June 25

3 Procedures Used In Corrective Surgery For Tuberous Breast Deformity

download (18)There are so many issues that can make a young lady feel self-conscious about her looks. This is particularly so if there’s an issue with any part of her body that’s central to her femininity. That’s why tuberous breast deformity is something that any young woman would hate to have.

If affected, your breasts would develop a tubular shape. Hence the name: tuberous breasts. There are several underlying aspects that lead to the unappealing outward impression of tuberous deformity. The base of your breasts would be affected by a constricting ring and you may also have a deficiency of breast tissue. This would be further compounded by an extent of breast tissue herniation encroaching on the space of your nipple-areola-complex. And that’s not all. The condition would be further compounded by areola enlargement as well as visible breast asymmetry.

The combination of all these aspects is what makes surgical correction quite challenging. However, many new and effective treatment modalities have been developed over the years to deal with the problem. Presently, there exist quite a number of options for treatment, which can effectively restore your natural looks.

Corrective Surgery for Tuberous Breast Deformity

The first and most important step before treatment is always identification of the severity of the condition. Only by understanding how pervasive the condition is would it then be possible to apply the most effective mode of treatment. Once the severity has been determined, various techniques can be utilized in the surgical procedure. These include: glandular scoring, periareolar access, mastopexy and subpectoral implant placement.

The type of procedure to be applied would also go hand in hand with the technique to be used:

i. Is a Single-Stage Surgical Procedure Possible?

A 2009 study, published by the University Hospital Erlangen-Nuernberg, elaborated how 15 patients had their inherent breast deformity corrected through a one-stage operation. The benefit of this procedure was not only evident in the short time it took to complete it, being a one-stage operation, but also resulting in only a periareolar scar. This means that surgery didn’t involve any skin flaps or tissue expanders.

ii. Multi-Stage Surgical Procedures

As much as the one-stage operation resulted in much less scarring, a two-stage corrective operation also has certain benefits. With a two-stage operation, you are likely to achieve a result that’s more aesthetically pleasing.

This two-stage operation involves routine augmentation mammaplasty that helps correct base defects caused by both horizontal and vertical contraction. A new skin brassiere would also be necessary in order to deal with an inevitable ptosis within the nipple-areola complex. This goes further than the mere telescoping of breast tissue into the region of the nipple-areola complex, which doesn’t always produce a fully satisfactory long-lasting solution.

iii. Other Treatment Techniques

Quite a number of surgical techniques are continually being adopted to combat emerging and existing challenges in tuberous deformity correction. One such method aims to reduce areola size as well as breast tissue herniation. Firstly, subpectoral augmentation would be carried out on the affected breast, followed by a technique known as deepithelialization targeting a doughnut-shaped skin area around the areola. Thereafter, the breast tissue would have four wedges of tissue extracted from beneath the new areola. This helps in reducing areola size and herniated breast tissue.

 

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June 14

Breast Augmentation – Making The Right Choice

download (17)The overall shape of your body is the sum total of how all your different body parts blend into each other. As a woman, there are critical parts of the body that really bring out your femininity and one that definitely does is your breasts. If you feel that your breasts are too small for your figure, or you need an increase their volume, then it’s time to think about getting a breast augmentation.

About The Surgery

A breast augmentation is a surgery performed to add to the fullness of your breasts and make the symmetry of your breasts better. This is done by surgically placing implants in your breasts, and sometimes fat transfer can be done if you only need a minimal increase in breast size. The surgery will give your breasts improved projection and will enhance the youthful shape of your body.

Who Can Have The Surgery?

You can safely consider a breast augmentation if you are generally in good health and if you have fully developed breasts. If one of your breasts is larger than the other one, or if your breasts did not develop in the normal way, then this may be the surgery for you. You can also decide to have the surgery if your breasts lost their shape and fullness after pregnancy, as a result of aging, or after you lost a large amount of weight. It is, however, important to have expectations that are achievable and realistic to avoid disappointment after the surgery.

