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

Breast Augmentation

Plastic surgery consultation in EdinaMaybe you want to transform your body with liposuction. Or perhaps you are looking to enhance your feminine figure in a beautiful, natural way with breast augmentation. It’s no secret that cosmetic procedures can help you accomplish your goals, whatever they are.

But to safely achieve the results that you want, you need to choose the right plastic surgeon. While this process can seem complicated, it doesn’t have to be. (more…)

Woman covering left breast with right hand
The American Society of Plastic Surgeons reports that, between 2016 and 2017, there was an 
11% increase in the number of breast reductions performed. This marks the first time since data has been collected by the ASPS on breast reduction that the procedure has trended upward. (more…)

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. (more…)

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.

Mommy Makeover Before & After

*These before & after photos are from a specific patient. Results may vary.

As a mother, you sacrifice so much for your children and family without a second thought. However, it may be hard to look in the mirror and love the changes that your body experienced as a result of pregnancy, childbirth, and breastfeeding. Unfortunately, the common belief is that women need to accept these changes as a side effect of having children. We feel differently. At Smith Plastic Surgery, we believe that a woman can be a mother and still feel confident and sexy.

That’s why Dr. David Smith is proud to offer the mommy makeover, a customized set of procedures designed to restore your pre-pregnancy body. Commonly a complete tummy tuck with silicone gummy bear implants together costs $11,000.   As a board-certified plastic surgeon with decades of experience, Dr. Smith will do his utmost to help you look and feel like yourself again. He serves Edina, Richfield, Bloomington, Minneapolis, St. Paul, and surrounding areas of Minnesota. Call (952) 922-0895 today to schedule a consultation.

How Can Pregnancy Affect My Body?

Pregnancy, childbirth, and breastfeeding can impact your body in several ways, such as:

  • Loss of breast volume
  • Sagging breasts
  • Excess fat and loose skin around your stomach
  • Stretched or torn abdominal muscles
  • Stretch marks
  • Changes to your body’s fat content
  • Enlarged areolas
  • Visible C-section scars

Am I a Good Mommy Makeover Candidate?

If you’d like to address any of the above conditions, you may be a good candidate. You should also consider these factors:

  • Do you plan to have more children? Having more children doesn’t rule you out as a mommy makeover candidate, but it could negatively impact your results. Dr. Smith recommends that women wait to undergo a mommy makeover until they’re finished having kids.
  • Do you smoke? Smoking could adversely affect your healing process and results. If you smoke, you must be willing to quit before the procedure and throughout your recovery.
  • Are you in good overall health? Being in good health, near your ideal body weight, and sustaining that weight for a year or more will all help facilitate a successful surgery and recovery.

What Procedures Does a Mommy Makeover Include?

The exact nature of your mommy makeover will depend on how your body responded to pregnancy, childbirth, and breastfeeding. All mommy makeovers are customized to include the procedures that address your unique needs. Yours may include some of the following procedures:

  • Breast augmentation: Can restore lost breast volume, providing a more attractive appearance and cleavage.
  • Breast lift: Can address sagging and give your breasts a more youthful appearance.
  • Liposuction: Can remove stubborn areas of fat that you can’t get rid of through diet and exercise.
  • Tummy tuck: Can repair stretched or torn abdominal muscles and tighten excess skin around your stomach.

Recovery Following a Mommy Makeover

Your exact recovery process will depend on the procedures that comprise your mommy makeover. Dr. Smith will provide you with specific aftercare instructions customized to your unique needs.

Generally, you will have to avoid exercise and other strenuous activities for about four to six weeks following your mommy makeover. Dr. Smith will monitor your healing and clear you to resume your normal activities when you’re ready.

Mommy Makeover Before & After

*These before & after photos are from a specific patient. Results may vary.

Schedule Your Mommy Makeover Consultation Today

Motherhood has given you so much joy and satisfaction. Dr. Smith can help restore the youthful body that you enjoyed before having children. He serves patients in Edina, Richfield, Bloomington, Minneapolis, St. Paul, and surrounding areas of Minneapolis. Call (952) 922-0895today to schedule a consultation.

