Large breasts are often heavy and may droop over time. Bilateral
reduction mammoplasty provides substantial decrease
in breast size as well as lifting the breast tissue.
Although the procedure can be done
at any time, the best, long-term, esthetic result
occurs when the potential patient is at a happy stable
weight and finished having children.
A woman’s breast may droop with time and after breast
feeding. If the potential patient
is happy with her overall breast volume, but looking for rejuvenation
shape then a mastopexy (breast
lift) is required. The resulting scars are similar to those
of a reduction mammoplasty, however only a
minimal amount of breast tissue is removed.
Breast enlargement requires the placement of silicone or
saline filled implants. These implants are placed through
small incisions either
around the areola or at the lower breast
fold. Determining the size and type of implant requires
careful preoperative planning with the patient.
The treatment of breast cancer requires either mastectomy
or lumpectomy. Radiation is often required as well. The
goal of breast reconstruction
is to recreate symmetric, naturally
appearing breasts. In select patients breast reconstruction
can be performed at the same time as tumor excision.
This is called immediate reconstruction.
Most patients have reconstruction after their cancer
surgery (delayed reconstruction). Whether performed
immediately or delayed, there
are usually many options available for reconstruction,
each requiring extensive preoperative discussion.