction is not a simple operation, but it’s normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. You can reduce your risks by closely following your physician’s advice both before and after surgery.

The procedure does leave noticeable, permanent scars, although they’ll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with slightly mismatched breasts or unevenly positioned nipples. Future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples.

Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die. (The nipple and areola can usually be rebuilt, however, using skin grafts from elsewhere on the body.)

Planning Your Surgery

In your initial consultation, it’s important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient–and every physician, as well–has a different view of what is a desirable size and shape for breasts.

The surgeon will examine and measure your breasts and will probably photograph them for reference during surgery and afterwards. (The photographs may also be used in the processing of your insurance coverage.) He or she will discuss the variables that may affect the procedure, such as your age, the size and shape of your breasts, and the condition of your skin. You should also discuss where the nipple and areola will be positioned; they’ll be moved higher during the procedure, and should be approximately even with the crease beneath your breasts.

Your surgeon should describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. The surgeon should also explain the anesthesia he or she will use, the facility where the surgery will be performed, and the costs. (Some insurance companies will pay for breast reduction if it’s medically necessary; however, they may require that a certain amount of breast tissue be removed. Check your policy, and have your surgeon write a predetermination letter, if required.)

Preparing for Your Surgery

Your surgeon may require you to have a mammogram (breast x-ray) before surgery. You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Some surgeons suggest that their patients diet before the operation.

Breast reduction doesn’t usually require a blood transfusion. However, if a large amount of breast tissue will be removed, your physician may advise you to have a unit of blood drawn ahead of time. That way, if a transfusion should be needed, your own blood can be used.

While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and, if needed, to help you out for a few days.

Where Your Surgery Will Be Performed

Breast reduction surgery may be performed in a hospital, an outpatient surgery center or an office-based surgical suite. If you are admitted to the hospital, your stay will be a short one. The surgery itself usually takes two to four hours, but may take longer in some cases.

Type of Anesthesia

Breast reduction is nearly always performed under general anesthesia. You’ll be asleep through the entire operation.

The Surgery

Techniques for breast reduction vary, but the most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. The surgeon removes excess glandular tissue, fat, and skin, and moves the nipple and areola into their new position. He or she then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Liposuction may be used to remove excess fat from the armpit area.

In most cases, the nipples remain attached to their blood vessels and nerves. However, if the breasts are very large or pendulous, the nipples and areolas may have to be completely removed and grafted into a higher position. (This will result in a loss of sensation in the nipple and areolar tissue.)

Stitches are usually located around the areola, in a vertical line extending downward, and along the lower crease of the breast. In some cases, techniques can be used that eliminate the vertical part of the scar. Occasionally, when only fat needs to be removed, liposuction alone can be used to reduce breast size, leaving minimal scars.

After Your Surgery

After surgery, you’ll be wrapped in an elastic bandage or a surgical bra over gauze dressings. A small tube may be placed in each breast to drain off blood and fluids for the first day or two.

You may experience some pain for the first couple of days–especially when you move around or cough–and some discomfort for a week or more. Your surgeon will prescribe medication to lessen the pain.

The bandages will be removed a day or two after surgery, though you’ll continue wearing the surgical bra around the clock for several weeks, until the swelling and bruising subside. Your stitches will be removed in one to three weeks.

If your breast skin is very dry following surgery, you can apply a moisturizer several times a day, but be sure to keep the suture area dry.

Your first menstruation following surgery may cause your breasts to swell and hurt. You may also experience random, shooting pains for a few months. You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This usually fades over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.

Getting Back to Normal

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 surgeon will give you detailed instructions for resuming your normal activities. Most women can return to work (if it’s not too strenuous) and social activities in about two weeks; however, you’ll have much less stamina for several weeks, and should limit your exercises to stretching, bending, and swimming until your energy level returns. You’ll also need a good athletic bra for support.

You may be instructed to avoid sex for a week or more, since sexual arousal can cause your incisions to swell, and to avoid anything but gentle contact with your breasts for about six weeks.

A small amount of fluid draining from your surgical wound, or some crusting, is normal. If you have any unusual symptoms, such as bleeding or severe pain, don’t hesitate to call your doctor.

Your New Look

Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape. Even then, their shape may fluctuate in response to your hormonal shifts, weight changes, and pregnancy.

