Breast

You just bought a new outfit and you want to look your best. You check yourself out in the mirror and don’t quite see the image that you hoped for. Your reflection and profile is important to you, we understand and we want to help you to look and feel your best. The physicians at The Center for Plastic Surgery will share their photo album with you, the before and after shots of patients who made the decision to enhance their breast with implants, to have a breast lift to obtain a more youthful, shapely appearance or a breast reduction to improve their appearance and confidence. Procedures of the breast include: breast augmentation (breast implant), breast lift and breast reduction (including male–gynecomastia). We provide women and men alike with compassionate, individualized, confidential care.

At Springfield Clinic’s The Center for Plastic Surgery, we believe it is essential for our patients to be well-informed and develop a thorough understanding of the procedures they are considering. The information below provides a general overview of this specific plastic surgery procedure.

Who is a candidate for Breast Asymmetry Correction? Women who have one breast that is noticeably smaller than the other. Springfield, IL plastic surgeons Dr. Bergman, Dr. Brown, and Dr. Sinha are experienced performing breast asymmetry correction.

Intended results: Shapely breasts that are equal in size and projection. A more positive self image.

Procedure description:

  • Asymmetry correction is commonly addressed via a breast enlargement procedure, done on an outpatient basis under MAC (Monitored Anesthesia Care).
  • A small incision is made under the armpit (transaxillary) and a silicone or saline implant is inserted under the breast tissue or under the breast tissue and the underlying muscle.
  • One or more breasts may be enlarged to matching sizes.

Recuperation and healing: The patient goes home in a bra. The bra helps hold the breasts in the correct position. Initial discomfort is controlled with oral medication. Sutures are usually removed in 7 days. Light activities can be resumed as tolerated. Aerobic activities can be started in about 3 weeks

Other options: An additional procedure that would enhance the result is a Mastopexy (breast lift) — if the breasts are saggy in addition to being small.

Note: The specific risks and the suitability of Breast Asymmetry Correction for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.

At Springfield Clinic’s The Center for Plastic Surgery, we believe it is essential for our patients to be well-informed and develop a thorough understanding of the procedures they are considering. The information below provides a general overview of this specific plastic surgery procedure.

Who is a candidate for Breast Augmentation? Women who desire larger breasts may wish to have a breast enlargement (augmentation) procedure. Breast augmentation may also be indicated for women who have one breast that is noticeably smaller than the other. Springfield, IL plastic surgeons Dr. Bergman, Dr. Brown, and Dr. Sinha are experienced performing breast augmentation.

Intended results: Larger and more shapely breasts which may result in a more positive self image.

Procedure description:

  • Breast enlargement is done on an outpatient basis under general anesthesia or MAC (Monitored Anesthesia Care).
  • A small incision is made under the breast and a saline implant is inserted under the breast tissue or under the breast tissue and the underlying muscle.

Recuperation and healing: The patient goes home in an elastic bra. The bra helps hold the breasts in the correct position. Light activities can be resumed as tolerated and aerobic activities can be started in about 3 weeks. Moving or sliding the implants within the breast pockets during the postoperative period may reduce the frequency of wrinkling.

Other options: An additional procedure that would enhance the result of a breast augmentation is a Mastopexy (breast lift) if the breasts are saggy in addition to being small.

Note: The specific risks and the suitability of breast enlargement for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

At Springfield Clinic’s The Center for Plastic Surgery, we believe it is essential for our patients to be well-informed and develop a thorough understanding of the procedures they are considering. The information below provides a general overview of this specific plastic surgery procedure.

Who is a candidate for Breast Lift? Anyone who has sagging breasts due to past pregnancies, genetics, or aging. Springfield, IL plastic surgeons Dr. Bergman, Dr. Brown, and Dr. Sinha are experienced performing breast lift.

Intended results: Give the patient an elevated, more youthful breast contour, as well as nippleareolar complexes of the desired size and at the correct height.

Procedure description:

  • Breast lift is done on an outpatient basis under sedation and general anesthesia or MAC (Monitored Anesthesia Care). The design of the incisions can vary but usually include incisions around the nippleareolar complex and in the crease under the breast.
  • The nippleareolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position.
  • The insertion of an implant, as well, may or may not be advisable.

Recuperation and healing:
The patient goes home with only light dressings over the incision lines. Initial discomfort is easily controlled with oral medication. Light activities may be started in 7 to 10 days.

Other options: Additional procedures which may enhance the result are a small Breast Reduction or Breast Enlargement.

Note: The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.

Breast reconstruction can be a very rewarding procedure for a woman who has lost her breast due to cancer or other condition. The course of breast reconstruction may take a few weeks up to several months and may entail more than one operation. Reconstruction may be done at the time of the mastectomy or at a later date. Many factors such as stage of your tumor, need for postoperative chemotherapy or radiation, other medical problems, medicines that you are taking and smoking, etc. will be considered when choosing the type and timing of reconstruction.

Essentially, there are three types of reconstruction: tissue expander/implant reconstruction using your own tissues, or a combination of the two. Your surgeon will work with you to determine which type of reconstruction would be best for you.

