
BREAST ENHANCEMENT
The breast consists of skin and its specialized tissue
(nipple and areola), fatty tissue and breast tissue.
The youthful breast has elastic skin, is firm, and
sits in a relatively high position on the chest wall.
Breast enhancement surgery attempts to provide or
restore this youthful characteristic to the breast.
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Procedure - Breast augmentation increases
the size of the breast. It is helpful for women who
naturally have relatively small breasts or those that
have lost volume from childbirth/breast feeding or
weight loss.
Breast Augmentation can also be useful to improve
symmetry. Currently, I use saline and silicone gel implants and await FDA approval of the form - stable 'Gummy Bear' Silicone implant. When possible, I generally prefer placing
the implants partially under the pectoral muscle,
as there are several advantages to this. However occasionally
placing the implants on top of the muscle is indicated.
Several possible incisions are available.
Currently, I prefer an incision in the natural crease
below the breast (inframammary incision). However,
the incision can also be placed in the areola (the
pigmented skin around the nipple), or in the armpit
(Axillary incision).
Anesthesia- Local with IV sedation
or General Anesthesia
Operative Time- Generally one and
a half hours to two hours
Risks- Although rare, infection, bleeding
and asymmetry can occur. Hardening of the breast,
visible implants, and malpositioning has also been
reported.
Recovery- Generally 2 weeks to resume
aerobic type activities
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Procedure- Breast lifting (Mastopexy) is indicated
for women with sagging breast. Lifting repositions
the breast to a more youthful position.
Although several methods of lifting are available,
I prefer the short scar or vertical technique. This
technique limits scarring and provides for a long
lasting youthful breast contour. Breast tissue is
lifted and skin is tightened resulting in scars only
around the areola (the pigmented skin around the nipple)
and a vertical scar in the lower breast.
Operative Time - Generally one and
a half to two and a half hours
Anesthesia - Local with IV sedation or General
Anesthesia
Recovery - Generally 2 weeks to resume
aerobic type activities.
Risks - Although rare, infection,
bleeding, asymmetry and delayed healing may occur.
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Procedure - Breast reduction is indicated
for women with excessively large breasts or those
who simply desire reduction in cup size.
Although several Breast Reduction methods are available,
I prefer the short scar or vertical technique. Similar
to the technique used for breast lifting, this technique
limits scarring and provides for a smaller, long lasting
youthful contour. Scars are limited only to the areola
(pigmented skin around the nipple) and a vertical
scar in the lower breast. Breast tissue is primarily
removed centrally thereby reducing volume as well
as narrowing the breast. Liposuction is often performed
at the outer breast adjacent to the chest wall to
further improve contour.
Anesthesia - Usually General Anesthesia,
Local with IV sedation optional
Operative time - Generally 2 to 3
hours
Recovery - Generally 2-3 weeks to
resume normal aerobic type exercises
Risks - Although rare, infections,
bleeding, loss of sensation, asymmetry and delayed
healing have been reported.
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Procedure - Nipple reduction is indicated
for women who perceive their nipples as large. Excess
tissue is excised to reduce the nipple to a smaller
size, usually without visible scars
Anesthesia- Local or Local with IV sedation
Operative time- 30 minutes to 1 hour
Risks - Rare infections and bleeding
Recovery - one to 2 weeks
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Procedure - Areola reduction is indicated for women who wish a reduction in the size of the pigmented skin around the nipples. Excess pigmented skin is excised.
Operative time -
one to one and a half hour
Anesthesia - Local or Local with
IV Sedation
Risks - Rare infections, bleeding,
visible scarring
Recovery - one to 2 weeks
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Inverted nipples occur when the nipples do not have normal projection. In some cases the nipples are inverted only intermittently, however, in others the nipples are always inverted. The condition can be present on one or both sides.
Procedure: A small incision is placed at the base of the nipple and fibrous bands responsible for the inversion are divided. A temporary absorbable suture is then placed maintaining the nipple in the projected position.
Operative Time: approximately 30 minutes per side
Anesthesia: Local or local with IV sedation
Recovery: Normal activities immediately. Near complete healing 2-3 weeks
Risks: Although rare, recurrence and loss of sensation have been reported.
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Welcome
to The Center for Plastic Surgery, P.C. At the Center
for Plastic Surgery we specialize in comprehensive
cosmetic care for women. Our services include non-invasive,
minimally invasive and classic procedures. Gregory
Bland, M.D., a third generation Colorado Springs
native, California trained Plastic Surgeon, Medical
Director and President states “To strive for
perfection is our standard. Having trained in California,
we offer California style services and expertise
right here in Colorado Springs!”