Your surgeon will make every effort to make your scars as inconspicuous as possible. Still, it’s important to remember that breast reduction scars are extensive and permanent. They often remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.

Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. You’ll be rid of the physical discomfort of large breasts, your body will look better proportioned, and clothes will fit you better.

However, as much as you may have desired these changes, you’ll need time to adjust to your new image-as will your family and friends. Be patient with yourself and with them. Keep in mind why you had this surgery. Chances are that, like most women, you’ll be pleased with the results.

Breast Lift Surgery in Minneapolis, MN

Changes to your body are to be expected as you get older. For women, the breasts are one of the most affected areas. Over time, you may notice shrinkage, flattening, or sagging of your breasts due to the effects of aging, gravity, weight fluctuations, and pregnancy (too name a few). A breast lift (mastopexy) can help to lift the breasts and restore a youthful, well-contoured appearance. When performing breast lift surgery, Dr. Smith makes sure to take into account each woman’s individual goals and condition to ensure her most beautiful and natural-looking results.

Breast lift surgery is performed by Dr. Smith as an outpatient procedure at Smith Plastic Surgery’s own onsite surgery facility. He will work closely with you to develop a personalized plan for your breast lift that will help to reduce excess skin, raise the breasts to a more youthful position, reposition downward pointing nipples, and restore a beautifully-shaped feminine figure. If your breasts have also experienced a significant loss of volume or shrinkage of the breast tissue, Dr. Smith may recommend supplementing your breast lift with breast implants for a more natural-looking outcome.

When performing breast lift surgery, Dr. Smith carefully removes excess skin from above the nipple for elevation, and on the under-side of the breast to help push the breast upward. Very commonly, a small implant is placed to return shape and firmness to the breast mound. The length of your scar will vary with the amount of extra skin present.

Please note a frequent misconception.  Most often breast lift is simply done with a small or moderated sized implant with costs starting at just $4200.   This is very cost effective and has very short scars.  (Please see the breast augmentation page).  When lots of extra skin is present we do a larger surgery with removal of the extra skin and this  costs about $6500.  Sometimes extra skin must be removed and patients want extra firmness and increased size which is achieved with a breast implant.  This runs about $9800 using deluxe gummy bear type of silicone implants.  Our fees at Smith Plastic Surgery include all facility and anesthesia fees. Dr. Smith performs this procedure on Thursdays with a follow up that same Friday. Most women are able to return to work on the following Monday or Tuesday.

We get great results with privacy and we are cost effective. Call us today 952.922.0895 between 8am and 8pm to schedule a free next morning consultation with Dr. Smith, or you contact us online.

Click here to view our Before & After Gallery.

For additional information on breast lift surgery, please refer to the following guide provided by the American Society of Plastic Surgeons

breast_liftCOV

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Over time, a woman’s breasts begin to sag and the areolas become larger. All surgery carries some uncertainty and risk

 

breast_lift-2

Incisions outline the area of skin to be removed and the new position for the nipple.

 

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Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions, giving the breast its new contour.

 

breast_lift-4

After surgery, the breasts are higher and firmer, with sutures usually located around the areola, below it, and in the crease under the breast.

 

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If your expectations are realistic, chances are you’ll be satisfied with your breast lift.

If You’re Considering a Breast Lift in Minneapolis, MN

Over the years, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman’s breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breastlift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts–at least, for a time. (No surgery can permanently delay the effects of gravity.) Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume–for example, after pregnancy–breast implants inserted in conjunction with mastopexy can increase both their firmness and their size. If you’re considering a breast lift, this brochure will give you a basic understanding of the procedure–when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don’t understand.

The Best Candidates for Breast Lift

A breast lift can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

The best candidates for mastopexy are healthy, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.

Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you’re planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn’t interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.

All Surgery Carries Some Uncertainty and Risk

A breast lift is not a simple operation, but it’s normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications or a reaction to the anesthesia. Bleeding and infection following a breast lift are uncommon, but they can cause scars to widen. You can reduce your risks by closely following your physician’s advice both before and after surgery.

Mastopexy does leave noticeable, permanent scars, although they’ll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with unevenly positioned nipples, or a permanent loss of feeling in your nipples or breasts.

Planning Your Surgery

In your initial consultation, it’s important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient–and every physician, as well–has a different view of what is a desirable size and shape for breasts.

