Project Description


Breast augmentation: silicone implants

Intro

Since over 50 years worldwide breast augmentation is one of the most demanded plastic surgeries. It is possible to increase or restore the breast size by using silicone breast implants or fat (fat transfer breast augmentation). Breast augmentation usually results in enhancement of self-image and self-confidence.

 

Indications

Breast implants are used to increase the volume (the size) of the breast or to restore volume that has been lost after pregnancy, aging or weight loss. At Global Plastic Surgery, the volume to be added is carefully selected with the patient during consultation by fitting special simulation bras.

At Global Plastic Surgery breast augmentation can:

  • Increase fullness and projection of your breast, in particular of the upper part (to improve “empty” looking breasts)
  • Correct shape and asymmetries of your breast

 

At Global Plastic Surgery, you will be considered as a candidate for surgery if you have a positive outlook and realistic goals for what the selected surgery can achieve. If you are a non-smoker or you quit smoking at least 1 month before the surgery, results will be better and achieved faster, while if you cannot stop smoking more complications have to be expected and sometimes surgery will be not possible. At Global Plastic Surgery, surgical candidates commit also to healthy lifestyle, proper nutrition and fitness.

 

Type of breast implant

There have been several types of implants developed over the last few years. At Global Plastic Surgery, we only use the best quality breast implants. After surgery you will be given a passport of your implants to carry with you all the time as a proof of their quality, for traceability and in case of any problem occurs.

Whether you will require a smooth implant Vs. textured or anatomical Vs. round it will be discussed directly with you.

Smoot implants move more freely in the breast tissue, thus appearing more natural, but also risking to be more visible (rippling) and to displace. Textured implants are more fixed in their pocket after surgery and may have some fewer incidences of capsular contractures. Round implants have the tendency to make the augmented breast appear fuller than form stable (anatomical) implants. Anatomical implants may rotate giving the breast a non-natural look.

 

 

Procedure

Under general anesthesia, the implants are placed either under the pectoral muscles (sub-muscular) or under the breast gland (sub-glandular). The operation takes generally between one and two hours.

The incision can be placed in the sub-mammary fold, or/and around the nipple (when a breast lift is performed).

In some cases a small, thin tube may be placed under the skin to drain excess fluids or blood that may collect. At Global plastic Surgery all instructions to take care of these tubes will be provided before and after surgery.

 

Down time

The operation at Global Plastic Surgery is normally not very painful, as increased attention is paid to the comfort of the patient. A special bra will be provided and worn by the patients up to 6 weeks post surgery. Normal activities are possible about a week from surgery. Sport is not possible for up to 6 weeks to prevent complications.
Results

Results are immediately evident, although an evolution (with slight changes in shapes and form) happens during a few months due to tissue healing.

 

Risks

As any surgical procedure there are some, rare risks such as infection, hematoma, and wound healing problems. At Global Plastic Surgery, we are meticulous to prevent and instruct patients on how to avoid these issues.

After the extensive discussions with your surgeon, you will decide whether the potential risks, benefits and potential complications are acceptable to you.

 

A specific complication with breast augmentation surgery is displacement of the implant. This is the reason why we offer special bras to the patients and precise instructions to prevent this issue.

Breast Lift (mastopexy)

Intro

Breast lift or mastopexy is one of the most demanded operations in plastic surgery. The breast is lifted and reshaped to obtain a new contour.

 

Indications

A breast lift may be indicated after changes that tend to alter the shape of the breast making it more flat and or pendulous, or lowering the position of the nipples. Breast lift can also correct asymmetries.

Events that can affect breast shape include pregnancy, breastfeeding, weight changes, aging, skin elasticity loss.

 

When you seek for volume increases, you may want to consider breast augmentation with silicone implants eventually combined with breast lift.

When you seek for volume decrease breast reduction with breast lift is indicated.

 

At Global Plastic Surgery, you will be considered as a candidate for surgery if you have a positive outlook and realistic goals for what the selected surgery can achieve. If you are a non-smoker or you quit smoking at least 1 month before the surgery, results will be better and achieved faster, while if you cannot stop smoking more complications have to be expected and sometimes surgery will not be possible. At Global Plastic Surgery, surgical candidates commit also to healthy lifestyle, proper nutrition and fitness.