Types Of Implants

Silicone breast implants are filled with silicone gel, and the gel has the feel of natural breasts. The implant is safe and in case of any leakage, the implant will either collect within the shell of the implant, or will collect in the pocket of the breast implant. The implant will not collapse in case of leakage. You can even decide to have silicone gel implants that have a soft or firm touch.

Saline implants are filled with salt water which is sterile. In case of any leakage, the saline implant will collapse and the liquid will get absorbed into the body. The implant normally gives a uniform firmness and shape but have a density that is different to that of the natural breast tissue. This makes them ripple, thus increasing the chances of rupturing.

The Surgery

Your surgeon will normally administer general anesthesia during the procedure. This is done to ensure that the muscles have relaxed completely and that you are totally still. The surgeon will then make an incision at a place that is not very visible. The point of incision will depend on the amount of breast increase required, the type of implant that will be used and your body type. After making a cut, the implant is placed under the pectoral muscle or over the pectoral muscle behind the tissue of the breast.

Recovery

After the surgery, your breasts will be swollen and drains may be placed under the skin for 24 hours to get rid of excess blood and fluid. The swelling will normally go down within two to three weeks, and within two months, the breasts will begin to settle to their correct position.

 

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June 8

Breast Lift – Regaining Your Youthful Body

download (16)The body of a woman usually undergoes many changes during the different stages of her life. One of the stages that can take a toll on your body is childbearing. Many women face a great challenge getting rid of the baby fat, though with much effort, many are able to get back to their pre-pregnancy body. There are parts of the body, however, which cannot be restored back to their original shape without some help. Sagging breasts are among them, and a breast lift can help to restore the youthful shape of your breasts.

What It Does

There are many reasons that cause the breasts to sag, and some of these include pregnancy and breastfeeding. You can also develop breasts that are sagging due to aging or because it is hereditary. If you have lost a large amount of weight, you might also end up with sagging breasts. A breast lift is a surgery conducted to remove excess skin on the breast and then tighten the breast tissue. This raises the breasts, giving them a new youthful shape. A breast lift can also reduce the size of the areola if it has increased in size over time.

Selecting A Technique

A breast lift can be done by using different techniques, and the technique the surgeon will select will depend on certain things. The shape and size of your breasts and the areola size and position will affect the type of technique to be used. The doctor will also consider how much extra skin is on the breast, and will check the elasticity and quality of the skin. He will also check how much the breasts have sagged before deciding the most effective technique to give you the best results.

How The Surgery Is Performed

When undergoing a breast lift, general anesthesia will be administered to ensure you are comfortable during the procedure. The surgeon will then make an incision pattern that will be the most effective for your condition. A crescentric scar or donut shaped scar can be used to position the nipple correctly without changing the shape of the breast. On the other hand, a lolly-pop scar or an inverted T-scar can be used to give the breast a new shape while positioning the nipple properly.

Scarring

When the procedure is completed, the surgeon closes the incisions, which results in a certain amount of scarring. Depending on the procedure conducted, you may have scars hidden under the contour of the breast. Other scars can be seen on the surface of the breast. The scars are permanent, but most surgeons will use the best technology of scar therapy to ensure they are of good quality. These scars will normally fade within 24 months, so there is no need to worry.

Recovery Period

You can have a breast lift done and go home the same day. However, you will have suction drains placed under your skin to get rid of excess fluid. Normally, these drains will stay on for up to three days, and the doctor will show you how to empty them while at home. You may also be given medication and instructions on how to care for the breasts as they heal.

 

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June 2

Breaking Down The Cost Of Breast Lift Surgery

download (15)The biggest factor you’ll think of once you choose to get a breast lift done is the cost. What can make it expensive and out of reach for some people is the fact that it’s not covered by most health insurance companies.

Here is a breakdown of how much it will cost you to have breast lifting surgery:

What Is And Isn’t Included

A lift surgery will cost you anywhere between $3,500 and $6,000. Typically, a surgeon will charge upfront for the anaesthesia, surgeon’s fees and facility fees. Hidden costs that you may not be aware of include lab work, prescription painkillers and antibiotics. If there’s need for other recovery aids such as medical padding, then you will be charged for them as well.