Types of Reconstruction

  • Tissue expander: This is an expandable shell that is placed under the chest muscle during surgery. Saline or IV fluid is injected into a port in the tissue expander every one to two weeks. The shell expands and allows your own tissue to expand and grow to accommodate a breast implant, similar to the gradual expansion of a woman’s abdomen during pregnancy. After each expansion your chest may feel full or tight but that sensation usually subsides in 1-2 days. Expansion continues until the appropriate size is attained then removal of the tissue expander and placement of a permanent implant occurs. Alteration of the opposite breast to improve symmetry and nipple/areolar reconstruction may occur at this time as well.
  • Saline Implant: This type of breast implant has a soft shell and is filled with saline or IV fluid to create a breast.
  • Silicone Implant: This type of breast implant has a soft shell and is filled with silicone gel. Silicone gel implants have changed immensely from the implants of the 1980’s and feel more natural than saline. Extensive research regarding the safety of silicone gel implants has occurred and based on these safety studies, silicone gel implants were approved by the FDA in November 2006.
  • Latissimus Dorsi Flap Reconstruction: This procedure takes tissue (skin, fat & muscle) from your back just below the shoulder blade and tunnels it to the chest to reconstruct the breast. A tissue expander or single staged implant may be required as well. This procedure may entail a hospital stay and has a slightly longer recovery period than the tissue expander alone.
  • TRAM Flap (transverse rectus abdominis myocutaneous flap): This procedure takes tissue (skin, fat and muscle along with its blood supply) from the abdomen and tunnels it into the chest to reconstruct a breast. This method will require a hospital stay and the recovery period is slightly longer than the latissimus dorsi reconstruction.
  • Microsurgical Flap: Tissue can also be taken from the abdomen, hips and thighs to reconstruct the breast using microsurgery. This method will require a hospital stay and have a recovery period similar to a TRAM flap procedure.
  • DIEP Flap (deep inferior epigastric perforator reconstruction): This operation moves tissue (skin, fat) with its blood supply and involves a microsurgical procedure but leaves the abdominal muscles intact. The Free TRAM or free muscle sparing TRAM is similar to the DIEP flap but varying amounts of muscle are taken as well as skin and fat. These operations also require hospitalization and have a recovery period similar to the TRAM method of reconstruction.

Patient Education

You may be instructed to wear an elastic bandage or support bra after your procedure to aid in minimizing swelling while supporting your reconstructed breast. Your physician may insert a thin tube under the skin near your surgical site to drain excess blood or fluid. This tube will be monitored for drainage output and removed during one of your follow-up office visits. Your physician will work with you to prescribe pain medication following your procedure to assure you are comfortable.

Much information will be given to you during your first visit. Dr. Bergman, Dr. R. Brown and Dr. Sinha and his/her experienced staff will be available to answer your questions to help you decide which treatment option would be best for you. Dr. Bergman, Dr. R. Brown and Dr. Sinha will consider all of your treatment modalities as well as your physical stature and personal goals when developing your personalized plan of care. Involvement of your physician team and loved ones is important in providing you care and support during your treatment and recovery process. Your plastic surgeon will see you at regular intervals during your recovery to monitor your progress, answer your questions and provide you with support.

At Springfield Clinic’s The Center for Plastic Surgery, we believe it is essential for our patients to be well-informed and develop a thorough understanding of the procedures they are considering. The information below provides a general overview of this specific plastic surgery procedure.

Who is a candidate for Breast Reduction? Anyone who has large, heavy breasts, which may be the cause of breathing difficulties, back, shoulder and neck pain, poor posture, brastrap indentations and chafing under the breasts. Springfield, IL plastic surgeons Dr. Bergman, Dr. Brown, and Dr. Sinha are experienced performing breast reduction.

Intended results: A more attractive contour and smaller breast size as well as freedom from health problems associated with excessively large breasts.

Procedure description:

  • Breast Reduction is done under general anesthesia in the hospital with one overnight stay.
  • Incisions are made around the pigmented area (the nippleareolar complex) and extend vertically below the nipple and in the fold under the breast.
  • The nippleareolar complex is moved upward to the desired location; excess breast tissue, fat, and skin are removed.

Recuperation and healing: The incisions are covered with light dressings, and the breasts are placed in a bra. The bra holds the breasts symmetrically during initial healing. Initial discomfort subsides daily and can be controlled with oral medication.

Other options: An additional procedure that would enhance the result is Liposuction of the axillary area to reduce excess fat deposits.

Note: The specific risks and the suitability of Breast Reduction for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.

At Springfield Clinic’s The Center for Plastic Surgery, we believe it is essential for our patients to be well-informed and develop a thorough understanding of the procedures they are considering. The information below provides a general overview of this specific plastic surgery procedure.

Who is a candidate for Male Breast Reduction? A man who has excessively large breasts, or e excess or sagging tissue in the chest area after losing a large amount of weight. Springfield, IL plastic surgeons Dr. Bergman, Dr. Brown, and Dr. Sinha are experienced performing male breast reduction.

Intended results: A flatter chest with more masculine male contour.

Procedure description:

  • Excess breast tissue or fat can be removed with liposuction, excision, or a combination of both. Excess skin can be excised.
  • The procedure is usually done on an outpatient basis under general anesthesia but can be done with sedation and local anesthesia or MAC (Monitored Anesthesia Care)

Recuperation and healing: After surgery, a compression vest or chest wrapping is usually indicated for a week or two after surgery to help reduce swelling.

Other options: Additional procedures that will enhance the result are liposuction of excess fat in axilla (armpit area) or contouring and flattening of abdomen with liposuction and /or tummy tuck.

Note: The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.