 

Procedure

The procedure is often performed in an outpatient setting and takes about two hours. Depending on your demand and physical shape you may require: 1. One incision around the areola; 2. One incision around the areola and one vertical down from the areola to the breast crease; 3. One incision around the areola, one vertical down from the areola to the breast crease and one horizontal in the breast crease.

 

At Global Plastic Surgery, we will plan the operation that best fits your goals with your body and will rigorously make the least incisions possible to achieve the best results.

 

 

Down Time

At Global Plastic surgery, no stiches need to be removed. Dressings will be placed for about two weeks. Depending on the surgery performed, normal activities can usually be restarted after one or two weeks, while 4-6 weeks are usually required to start more intense physical activities. At Global Plastic Surgery, an elastic bandage/bra will be provided in order to support the healing process.

 

Results

Results are immediately visible and your satisfaction will increase over a few months. Incision scars will normally fade over time.

Your breast will continue to change over time as you age, but results can be maintained longer when a healthy lifestyle is maintained and stable body weight is kept. Pregnancy and breastfeeding can alter your lifted breast so it is recommended to proceed to this surgery only once childbearing is completed.

 

 

Risks

At Global Plastic Surgery, possible risks and complications will be extensively discussed with you prior the operation date. After the extensive discussions with your surgeon, you will decide whether the potential risks, benefits and potential complications are acceptable to you.

Breast Reduction (reduction mammoplasty)

Intro

Breast reduction is a surgical procedure aiming to reduce the size and weight of the breasts and the physical and emotional discomfort associated with overly large breasts.

 

Indications

Overly large breast can cause psychological and physical issues.

If the breasts are large, heavy and pendulous, and limit your physical activities, cause hard neck, back and shoulder pain, if you have shoulder indentations from the bra and skin irritations at the breast crease you may be eligible for breast reduction surgery.

 

Most of the insurance companies cover in part or completely the costs of the surgery. Your surgeon at Global Plastic Surgery may need to obtain the approval from your insurance company through a letter completed with some pictures.

 

At Global Plastic Surgery, you will be considered as a candidate for surgery if you have a positive outlook and realistic goals for what the selected surgery can achieve. If you are a non-smoker or you quit smoking at least 1 month before the surgery, results will be better and achieved faster, while if you cannot stop smoking more complications have to be expected and sometimes surgery will not be possible.

At Global Plastic Surgery, surgical candidates commit also to healthy lifestyle, proper nutrition and fitness.

 

Procedure

At Global Plastic Surgery, breast reduction surgery is performed by two board certified plastic surgeons, so that the operation time is generally under two hours. The procedure can be performed as an outpatient surgery (day surgery) or with a one to two days hospital stay.

Depending on your breast shape and size, skin quality and your unique goals you may require: 1. One incision around the areola and one vertical down from the areola to the breast crease; 2 One incision around the areola and one vertical down from the areola to the breast crease going slightly lateral along the crease (“J” shaped), or 3. One incision around the areola, one vertical down from the areola to the breast crease and one horizontal in the breast crease going medial toward the center and lateral.

In some cases a small, thin tube may be placed under the skin to drain excess fluids or blood that may collect. At Global plastic Surgery all instructions to take care of these tubes will be provided before and after surgery.

 

Down Time

At Global Plastic Surgery, there will be no stiches to be removed after surgery. Dressings will be required for 2 to 3 weeks after surgery. The procedure at Global Plastic Surgery is generally not excessively painful as extra care is taken in order to provide the patient with complete post surgical comfort.

Normal activities can be restored after 1 to 2 weeks from surgery. Sport and more aggressive physical activities are started after 4 to 6 weeks.

 

Results

Physical and emotional satisfaction with your improved body image and decreased breast weight start immediately after surgery and are long lasting. Your breast shape will follow the evolution of your body so a healthy lifestyle and weight control will help you maintain the stability of the results.

 

Risks

Breast reduction requires a quite extensive tissue remodeling and complications can occur.

At Global Plastic Surgery, possible risks and complications will be extensively discussed with you prior the operation date.