Click here to view our Before & After Gallery.Male Breast Reduction Before & After

*These before & after photos are from a specific patient. Results may vary.

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 costs $4200.  Please note we remove both the excess fat and breast tissue. We have power assisted lipectomy with general anesthesia for a very complete removal of excess tissue. The extra glandular tissue is removed with sharp dissection.  Ideally weight should be optimal for height and under about 250 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! Male Breast Reduction Before & After

*These before & after photos are from a specific patient. Results may vary.

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.
gynecomastia-1     gynecomastia-2 Many men have gynecomastia — enlarged, female-like breasts–causes by excess glandular tissue or fat (or both).   gynecomastia-3 Glandular tissue must be cut out, usually through a small incision near the edge of the areola.   gynecomastia-4 Fatty tissue can be removed by liposuction. A small, hollow tube is inserted through a tiny incision, leaving a nearly imperceptible scar.   gynecomastia-5 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 Today: 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.
breast_reduction-1 Heavy breasts can lead to physical discomfort, a variety of medical problems, shoulder indentations due to tight bra straps, and extreme self-consciousness.   breast_reduction-2 Incisions outline the area of skin, breast tissue, and fat to be removed and the new position for the nipple.   breast_reduction-3 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.   breast_reduction-4 Scars around the areola, below it, and in the crease under the breast are permanent, but can be easily concealed by clothing.   breast_reductionCOV 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 Before & After

*These before & after photos are from a specific patient. Results may vary.

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 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. Breast Lift Before & After

*These before & after photos are from a specific patient. Results may vary.

For additional information on breast lift surgery, please refer to the following guide provided by the American Society of Plastic Surgeons
breast_liftCOV breast_lift-1 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.   breast_lift-3 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.   After surgery, the breasts are higher and firmer, with sutures usually located around the areola, below it, and in the crease under the breast.   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 Today: 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.

*These before & after photos are from a specific patient. Results may vary.

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 an  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. We use the extra cohesive silicone (gummy bear) implants for safety and comfortable general anesthesia. 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 look you that you see every day in the mirror.

Here is a video of the new gummy bear implants we use.

Breast augmentation at Smith Plastic Surgery costs  $4900 if paid by credit card financing.  We also offer a $50.00 discount if all paid for in cash ($4850).  For safety we use only SMOOTH non textured silicone implants.  (We have never used textured silicone implants which have been withdrawn.)  We pay extra to provide Allergan Soft Touch extra cohesive implants for long term shape maintenance and safety.  The implants we use do not bottom out like softer silicone  implants.  (A botox®  treatment to the forehead is included at no charge if desired because Allergan makes both implants and Botox®.)

We do not charge excess fees to impress. The modern silicone implants are like gummy bear candy with a very soft semi-solid silicone gel fill for greater safety and improved shape. Anesthesia and facility charges are included. Dr. Smith performs breast augmentation surgery usually on Wednesdays with a follow-up dressing change the next day. By Friday, our patients are usually driving to the grocery store or running errands. By Monday most return to work. This a quick recovery surgery.

If you are bringing a very young child to the free consultation be sure to bring another individual to help with childcare.  We get great results with privacy and we are cost effective. Call Today: 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.

*These before & after photos are from a specific patient. Results may vary.

