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Breast Augmentation


Breast augmentation enhances breast size and shape by placing silicone or saline implants under the pectoralis muscle. Incisions can be made under the breast,around the areola, or in the armpit. This surgery does not change the breasts. The breasts will look much the same after the surgery as they looked before the surgery, but larger.

Patients frequently request a certain volume implant. This is not useful. It is difficult to understand that implants increase in size only with large jumps in volume of silicone or saline. This is because the width and height of an implant change gradually. For instance, a 325cc implant has 13.0cm width and projection (height). A 425cc implant (which sounds much larger) has 14.2cm width and 4.1cm projection. The increase in volume sounds great, but the width increase is only slightly more than 3/8″ and the increase in projection is approximately 1/16 of an inch. These changes are barely visible to most people. I measure each patient’s chest wall, the amount of skin from the nipple to the breast fold, and the nipple position to determine the best volume of an implant. In addition, my state-of-the-art 3D breast imaging systems shows the patient what her body will look like with different size and shape implants.

Also, a new higher profile implant can be used for people who want or need large increase in breast height (projection). In other words, please don’t choose a volume number or an implant size. Instead, choose a photo and let me match it as closely as possible.

Male Breast Reduction

Male breast reduction removes excessive breast tissue. There are two approaches. One involves liposuction of the excess fatty tissue. The other approach involves the excision of firm, hard glandular breast tissue with an incision around the areola.