Additional Procedures

A lift surgery can be done as a single procedure or it can be combined with other breast procedures such as breast augmentation or reduction. It can also be part of a body contouring plan. If you choose to have two different procedures, such as breast augmentation and lift on the same day, you will have to pay a lot more money. However, having the two procedures at the same time will mean that you get to save on the amount of anaesthesia you will be charged for, as well as the surgeon’s and facility’s fees. In this way, it makes sense to save money by having both procedures done on the same day.

Be Aware Of The Consultation Fee

Some surgeons may or may not charge a consultation fee. In some practices, the consultation fee is included in the total surgery cost, while others prefer to charge it separately. Before you book your appointment, it’s important that you learn about the surgeon’s consultation fee policy.

Location

Did you know that where you will have your breast surgery done plays a role in how much you’ll be charged? Such cosmetic procedures tend to cost more if the facility is located in an urban area. In such locations, the demand for cosmetic surgeons is higher and there is a long waiting list as well.

There also exists the phenomenon of plastic surgery tourism. This is where you travel far in order to get your breast surgery done. As exotic as it sounds, there are certain risks involved in travelling to a place you’ve never been to before. Although it may be cheaper to get breast surgery done outside your own country, there are other costs such as travel, accommodation, risk of complications and infections.

To know exactly what the whole procedure will cost, you need to ask your surgeon what it would entail; including the hidden costs. If you were involved in an accident and need corrective surgery, then your medical insurance may choose to cover some of the expenses for you. However, if the surgery is meant purely for aesthetic purposes, you’ll be responsible for footing the bill.

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May 27

Common Myths And Facts About Breast Augmentation

download (14)In your search for the best breast augmentation surgical services, you might have come across quite a bit of contradicting information about the cosmetic surgery. Such contradictions might seem overwhelming, but you shouldn’t give up in your search for the truth. All you have to do is seek out credible sources to differentiate the myths from the facts.

1. Unproven Assumptions About Implant Safety Issues

Just about any medical procedure would have some type of side effect. However, some people tend to exaggerate the extent of certain side effects, based on unproven assumptions. This is particularly so with safety issues concerning breast implants.

Some of the early occurrences in the initial adoption of breast implants, as recorded by the Therapeutic Goods Administration, may have led people to develop an exaggerated perception of the safety issues regarding implants. In the early 1990’s, without rigorous and systemic studies on the safety of implants, people’s opinions were easily swayed by anecdotal reports of silicone gel leaking from implants and spreading through the body.

The negative perception created by such unverified reports may have been further cemented by the restrictions and additional conditions imposed on breast implants by regulatory authorities. This would have made the public come to the conclusion that such implants were certainly bad for the regulators to restrict their supply. What the public may not have realized is that such restrictions were not based on verified studies on the implants’ safety.

Some of the concerns that people had was that leakage and/or diffusion of silicone gel contributes to an increase in systemic diseases. Women who adopted implants were also concerned about such problems as capsular contracture around implants, resulting in loss of sensation, hardness, distortion and even pain.

Fortunately, once proper research was carried out to verify such safety concerns, it was found out that silicone implants were not responsible for connective tissue disorders like rheumatoid arthritis, systemic lupus erythematosus or scleroderma. Cancer was also ruled as a concern in the adoption of silicone implants. In fact, it’s actually quite interesting that silicon is found naturally in the human body.

The complications that can actually arise due to the use of implants are much less harmful and usually occur when implants are left to stay for too long until they age. In such situations, you may experience capsular contracture. At such a point, you would require corrective surgery to replace your implant.

2. Facts About Mammography

Just as you demystify the myths surrounding augmentation surgery, you should also find out about proven facts of the operation.

It’s true that implants do obscure mammography images of tumours. This inevitably interferes with early detection of breast cancer, causing a delay in diagnosis.

Fortunately, special techniques are being adopted to minimize such implant interference. You should also realize that there is a certain proportion of obscured mammograms even in women without implants, as indicated by the FDA.