Breast Augmentation Benefits

A desire for better cleavage, fuller breasts, increased self-confidence, and feeling great in figure-flattering clothing are some of the reasons women choose to have their breasts augmented. This surgery offers numerous benefits, including:

  • Decrease in breast size and volume due to significant weight loss
  • Age-related changes in breast size and volume
  • Unflattering breast shape and size due to genetics
  • Asymmetrical or abnormally developed breasts
  • Feeling self-conscious due to the appearance of your breasts
  • Pregnancy-related changes to the breasts including lost volume, loose skin, flattening, and asymmetry

Breast Augmentation Candidates

You must be in good overall health to undergo breast augmentation. Additionally, you should:

  • Be at least 18 years old (for saline implants) or 22 (for silicone implants)
  • Not be pregnant or breastfeeding
  • Have realistic expectations for the outcome of the procedure
  • Not smoke, or be willing to quit smoking before surgery and throughout your recovery
  • Have enough natural breast tissue to cover the implant

Types of Breast Implants

Dr. Smith offers numerous breast implant options, including:

  • Saline implants: Silicone outer shells that are filled with a sterile saline solution after they’re inserted into your breasts. Saline implants are more prone to leakage and rupture than silicone implants, but in the event of a leak, the saline solution is naturally absorbed by your body.
  • Silicone implants: These consist of a silicone outer shell filled with a silicone gel. Silicone is thicker than saline, so these implants have a more natural look and feel. They are also less prone to leakage and rupture. If they do rupture, they also hold their shape better.
  • Gummy bear implants: These are a newer form of silicone implants that are filled with a cohesive, form-stable silicone gel. They have a teardrop shape that more naturally conforms to the anatomical contours of your breast than traditional, rounded implants. They are also often textured, which allows the breast tissue to grow into them. This drastically reduces the chances of implant rotation.

Breast Augmentation Incision Locations

Your anatomy, choice of implant material, and goals for the procedure must be considered when selecting an incision type.  Dr. Smith will recommend the one that best accomplishes your aesthetic goals:

  • Inframammary incisions: These are made in the natural folds under your breasts, where the scar is hidden discreetly. They also help preserve nipple sensation.
  • Periareolar incisions: These incisions are made around the border of your nipple, where the tissue around your areolas will conceal the scars.
  • Transaxillary incisions: These incisions are made under your armpits and result in no scarring around your breasts.

Breast Implant Placement Options

Choosing the right option for your breast implant placement really involves two choices: sub-glandular placement (over the chest muscle) or sub-muscular (under the chest muscle). Dr. Smith will help you determine the best placement for your needs:

  • Subglandular: This places your implants beneath your breast glands but above your chest muscle. Athletic women who frequently exercise their chest muscles may prefer this placement.
  • Submuscular: This approach may suit women who have less existing breast tissue or who want a gentler, softer curve from their upper chest to their breasts. Your implants will be placed behind your breast glands and partially behind your chest muscles.

The Breast Augmentation Procedure

Your choice of breast implant size, type, placement, and incision location will determine the specifics of your breast augmentation surgery, but all procedures follow the same basic steps and are performed on an outpatient basis.

  • You will be given general anesthesia and made comfortable in our surgery center.
  • Dr. Smith will make the incisions and place your implants according to your discussions during the consultation.
  • Dr. Smith will close the incisions. The entire procedure should take one to two hours.
  • A nurse will monitor you in the recovery room until you’re ready to be driven home.

Recovery After Breast Augmentation

After the procedure, your breasts will be wrapped in gauze and an elastic bandage to minimize swelling and support your breasts as they heal. Dr. Smith will go over post-surgery instructions and provide prescriptions for any medications necessary. In addition to following post-operative instructions for caring for the incision site and keeping your breasts supported, some activity restrictions apply.

Any pain you may have for the first few days is typically manageable with the prescribed medications. It may take a couple of weeks for swelling to subside, but the results of your breast augmentation will be noticeable immediately.

Dr. Smith recommends resuming light activity levels, such as walking, as soon as you feel up to it in order to facilitate blood flow and proper healing. You should be able to return to work within 1-2 weeks. Within approximately one month, you will be able to resume most normal activities, including most forms of exercise.

Over the next months, your incision lines will continue to fade. You will have follow-up appointments with Dr. Smith throughout your recovery so he can monitor your healing and clear you for exercise and other activities.

Schedule a Breast Augmentation Consultation

Choose your Procedure

Mommy Makeover

Breast

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.

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