The surgeon will examine your breasts and measure them while you’re sitting or standing. He or she will discuss the variables that may affect the procedure–such as your age, the size and shape of your breasts, and the condition of your skin–and whether an implant is advisable. You should also discuss where the nipple and areola will be positioned; they’ll be moved higher during the procedure, and should be approximately even with the crease beneath your breast.

Your surgeon should describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. He or she should also explain the anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved.

Don’t hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.

Preparing for Your Surgery

Depending on your age and family history, your surgeon may require you to have a mammogram (breast x-ray) before surgery. You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.

While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.

Where Your Surgery Will Be Performed

Your breast lift may be performed in a hospital, an outpatient surgery center, or a surgeon’s office-based facility. It’s usually done on an outpatient basis, for cost containment and convenience. If you’re admitted to the hospital as an inpatient, you can expect to stay one or two days.

Types of Anesthesia

Breast lifts are usually performed under general anesthesia, which means you’ll sleep through the operation. In selected patients–particularly when a smaller incision is being made–the surgeon may use local anesthesia, combined with a sedative to make you drowsy. You’ll be awake but relaxed, and will feel minimal discomfort.

The Surgery

Mastopexy usually takes one and a half to three and a half hours. Techniques vary, but the most common procedure involves an anchor-shaped incision following the natural contour of the breast.

The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.

Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the doughnut (or concentric) mastopexy, in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed.

If you’re having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.

After Your Surgery

After surgery, you’ll wear an elastic bandage or a surgical bra over gauze dressings. Your breasts will be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn’t be severe. Any discomfort you do feel can be relieved with medications prescribed by your surgeon.

Within a few days, the bandages or surgical bra will be replaced by a soft support bra. You’ll need to wear this bra around the clock for three to four weeks, over a layer of gauze. The stitches will be removed after a week or two.

If your breast skin is very dry following surgery, you can apply a moisturizer several times a day. Be careful not to tug at your skin in the process, and keep the moisturizer away from the suture areas.

You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.

Getting Back to Normal

Healing is a gradual process. Although you may be up and about in a day or two, don’t plan on returning to work for a week or more, depending on how you feel. And avoid lifting anything over your head for three to four weeks. If you have any unusual symptoms, don’t hesitate to call your surgeon.

Your surgeon will give you detailed instructions for resuming your normal activities. You may be instructed to avoid sex for a week or more, and to avoid strenuous sports for about a month. After that, you can resume these activities slowly. If you become pregnant, the operation should not affect your ability to breast-feed, since your milk ducts and nipples will be left intact.

Your New Look

Your surgeon will make every effort to make your scars as inconspicuous as possible. Still, it’s important to remember that mastopexy scars are extensive and permanent. They often remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.

You should also keep in mind that a breast lift won’t keep you firm forever–the effects of gravity, pregnancy, aging, and weight fluctuations will eventually take their toll again. Women who have implants along with their breast lift may find the results last longer.

Your satisfaction with a breast lift is likely to be greater if you understand the procedure thoroughly and if your expectations are realistic.

Breast implants are not intended to be lifelong devices and, at some point, may need to be replaced. Women who need to have their breast implants replaced for medical or personal reasons, or who are no longer satisfied with the results of a previous breast augmentation, may benefit from a breast implant revision with Dr. Smith.

Breast implant revision consists of the removal or replacement of your existing breast implants. This may be done to correct complications such as capsular contracture (a hardening of scar tissue around the breast implants), implant rupture, rippling, displacement, or malposition. However, you may also choose to remove or replace your implants for personal reasons, such as a change in preference (size, shape, etc.), to update to a newer implant, or to maintain your desired look as you get older.

Dr. Smith will work together with you to create a personalized plan for your breast implant revision or removal. In the case of implant complications, he can help to diagnose the problem and safely remove or replace the defective implant. Dr. Smith can often perform this surgery using the same incision locations used during your augmentation. This way, no additional scarring will result from your surgery.

We get great results with privacy and cost effectiveness. Call 952-922-0895 between 8am and 8pm to schedule a free next-morning consultation with Dr. Smith, or you may leave your contact information on the form to your right. Enjoy the good life!

Click here to view our Before & After Gallery.

For additional information on breast implant revision surgery, please refer to the following guide provided by the American Society of Plastic Surgeons.