In some instances, both saline and silicone implants can rupture while you undergo mammograms. You surgeon would advice you on how to handle such situations.

Once you understand the real fact about augmentation surgery and eliminate the myths, you would know exactly how to get the best from your operation.

 

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May 17

Signs Of A Botched Breast Augmentation Surgery

download (13)There is often a certain level of fear among patients who wish to undergo augmentation surgery, especially if it is their first time. There are always questions on whether the results will be as expected or whether they would need corrective surgery. A failed attempt at increasing breast size is what most patients fear.

How do you know whether your surgery was a success or not? Here are signs that your surgery was botched.

1. Excessively Firm Implants

Do your implants feel natural to you? Are they too firm, and not soft and supple? Usually, the first sign of a botched breast surgery attempt is implants that feel too hard. Your surgeon may have used poor quality implants, instead of using the more popular silicone implants. If this is the case, you may want to have the implants removed and replaced with better quality ones.

2. Ruptures And Leaks

Although rupturing of implants can accidentally happen, they are usually a sign of a botched surgery. Silicone and saline implants are known to rupture every once in a while. These ruptures are often caused by a simple mistake a surgeon makes. If there is a leakage in your saline implants, then you will notice them shifting and changing shape over the course of a few days. Despite the fact that silicone ruptures are known to happen, they are harder to detect. Signs of a silicone implant rupturing are unusual breast lumps, soreness, swelling and aching.

3. Problems With Implant Positioning

Sometimes surgeons make the mistake of positioning one breast significantly higher than the other one. If you have noticed this problem, it’s important that you notify your surgery immediately to discuss ways in which it can be corrected. This is a problem that is also found in breast lift procedures, and would require corrective surgery.

4. Differences In Size

If, after having implants inserted, you notice that one breast seems bigger than the other, you should notify your surgeon immediately. This mistake occurs when the surgeon uses two different-sized implants, or does not take into account the size and shape of the breast prior to surgery. Unless you want to walk around with unevenly sized breasts, you will need to undergo corrective surgery as soon as possible, and preferably get it done by another surgeon who’s better qualified.

5. Wrinkled Skin

If you notice any kind of wrinkling around the implant, then you should notify your doctor immediately. It may be a sign that your implant is leaking. Your skin should be smooth and wrinkle free. If that is not the case, then you need to have a doctor look at it.

6. General Sickness

A botched breast augmentation surgery can also present itself through a high fever, excessive scarring, constant pain, hardening of breasts, as well as inflammation and itching.

If you have any of these signs, it’s important that you see a doctor immediately who will advise you on the kind of treatment you need, and whether or not you require corrective surgery.

 

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May 10

Hidden Costs Of Breast Lift Surgery

download (12)Because plastic surgery is elective, and not entirely necessary, costs almost always fall on the patient. It’s also common knowledge that cosmetic surgery is rather expensive and most patients are required to pay some percentage of the money upfront.

In as much as you may be prepared to pay for the procedure, are you aware of some of the hidden costs of plastic surgery? Here are some of them:

Money

According to the American Society of Plastic Surgeons, as of 2014, a breast lift costs on average $4,377. Even if you may be given a figure of how much the surgery would cost, there is no true way of determining the exact figure. This is because of all the things that you may be charged for which will not be included in the initial quote.

For instance, your consultation may be charged separately from surgery. You may also be required to pay for the prescription medication you’ll be given to deal with pain and reduce the risk of infection. Furthermore, it will be more costly for you if you experience complications which require you to be taken to hospital.

Because of these issues, it’s always advisable that you have a little bit of extra money to use, just in case of any hidden cost you may not be aware of.

Time Off From Work

Some people fail to take into account the fact that they’ll not be able to go to work for several days following the procedure. Most companies don’t allow their employees to take sick days off for a surgery that they elected to have. For the number of days you’re unable to work, your employer may choose to deduct this from your salary.

If you own a business, you need to consider that you may not be in the best shape to conduct business as you normally would. You could instead hire someone to oversee your business for a few days, or you could decide to close it down temporarily. Each of these options will cost you money.

