Cosmetic Breast Surgery

Breast Reduction

Large breasts are often a source of embarrassment along with problems of ill-fitting clothes, inability to wear modern, designer clothing as well as back pain, bra strap marks on the shoulder, sweating and fungal infection below the breast line, and a general decreased self esteem.
Large breasts may be from teenage itself or more commonly after childbirth and lactation. The only treatment for these problems is surgical reduction known as reduction mammoplasty or breast reduction. No other non surgical procedure is successful, may it be use of ultrasound technology or radio frequency based devices. Dr. Amit Gupta offers services for Breast augmentation procedure, breast augmentation procedures, breast augmentation surgeon, breast augmentation surgeries, breast lift augmentation, breast lift cosmetic surgery.

Procedure

Breast reduction involves an actual removal of excess breast tissue & skin,with internal breast tissue reaarangement to create a more shapely breast. Commonly this involves two different techniques

The first is a Wise pattern (inverted ‘T’ scar pattern); the other is Vertical Short Scar Pattern. The latter technique is now well established, has a smaller scar, but can take upto 3 months to give the final breast shape

The ‘T’ scar technique

This involves a scar on the breast in the shape of an inverted T. The final shape is immediately visible after surgery, with little changes in the long term period.
The disadvantages of this procedure is long scar ( though the scar is hidden below the breast, so is visible only on lying down.

The vertical short scar technique

The procedure involves a vertical scar without the horizontal component. As a result of which the skin excision is more in the region around the areola (upper part). This procedure has been popularized by Dr Ruth Graf (Brazil)(with whom the author has trained with). The puckered appearance of the scar usually settles down in about 3 months.

The advantages of this procedure is shorter scar

The disadvantages of this procedure is that there may be need to revise the surgery in almost 30% of patients, the skin shaping is as not as good, because lesser skin is removed from the lower half of the breast and there are chances of scar stretching in the region of the areola.

This technique is not for women who have undergone rapid weight loss, and thus have more of loose skin. The success of the surgery depends to a large extent on the elasticity of the skin, and thus it is better to do a T scar procedure in these patients.

The Pectoralis Sling Procedure

This procedure involves using breast tissue from the lower part of the breast as a flap to increase volume in the upper part of the breast to give a pleasing shape. A sling is made from the Pectoralis muscle to support this breast tissue. This procedure has been popularised by Dr Ruth Graf (Curitiba, Brazil)

Possible problems with breast reduction.

The patient will be required to stay in the hospital for 1 day after the surgery. The possible problems associated with the procedure are

1. lactation ability is lost on most patients. Ability to feed is the exception in most cases
2. Sensibility of breast tissue will take almost 6 months to recover
3. Chances of asymmetry are there
4. In large reductions, some tissue loss is possible, but this heals.
5. There may be chances of seroma or a hematoma formation

Breast Ptosis (Sagging breasts) and Breast Lift (Mastopexy)^

Sagging breasts is medically known as Breast Ptosis. The breast tissue in these patients is adequate, but the women notice that the breast position is lower than normal, and they find it difficult to wear dresses and body hugging dresses.

Physiology of Ptosis

Normally the Nipple areola complex is at the level of the 5th Intercostal space. In any situation when the nipple is lower than this is referred to as ptosis. It may be mild, moderate or severe depending on the deformity present.

Correction of Ptosis

Mild ptosis may be corrected by simply putting an implant, in a process known as augmentation mastopexy. In situations where the breast tissue is adequate, and the use of implant is not desired, various techniques are available. In milder cases, a peri-areolar approach is used, which leaves virtually no scar on the breast. In more severe cases, more radical procedures are required, but the scar usually fades very well in a couple of months. The author uses the Pectoral Sling approach.

Gynecomastia correction
(Male breast removal)

Introduction

Many young (as well as older) men have the problem of having excess of tissue in the region of the breast. This is clinically known as gynecomastia. Occasionally this may occur after disorders such as liver or kidney disorders, some medicines such as steroids. This is commonly seen in young men, who are working out and take steroid supplements for muscle building. Gynecomastia is indeed embarrassing because men have to modify their clothing to loose style shirts. They also find it difficult to go for activities such as swimming; outdoor sports where there may be requirement to take off shirts.

Physiology of gynecomastia

There may be an absolute increase of fat tissue (adipose type) or breast tissue (glandular type) or a mixture of both. Gynecomastia is classified into mild, moderate or severe depending on the projection of the breast.

Treatment

Gynecomastia is a surgical problem. The treatment may involve liposuction, surgical excision or a combination of both. If the cause is mostly adipose, liposuction is beneficial. If predominantly there is increased glandular tissue, then liposuction is not effective, and a surgical excision needs to be carried out. Usually, however there is combined use of liposuction and surgical excision for best results.

Results

The results of gynecomastia correction are satisfactory. Following the surgery, the patient gets more confidence to wear better fitting clothes and undertake outdoor activities.If surgical excision is carried out, there is a scar around the areola, which takes time to become less visible. Liposuction for treatment is becoming very common as this avoids the scar and the appearance of an operated look


Dr Amit Gupta is a Cosmetic Surgeon in Delhi gurgaon Noida. her performs procedures like hair transplant, breast reduction, breast lift, breast enlargement, silicone implants, liposuction, VASER, Botox, Filler injection, Tummy tuck, hymen repair, vaginoplasty, hymenoplasty, tumescent liposuction, face lift, rhinoplasty, bat ear correction, blepharoplasty, neck lift, midface lift, male breast surgery. Dr. Amit Gupta offers services for Breast augmentation procedure, breast augmentation procedures, breast augmentation surgeon, breast augmentation surgeries, breast lift augmentation, breast lift cosmetic surgery.