Breast Augmentation with Fat, fat transfer breast augmentation

Intro

 

Fat transfer breast augmentation uses liposuction to take fat from another location and transfer it to the breast to increase its volume.

 

 

Indications

 

When excess fat is present in some body locations and a moderate, natural increase in breast volume is desired, fat transfer breast augmentation is indicated.

 

At Global Plastic Surgery, you will be considered as a candidate for surgery if you have a positive outlook and realistic goals for what the selected surgery can achieve. If you are a non-smoker or you quit smoking at least 1 month before surgery, results will be better and achieved faster, while if you cannot stop smoking more complications have to be expected and sometimes surgery will be contraindicated.

At Global Plastic Surgery, surgical candidates commit also to healthy lifestyle, proper nutrition and fitness.

 

Procedure

 

At Global Plastic Surgery we generally perform, fat transfer breast augmentation under general anesthesia. Depending on the amount of unwanted fat to be removed and the amount of fat to be transferred to the breast an aesthetic liposuction can be combined to the fat transfer procedure. A special tissue expansion technique may be indicated in your case and will be discussed with your Global Plastic Surgeon.

 

Down Time

 

After fat Transfer breast augmentation there is basically no down time for normal activities. Sport can be started after 2 to 3 weeks.  An elastic dressing and/or a sport bra will be provided to you to support the healing process.

 

Results

 

Results are immediately apparent, but up to 50% of the injected fat can be resorbed by your body in the 2-3 weeks following surgery.

 

Risks

 

At Global Plastic Surgery, possible risks and complications will be extensively discussed with you prior the operation date. After the extensive discussions with your surgeon, you will decide whether the potential risks, benefits and potential complications are acceptable to you.

Gynecomastia / male breast reduction surgery

Intro

 

Gynecomastia is a condition where male breast enlarge at any age, as a consequence of weight gain, hormonal changes, heredity or use of certain drugs. Gynecomastia can be emotionally impairing and can affect your self-confidence, limiting your physical activities and intimacy to hide this problem.

Gynecomastia surgery reduces male breast tissue, flattening and improving chest contour.

 

Indications

 

If you have excess fatty or glandular tissue on your chest, making it appear like a breast tissue, you may be a good candidate for gynecomastia surgery.

Gynecomastia is characterized by one sided or both sided excess localized fat, excess glandular tissue development, sometimes excess breast skin.

 

Before the surgical indication is confirmed some exams need to performed in order to exclude a pathologic origin (i.e. excess feminization hormones)of your breast development.

 

At Global Plastic Surgery, you will be considered as a candidate for surgery if you have a positive outlook and realistic goals for what the selected surgery can achieve. If you are a non-smoker or you quit smoking at least 1 month before surgery, results will be better and achieved faster, while if you cannot stop smoking more complications have to be expected and sometimes surgery will be contraindicated.

At Global Plastic Surgery, surgical candidates commit also to healthy lifestyle, proper nutrition and fitness.

 

Procedure

 

Depending on your clinical presentation and goals, the intervention may include liposuction only, liposuction and incisions around the areola, liposuction and incisions around and below the areola.

The operation is performed under general anesthesia in an outpatient (ambulatory) or hospital setting.

 

 

Down Time

 

At Global Plastic Surgery, no stiches will need to be removed after surgery. A dressing will be required for about 2-3 weeks.

Patients will be provided with elastic garments to assist the skin and underlying tissues during healing.

Normal work activities can be restored after about 1-2 weeks, sport after 4-6 weeks.

 

 

Results

 

Results, in particular the improvement of the chest contour and enhancement of self-esteem will be immediately apparent, whether wearing a T-shirt, a shirt and tie or baring your chest at the beach. Some swelling and bruising may take up to a few months to completely resorb. Scars will fade over time but some visible lines may remain and may require additional treatments.

Results are long lasting, provided that your weight is stable and that you maintain a healthy lifestyle. An additional surgical procedure may be required to achieve optimal results.

 

Risks

 

At Global Plastic Surgery all possible risks and complications will be extensively discussed with you prior the operation date. After the extensive discussions with your surgeon, you will decide whether the potential risks, benefits and potential complications are acceptable to you.