Long-Term Health

In as much as plastic surgery is done to enhance a person’s appearance, it can have adverse effects on health. Hence, it’s important that you go for general check-up to determine whether you are physically capable of undergoing surgery. You should make sure your doctor has chosen an implant that is safe and that he/ she will use anaesthesia that is medically acceptable.

Relationships

You shouldn’t be surprised that plastic surgery can affect your relationships. It does have a way of changing how you feel about yourself, as well as how you view others.

If you were not comfortable in your body before, now you are. This will affect your relationships in many ways; for instance, you and your partner may even experience a new level of intimacy as a result of your new-found confidence. Also, people may respond to the positive and confident new look you possess, and they too will begin to treat you with respect.

 

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May 1

Risks Associated With Breast Lift Procedures

download (11)Are you considering having cosmetic surgery done, but want to know about the risks it may pose? Thousands of breast procedures are carried out each year with successful results; however, there are some that go wrong as a result of risks associated with the procedure. These risks include:

1. Scarring. It is normal to develop a certain amount of scarring that will last for about a year or two after the procedure. It’s possible to hide such scars through wearing bras and placing clothes strategically. Although rare, improper healing may cause thick and unsightly scars that do not fade.

2. Infection. Infection is a risk associated with any kind of surgery, and in this case, it is the most common complication. Symptoms of an infection will become visible anywhere between one and six weeks following the operation and will include swelling, fever, foul smell, redness, pain and discharge. The most common type of infection is staphylococcus (“staph”) which can be easily treated with the use of antibiotics as well as draining the wound.

3. Nipple or breast sensation may be altered. Some patients report normal feeling return within a few weeks after the procedure, while others report a total loss of sensation in the affected area. It’s important to note that erotic sensation is not normally affected. The risk of total loss of sensation is higher if the procedure involves repositioning of the nipple.

4. Changes in shape or size of breasts. Such alterations may occur during the healing process following a procedure. It’s also possible that surgery did not correct asymmetry that a patient had before the procedure.

5. Total or partial loss of the nipple. Although this is rare, it has occurred on a number of occasions and is as a result of damage to breast tissue during surgery. Loss of blood supply to the area may lead to a loss of the areola or nipple.

6. Difficulty in breastfeeding. For the most part, breastfeeding is not interrupted following surgery; however, some women report difficulty producing enough breast milk.

7. Adverse reactions to anaesthesia. Before surgery, general anaesthesia is administered to the patient through an injection or gas mask. Patients that develop reactions to the anaesthesia typically have underlying medical conditions, as this particular risk is not noted in healthy individuals. Symptoms of an adverse reaction include dizziness, nausea, shivering, vomiting and muscle pain.

8. Hematoma. This is a condition that refers to accumulation of blood at a trapped incision sight. If not dealt with, this condition can lead to formation of scar tissue, infection and pain. Small hematomas do not pose a risk as they are easily reabsorbed into the body. However, larger ones will require surgery to remove them.

9. If a breast lift procedure is combined with breast implants then there are other risks associated such as rippling, rupturing, contouring, pain, fluid accumulation and leakage.

The risks mentioned above should be discussed comprehensively with your surgeon, prior to your procedure. Through such consultation with your surgeon, you’ll have the chance to get further details on what to do to avoid any adverse side effects.

 

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April 24

Breast Lift: Frequently Asked Questions

download (10)Are you interested in knowing more concerning breast surgical procedures, but do not know how to ask? Don’t worry; here is a list of the commonly asked questions concerning breast procedures.

1. Breast lift or breast augmentation?

The difference lies in the meaning: to lift is simply pulling up, while to augment is to increase in size. So a breast augmentation is meant to increase the size of your breasts. A lift is done on a breast that has excess skin, causing it to sag or droop. Most of the time, none of these procedures is done exclusively as many patients request both to be done at the same time. To determine which procedure should be a priority, during consultation you will be asked whether you want your breasts to look bigger, or you want them to look tighter and sit higher.

