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Breast Procedures

Breast Procedures

Your breasts may be altered to improve your figure and heighten your self-esteem. Temple Plastic Surgeons are skilled in beautifying the breasts, using different outpatient surgical procedures to achieve your goal.

Breast Augmentation and Lifting

Breast augmentation (augmentation mammoplasty) is surgery that uses breast implants to increase the size and projection of the breasts or restore breast volume that has been lost in weight reduction or pregnancy.

Breast implants are silicone shells filled with either silicone gel or saline. The implants are surgically implanted into a pocket underneath the breast tissue through an inconspicuous incision in the breast crease, armpit or around the areola. You and your surgeon will discuss which incision location is best for your particular desired outcome.  Breast implantation will achieve immediate results. Fat may also be used to correct breast contours or for smaller augmentation.

Breast lift (mastoplexy) restores the breasts and nipple position to their natural position and shape prior to pregnancy, breast-feeding and aging. Breast lift surgery typically involves making an incision around the areola, lifting breast tissues and reshaping the breast to improve their contour and firmness. Breast lifting can also be done at the same time as an augmentation. Your plastic surgeon will guide you in whether a combined procedure is right for you.

Types of Breast Implants

Breast implant revision surgery is usually not necessary, but in a few cases complications can occur. Over a period of years, such risks can increase. The possible complications include:
  • Capsular contraction, in which scar tissue develops around the implant
  • Double-bubble, in which the implant becomes positioned both above and below the breast implant—either because the position of the implant has shifted or the breast should have been lifted at the same time as the breast augmentation surgery
  • Implant deflation, in which the implant shell wears so thin that it tears
  • Implant displacement, in which the implants have moved too high, too low or too much to the side—all of which can occur if the pocket for the implant is not sized or located correctly
  • Implant rippling, in which the implant wrinkles and creates an uneven feel and appearance; this can occur if the implants are not properly filled or there is not enough tissue covering the implants
  • Symmastia, in which the breasts merge into one breast
  • Breast ptosis, in which sagging breast tissue that can occur with aging and weight loss requires a breast lift at the same time as the breast implants are replaced.
To correct such conditions, Temple Plastic Surgeons employ a number of surgical techniques. These can include modifying breast tissue and repositioning new implants above or below the chest muscles. Prior to surgery, patients may also opt for a different type or size of breast implant.

To schedule an appointment with a Temple plastic and reconstructive surgeon, click here or call
215-540-0120.


Breast Reduction Surgery

Women with overly large breasts experience a range of uncomfortable symptoms, including neck or back pain, bra straps that dig into their shoulders, and skin irritation under the breast. For some women, the emotional effects are as great as the physical.

Breast reduction surgery is an outpatient procedure designed to reduce the breasts and alleviate painful symptoms. This is accomplished by removing excess breast fat, glandular tissue and skin to achieve a breast size that is more comfortable.

During the procedure, a Temple reconstructive surgeon makes incisions on the breasts, removes the excess tissue and fat, and then closes the incisions. Typically, the patient is left with a permanent lollipop-shaped scar around the nipple with a straight line down toward the crease under the breast. In most women, the part of the scar under the breast will be concealed.

At Temple, our fellowship-trained plastic and reconstructive surgeons strive for reduced breast size that is proportional to the rest of the body.
Breast reduction can usually be accomplished in a single surgery. Most surgeons will not perform a breast reduction until a woman’s breasts have stopped growing, typically around age 19.

Most women are pleased with their changed appearance after breast reduction surgery.¹ Satisfaction is dependent on having realistic expectations. Prior to committing to surgery, it is very important to address any and all questions and expectations with a Temple reconstructive surgeon.

To schedule an appointment with a Temple plastic and reconstructive surgeon, click here or call
215-540-0120.


Breast Reconstruction

Following a mastectomy, Temple Plastic Surgeons employ several different plastic surgery techniques to restore breasts to near-normal shape and appearance. Although it is important to note that a reconstructed breast will not look or feel exactly like the one it has replaced, breast reconstruction can dramatically enhance a woman’s self-image, confidence and quality of life.

The outpatient surgery typically involves several procedures performed at multiple stages. It can begin at the same time as the mastectomy or after the patient has healed from the mastectomy and completed and recovered from any additional cancer treatments—particularly radiation.

Breasts can be rebuilt using either implants (saline or silicone gel) or tissue from containing skin, fat, blood vessels and sometimes muscles taken from elsewhere on the body to rebuild the breast. Sources for such tissue include such less-exposed areas the lower abdomen, the middle and side of the back and, less rarely, from thighs or buttocks.

Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks. Also, if only one breast is affected, your surgeon may recommend a breast lift, reduction or augmentation for the opposite breast in order to improve the similarity of the size and positioning of both breasts.

It is important to discuss whether or not you want breast reconstruction with a Temple plastic surgery prior to undergoing a mastectomy.

To schedule an appointment with a Temple plastic and reconstructive surgeon, click here or call
215-540-0120.


¹ Journal of the American Society of Plastic Surgeons