Mammoplasty General Information And Treatment Options
Mammoplasty General Information And Treatment Options
Mammoplasty is an umbrella term used to describe a specific group of procedures intended to alter the size and shape of the breasts. Therefore, the mammoplasty covers several procedures. The two main types of mammoplasty today are the augmentation mammoplasty and the reduction mammoplasty, which will be described in more detail below.
What Is The Augmentation Mammoplasty (Breast Augmentation)?
Breast augmentation is a cosmetic surgery procedure where a plastic surgeon can change the appearance of the breasts; this plastic surgery procedure could be executed to increase the size of the breasts, change the shape of the breasts, or alter their texture.
The breast augmentation can be executed with breast implants or a fat transfer. Breast implants are used when the patient wants to obtain a cup size that is considerably larger than their original cup size, while the fat transfer is used for patients who only want a small increase, or for those who want to reshape their breasts.
Please note that the breast augmentation is not the same procedure as nipple and areola reduction. While it is commonly associated with the second mammoplasty treatment we will explain later, nipple and areola reduction are often considered as a separate surgical procedure.
What Breast Implants Can Be Used During Breast Augmentation?
There are two main categories of breast implants used by surgeons today. The first type of breast implant is the saline breast implant, which is filled with a so-called saline solution. The second type of breast implant is the silicone-gel implant, which was first introduced in 1961. Since their original introduction in the 1960s, both saline breast implants and silicone-gel breast implants had new generations, which means that these implants have evolved over the course of time. Dr Lanzer’s favourite implant is the new cohesive smooth silicone gel placed under the muscle.
Can I Still Breastfeed With Breast Implants?
Women who had their breast augmented can still breastfeed their babies. However, women should be made aware of the fact that a breast augmentation performed with breast implants could cause some functional breastfeeding difficulties. These difficulties usually occur with women who had a breast augmentation procedure where peri-areolar incisions and sub-glandular placements were used.
Which Patients Could Benefit From Breast Augmentation?
There could be many reasons why a patient chooses to have a breast augmentation. One of the main reasons why women consider such a treatment is to repair the breasts, in other words to replace breast tissue that was lost due to disease or injury.
Another reason why breast augmentation could be considered is to reconstruct or correct the breasts after previous breast reconstruction surgery. If the treatment is executed by an inexperienced surgeon, the patient may need an additional breast augmentation to correct the problem and give their breast a natural look.
The last, but also one of the most common reasons for breast augmentation, is the aesthetic improvement of the breasts; this is also referred to as primary augmentation and influences the tissue as well as the skin.
What Kind Of Incisions Are Made During Breast Augmentation?
Depending on the body of the patient, and the desired results the patient wishes the obtain, the surgeon may use one of the following incision types during a breast augmentation
- The inframammary incision: an incision made below the breast in the infra-mammary fold (IMF); this gives the surgeon maximum access for the placement of breast implant devices.
- The peri-areolar incision: an incision made along the areolar periphery or border; this incision is needed when the surgeon needs to make an adjustment to the position of the inframammary fold.
- The trans-axillary incision: an incision made in the armpit; this incision is often made to avoid the appearance of visible scarring.
- The trans-umbilical incision: an uncommon incision situated near the navel; this technique is not used frequently, since it makes the insertion of breast implants more difficult.
- The trans-abdominal incision: an incision situated on the abdomen; this incision could be used when breast augmentation is combined with an abdominoplasty procedure.
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What Is The Reduction Mammoplasty (Breast Reduction Surgery)?
The breast reduction is a cosmetic surgery procedure that is focussed on reducing the size of large breasts; this through the removal of excess breast tissue and/or fat. In these cases, the size of the breasts will often be out of proportion compared to the rest of the body. The aim of the procedure is to restore the right proportion and maintain the functionality of the breasts. The procedure also reduces common side-effects of heavy breasts; this may include neck and shoulder pain.
Which Patients Choose A Breast Reduction?
Both men and women can choose a breast reduction to alter their breast size, although the treatment goal is slightly different between men and women. For the purpose of this article, we will be focussing on women undergoing breast reduction surgery.
The breast reduction is a viable treatment option for patients with enlarged breasts. The size of the breasts could also be the cause of chronic pains such as headaches, neck aches, shoulder pains and back pain.
In rare cases, enlarged breast can lead to secondary health problems. Even though these cases are relatively rare, secondary health problems related to enlarged breasts are poor blood circulation, breathing difficulties and skin chafing.
What Is The Cause Of Enlarged Breasts?
Enlarged breasts can occur during many stages of a woman’s life. The development of the breast mainly happens in the pubertal breast development stage, but there are cases where the breasts become enlarged after pregnancy, weight gain, and the menopause. There is also no age limit during which enlarged breasts can develop.
The main cause of enlarged breasts can be found in the genes, although there is a small portion of patients who develop enlarged breasts due to adipose fat. The surgical procedure executed to reduce the size of the breast can therefore be dependent on the specific cause.
Which Procedure Is Used For Breast Reduction?
The breast reduction procedure is subject to the volume of the breast tissue that needs to be removed. These breast tissues can be of a glandular, adipose, or skin nature. To determine the procedure, the surgeon needs to evaluate the Pseudoptosis, more specifically the sagging of the inferior pole of the breast.
Pseudoptosis can be divided into three grades:
- Mild ptosis: the nipple of the patients is situated below the IMF, but still higher than the lower pole of the breast.
- Moderate ptosis: the nipple of the patient is situated below the IMF and some lower-pole breast tissue is lower than the nipple.
- Severe ptosis: the nipple is situated far below the IMF and there is no breast tissue below the nipple.
Based on these categories, your surgeon will be able to create a treatment plan and execute a procedure that will give you the desired aesthetic result.
What Can I See Some Examples Of Breast Procedures?
There are several breast procedures that are executed regularly at the Dr Lanzer Clinic; this includes the procedures mentioned above. Patients can find examples of these procedures in our before and after sections.
The photographs displayed in the before and after sections were obtained from patients who had a breast procedure at the Dr Lanzer Clinic. The results obtained by these patients are unique to them; this means that patients who are considering the procedure should expect a result unique to them too.
When looking at our before and after photographs, it is important to remember the differences between breast procedures. Some procedures are aimed at increasing the size of the breast, while others are aimed at reducing them. Therefore, it is important to read through the case studies to determine which procedure was implemented for the patient in question.
To get a better idea about the results you can expect from a breast procedure, we suggest speaking to Dr Lanzer during your consultation. At the Dr Lanzer Clinic, patients can obtain a no-obligation consultation, during which they can meet with Dr Lanzer and discuss the breast surgery they intend on having. After the consultation, patients will have a better idea about the results they can expect.
Do you want to make an appointment with Dr Lanzer about a breast procedure? Feel free to contact our friendly receptionist team via telephone, email, or the website contact form.