2. My breasts are asymmetrical; will a breast procedure correct that?

It’s important to note that there is no part on our bodies that is a mirror image of the other; so in reality, our bodies are asymmetrical. There are various factors that may contribute to asymmetry such as one breast being larger than the other, one being positioned higher than the other and asymmetry in the chest wall. The good news is a breast procedure can rectify that and give you symmetry to some extent.

3. Which kinds of breast procedures leave minimal scars?

A lot of people are usually concerned with the amount of scarring they will have after the procedure. It is normal for there to be some lingering scar tissue up to two years following the procedure. That being said, there are three types of procedures that are carried out to lift the breast: donut, lollipop and anchor lift. Of the three, the donut lift produces the least amount of scar tissue, with the anchor lift producing the most.

4. Can I have breast augmentation and lift done in the same day?

Yes, it is possible to have both procedures done on the same day. More often than not, a breast that is being increased in size will also need a lift. The combined procedures should only be done by seasoned and certified plastic surgeons in order to get the best results.

5. Can I breastfeed after a breast procedure?

Yes, for the most part, it is okay to breastfeed as long as the nipple was not detached from the breast tissue underneath. In some rare occasions, the whole nipple has to be lifted and grafted into a different position. If this happens, it may interfere with the mother’s ability to breastfeed. However, doctors agree that there are too many unaccounted variables that come into play to determine whether breastfeeding is entirely safe after a procedure.

6. What kind of questions do I need to ask my doctor before the procedure?

Explain to your doctor how you want your breasts to look like once done. Ask whether he/ she has the right certifications and inquire as to the number of successful operations the surgeon has done.

 

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April 19

Bottoming Out After Breast Augmentation

download (9)You are finally able to rock your new implants in a bikini and your confidence goes through the roof, only for you to stand in front of a mirror and realize that one of your breasts seems to be drooping. Your surprise quickly turns into panic – you feel like your breasts should be fine because you had breast surgery a few weeks back. What you may be experiencing is bottoming out.

Bottoming out is a condition that occurs following breast augmentation whereby the implant has dropped below the crease line of your breast. It is characterized by a patient looking like they have a double bubble and a nipple that is pointing upwards. It is a condition that is more common than you think. Luckily, it can easily be taken care of through reconstructive surgery.

What Causes Bottoming Out?

Several factors may cause the unwanted condition:

1. Weak tissue and large implants

The issue with bottoming out is that it can happen during any time, with any type of implant. It is more common with larger implants as they tend to stretch the skin’s tissue too much, making it susceptible to bottoming out. Weak tissue also tends to contribute to bottoming out and can be brought about through conditions such as smoking, weight loss and use of too much steroids. Activities that do not involve wearing a bra such as exotic dancing also pose a risk. Some hobbies such as running or horseback riding, which involve bouncing up and down also increase a patient’s risk of bottoming out.

2. Error on the surgeon’s part

Bottoming out can also be as a result of a mistake on the surgeon’s part. A certified surgeon will know how to handle the crease as it is an important landmark during breast surgery. If the crease is altered in order to have an implant centred on the nipple then it may increase risks of the patient’s breast bottoming out. If the crease is lowered too much during surgery, then the patient may experience bottoming out immediately after surgery.

3. Implants over the chest muscle

Most surgeons that are inexperienced tend to make matters worse by placing implants over the chest muscles. If an implant is placed over the chest muscle, then there are higher chances of the patient bottoming out. A wider implant tends to give an impression that the breast is better centred, but over time it will begin bottoming out.

Can it Be Prevented?

A successful surgery is one whereby the implant stays within its pocket. One of the factors that you should seriously consider when having breast surgery is the surgeon chosen. The Australian Society of Plastic Surgeons has a database that includes a list of all certified surgeons that are capable of carrying out such a procedure. Before you agree to go under the knife, you may want to do a background check on your surgeon just to ensure that he/ she has the requisite experience and is certified to operate on you. If your surgery is done well from the start, then you will not experience bottoming out.

 

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