It’s important to know that after receiving breast implants, results are not permanent, and they may require replacement during your lifetime. You should expect to have future visits with your plastic surgeon to discuss changes in your breasts.

Over time, your breasts can change due to aging, weight fluctuations, hormonal factors, and gravity. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift or implant exchange to restore a more youthful contour.

What is breast implant exchange?

Breast implant exchange is a surgical procedure that removes or replaces breast implants placed during breast augmentation. The procedure may be indicated for medical reasons, or it may be the patient’s personal choice. To provide a satisfactory aesthetic outcome, a cosmetic procedure may be performed during or after breast implant removal. Removal of breast implants is frequently followed by replacement with a different implant type (such as silicone gel) or a breast lift (mastopexy) procedure.

Reasons for Breast Implant Exchange

You may believe that breast implants no longer fit into your lifestyle or you may decide that a different implant size or type is appropriate. In either of these cases, breast implant removal will be necessary.

  • Change in size preferences
  • Switch from saline to silicone
  • Decision to remove implants

Medical indications for breast implant removal may include trauma, disease, or a surgery complication. Complications of breast augmentation may necessitate breast implant removal or revision surgery. Some of these complications are as follows:

  • Capsular contracture
  • Implant displacement
  • Visible implant rippling
  • Ruptured implant
  • Nipple malposition

What happens during surgery?

Breast implant removal is a relatively straightforward procedure. The implant is typically approached through the same surgical incisions as your original breast augmentation. Surgery may be as short as one hour, but this will vary depending on your particular condition.

After Breast Implant Exchange

Removal of breast implants carries a possibility for an undesirable aesthetic outcome, especially if you’ve had them for several years. When breast augmentation is first performed, the skin stretches to accommodate the implants. If they are removed, it is likely that your skin will not shrink back to a satisfactory state.

While it is possible that your breasts will return to their pre-augmentation appearance, most patients will benefit from another cosmetic procedure. Your plastic surgeon may recommend a breast lift to tighten the tissues and excess skin. To meet your appearance goals, he or she may also recommend a different implant size or different implant type.

As a woman gets older, there are several factors in life that cause changes in her physical appearance. One of the biggest concerns for many women is the loss of breast volume or shape that often occurs over time, whether due to pregnancies, weight fluctuations, or the simple effects of aging. Breast implants have proven an extremely rewarding solution for many women who want to feel like themselves again when they look in the mirror. Restoring natural feminine beauty and self-confidence is what Dr. Smith strives for with his personalized breast augmentation procedures.

Breast Augmentation in Minneapolis, Minnesota (MN)

At Smith Plastic Surgery, we offer women a wide variety of customizable options for their breast augmentations. This way, no matter what your goals are–whether it’s to restore your pre-baby body or enhance the natural size of your breasts–you will be able to achieve your own desired outcome with Dr. Smith.

Dr. Smith performs breast augmentation surgery as a 45-minute outpatient procedure. From the start of your consultation to the day you see your final results in the mirror, your surgery will be carefully tailored to meet your specific needs. You will be able to choose from a selection of the highest quality silicone and saline implants, with further options ranging from size to profile and texture. In addition to the traditional incisions beneath the breast, Dr. Smith also offers a “scarless” breast augmentation, which inserts the implants through a small incision made beneath the arm to minimize any future scar visibility.

The goal of our breast augmentation surgery is to provide you with results that look as beautiful as they do natural, so you can wear all of your favorite clothes in confidence and love the you that you see every day in the mirror.

Breast augmentation at Smith Plastic Surgery costs $4200 for saline implants and $5200 for silicone.  Anesthesia and facility charges are included. We offer a cash discount if you pay all or part of this in cash.  Call the clinic for details.  Dr. Smith performs breast augmentation surgery on Thursdays with a follow-up exam that same Friday. By Saturday, our patients are usually driving to the grocery store or running errands. By Monday or Tuesday nearly everyone feels well enough to return to work.  This a quick recovery surgery.

We get great results with privacy and cost effectiveness. Call us today at 952.922.0895 between 8am and 8pm to schedule a free next-morning consultation with Dr. Smith, or you may Contact Us Online
Click here to view our Before & After Gallery.

For additional information on breast augmentation surgery, please refer to the following guide provided by the American Society of Plastic Surgeons.

