Breast augmentation (enlargement) is one of the two most frequently performed cosmetic surgery operations in the United States. It is performed to enhance the size and shape of a woman’s breast. Typically, patients relate a personal feeling of their breasts being too small and their desire to fit into clothing better, to replace volume loss after pregnancy or just to have a more attractive figure.
A breast augmentation is performed under general anesthesia in less than two hours, and the initial recovery has been made much more comfortable than in the past by the introduction of a pain pump that bathes the internal wounds in long-acting local anesthetic for several days. This pump greatly reduces postoperative pain.
Through a short incision, either along the areolar border or in the fold beneath the breast, Dr. Schwartz inserts a breast implant in a space created either behind the breast gland or one layer deeper behind the pectoral muscle. Dr. Schwartz uses both saline and silicone implants and will thoroughly explain the pros and cons of both implant styles, as well as the indications for round or anatomical shaped, low or high profile, smooth or textured implants at your consultation. Dr. Schwartz’ goal is to help you pick the most appropriate implant that will give you the most attractive breast.
Sagging of the breasts occurs when the breast skin stretches out, due to the effects of aging, weight gain and loss or the changes of pregnancy and nursing. This looser skin covering can no longer effectively shape and support the breast gland. There are two general approaches to the treatment of breast ptosis (sagging). If the degree of ptosis is minimal and primarily due to loss of breast volume following pregnancy with resultant skin looseness, then placement of a breast implant may adequately refill the skin covering, creating a firmer uplifted breast. However, more often it is necessary to actually perform a breast lift (mastopexy) via removal of excess skin and tailoring of the remaining skin to reshape and lift the breast. Although the traditional mastopexy leaves an anchor shaped scar on the breast, newer techniques can reduce the scarring by shortening or avoiding the curved inframammary fold scar and, in some cases, even avoiding the vertical scar, leaving only a circular scar around the areolae. There are certain advantages, disadvantages, and indications for each technique. Many women choose to receive breast implants with a breast lift in order to create enhanced fullness in the cleavage area. Dr. Schwartz will be glad to discuss his recommendations in your particular case.
Women who undergo a breast reduction are often some of the most satisfied plastic surgery patients. They experience improved self-image, more comfort with exercise and sports, and more freedom with clothing styles. By reducing and lifting overly large breasts, this surgery improves the symptoms of back, shoulder and neck pain, commonly associated with this condition. Women, from teenagers to the twilight years, can experience an improved quality of life following a breast reduction. However, there are disadvantages to the surgery, including permanent scars on the breasts, decreased nipple and skin sensation, and the inability to nurse a baby. Fortunately, some newer techniques provide the opportunity to limit the scars in certain situations. At your consultation, Dr. Schwartz will be glad to thoroughly discuss the benefits and drawbacks of the various techniques and recommend a treatment plan.