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Breast augmentation is usually done to balance a difference in breast size, to improve body contour, or as a reconstructive technique following surgery.

breast_augmentation-2

Incisions are made to keep scars as inconspicuous as possible– in the breast crease, around the nipple, or in the armpit. Breast tissue and skin are lifted to create a pocket for each implant.

breast_augmentation-3

The breast implant may be inserted directly under the breast tissue or beneath the chest wall muscle.

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After surgery, breasts appear fuller and more natural in tone and contour. Scars will fade with time.

breast_augmentationCOV

Breast Augmentation Options in , Minneapolis, MN Area

Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:

  • To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
  • To restore breast volume lost due to weight loss or following pregnancy
  • To achieve better symmetry when breasts are moderately disproportionate in size and shape
  • To improve the shape of breasts that are sagging or have lost firmness, often combined with a breast lift procedure
  • To provide the foundation of a breast contour when a breast has been removed or disfigured by surgery to treat breast cancer
  • To improve breast appearance or create the appearance of a breast that is missing or disfigured due to trauma, heredity, or congenital abnormalities

By inserting an implant behind each breast, surgeons are able to increase a woman’s bust line by one or more bra cup sizes. If you’re considering breast augmentation, this will give you a basic understanding of the procedure–when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please ask your surgeon if there is anything you don’t understand about the procedure.

Schedule a Breast Augmentation Consultation

The Best Breast Augmentation Candidates

Breast augmentation can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

The best breast augmentation candidates are women who are looking for improvement, not perfection, in the way they look. If you’re physically healthy and realistic in your expectations, you may be a good candidate.

Types of Implants

The choice of implant filler, implant size, shape and other features will be determined based on your breast anatomy, body type, and your desired increase in size. Your lifestyle, goals and personal preferences, as well your plastic surgeon’s recommendations and sound surgical judgment, are also determining factors. Implant manufacturers occasionally introduce new styles and types of implants; therefore, there may be additional options available to you.

Breast implants are medical devices with a solid silicone, rubber shell. The implant shell may be filled with either saline solution (sterile salt water) or elastic silicone gel. Both saline and silicone gel breast implants are approved by the U.S. Food and Drug Administration (FDA). Approval means that an implant has been rigorously researched, tested, and reviewed for safety by an independent panel of physicians.

The size of a breast implant is measured in cubic centimeters (ccs) based on the volume of the saline or silicone filler. Breast implants vary both by filler and in size, but there are additional features to consider:

  • Texture: the implant shell may be smooth or textured
  • Shape: the implant may have a round profile or one that is anatomic (teardrop or tapered shape)
  • Profile: the implant may have a low, medium or high projection (determined by measuring the depth of the implant from the base to the highest point of the implant curve)
  • Diameter: the width of the implant measured across its base (the side of the implant that will be positioned over the chest wall)

Adult women of any age can benefit greatly from the enhancement breast implants provide. It is usually recommended, however, that a woman’s breasts be fully developed prior to placement of breast implants. Saline implants are FDA approved for augmentation in women 18 years of age and older. Silicone implants are FDA approved for augmentation in women age 22 and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

You should be aware that breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Regular examinations for breast health and to evaluate the condition of your implants are important whether you have chosen saline or silicone breast implants.

All Surgery Carries Some Uncertainty and Risk

Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.

The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or “scoring” of the scar tissue or, perhaps, removal or replacement of the implant.

As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.

A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.

Some women report that their nipples become oversensitive, under sensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but they may be permanent in some patients.

Breast implants do not generally interfere with a woman’s ability to breast feed nor do they present a health hazard during pregnancy to a woman or her baby. However, pregnancy and the associated changes to a woman’s body may alter the results of any breast surgery, including surgery to place breast implants. Therefore, it is important to discuss the options of breast implant surgery with your plastic surgeon if you are interested in becoming pregnant and breast feeding in the future.

Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak.

  • If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be absorbed and naturally expelled by the body.
  • If a silicone-gel filled implant leaks or breaks, the elastic silicone gel may remain within the implant shell, or may escape into the breast implant pocket (a capsule of tissue that surrounds the implant). A leaking implant filled with silicone gel may not deflate and may not be noticeable except through imaging techniques such as an MRI. For this reason, a woman with silicone breast implants is advised to visit her plastic surgeon annually to assess that her implants are functioning well. An ultrasound exam or MRI screening can assess the condition of breast implants. After 3 years, it is recommended that all silicone implants be properly screened.

Following the placement of breast implants, mammography is technically more difficult. Obtaining the best possible results requires specialized techniques and additional views. You must be candid about your implants when undergoing any diagnostic breast exam. In many cases, an ultrasound exam or MRI may be recommended in addition to mammography.

While the majority of women do not experience these complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation.

Planning Your Surgery

In your initial consultation, Dr. Smith will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift.

Schedule a Breast Augmentation Consultation
Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer’s insert that comes with the implant he or she will use — just so you are fully informed about it. Also, be sure to tell your surgeon if you smoke and if you’re taking any medications, vitamins, or other drugs.

Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.

Preparing for Your Surgery

Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. A mammogram may be recommended prior to your procedure to ensure breast health and serve as a baseline for future comparison.

In addition to explaining your surgical procedure, your plastic surgeon will discuss anesthesia, the recovery process, and your obligations as a patient. You will also discuss where your procedure will be performed. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications of your surgery. There may be a waiting period of several days to weeks from the time of your consent to the day of surgery.

While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.

Where Your Surgery Will Be Performed

Your surgeon may prefer to perform the operation in an office facility, conveniently located in Minneapolis, Minnesota (MN), a freestanding surgery center, or a hospital outpatient facility. Occasionally, the surgery may be done as an inpatient in a hospital. If this is the case, you can plan on staying for a day or two.

Types of Anesthesia

Breast augmentation can be performed with a general anesthesia, so you’ll sleep through the entire operation. Some surgeons may use a local anesthesia, combined with a sedative to make you drowsy. You’ll be relaxed but awake, and you may feel some discomfort.

The Surgery

The method of inserting and positioning your implant will depend on your anatomy and your surgeon’s recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. In addition, a saline implant may be placed through an incision at the navel. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue (submammary or subglandular placement), or your implant may be placed beneath the pectoral muscle and on top of the chest wall (submuscular placement). Once the implant is positioned within this pocket, the incisions are closed with sutures, skin adhesive and/or surgical tape. A gauze bandage may be applied over your breasts to help with healing. The surgery usually takes one to two hours to complete. You’ll want to discuss the pros and cons of these alternatives with your doctor before surgery to make sure you fully understand the implications of the procedure he or she recommends for you.

After Your Surgery

You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor.

Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by your surgeon. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.

Your stitches will come out in a week to ten days, but the swelling in your breasts may take three to five weeks to disappear.

Getting Back to Normal

You should be able to return to work within a few days, depending on the level of activity required for your job.

Follow your surgeon’s advice on when to begin exercise and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.

Your scars will be firm and pink for at least six weeks. They may remain the same size for several months or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely.

Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammography technician should use a special technique to assure that you get a reliable reading, as discussed earlier.

Your New Look

For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.

Even if you believe your implants are functioning well, it is important that you follow-up, as directed, with your plastic surgeon to assess the condition of your breast implants. In addition, whether you choose to have breast implants or not, it is essential to your health that you do a breast self-exam monthly and schedule regular diagnostic breast screenings.

Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it–if you’ve met your goals, your surgery is a success.
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Choose your Procedure

Breast Implant Revision

Breast implants are not intended to be lifelong devices and, at some point, may need to be replaced. Women who need to have their breast implants replaced for medical or personal reasons, or who are no longer satisfied with the results of a previous breast augmentation, may benefit from a breast implant revision with Dr. Smith.

Breast Lift

Changes to your body are to be expected as you get older. For women, the breasts are one of the most affected areas. Over time, you may notice shrinkage, flattening, or sagging of your breasts due to the effects of aging, gravity, weight fluctuations, and pregnancy (too name a few).

Breast Reduction

Women who struggle every day with disproportionately larger breasts know that bigger is not always necessarily better. Several physical problems—back, neck, or shoulder pain—and lifestyle challenges—difficulty exercising, poor-fitting clothing, or self-consciousness—are commonly associated with overly large breasts and often make daily life more difficult than it should have to be.

Male Breast Reduction

Gynecomastia is a medical condition that causes men to have the appearance of enlarged or feminine-looking breasts. While it is not often spoken about, gynecomastia is actually a fairly common condition and can be both frustrating and embarrassing for men who suffer from it.

Breast

The Perfect Fit: Finding a Bra After Breast Augmentation