Breast Shaping (contouring)

Breast Shaping (contouring)2019-03-05T21:41:17+00:00

Breast Shaping (contouring)

One of the primary goals of any aesthetic procedure is to restore aged or otherwise injured structures to a rejuvenated and youthful appearance. In fact, it is the youthful ideal that serves as a template for nearly every aesthetic procedure commonly performed in plastic surgery today.

In many respects, quality breast surgery is as much a product of intelligent preoperative preparation and planning as it is sound technical skill. This approach has made these results more consistent and helped tremendously in holding complications to a minimum. The importance of a detailed approach to preoperative preparation and planning cannot be overemphasized as it relates to delivering consistent results in aesthetic breast surgery. As with all other things around us, changes are coming faster and faster in aesthetic surgery of the breast

Breast Augmentation (for Small Breast)

Inadequate breast volume can negatively interfere with a woman’s body image and social and sexual relationships. In recent years the central role of the body image and of the personal aesthetics has been growing in importance all over the world. The demand for breast enlargement has been constantly increasing, and augmentation has become the second most performed aesthetic operation after liposuction.

In many respects, breast augmentation is the defining procedure for the aesthetic breast surgeon and the ability to obtain outstanding results in a consistent fashion requires sound judgment, technical expertise and fastidious attention to detail. However, with experience comes the realization that developing this skill is harder than it might first appear to be. Perhaps the most significant reason for this relates to the tremendous variability that exists in the preoperative appearance of patients who present for breast enhancement.

The technique of autologous fat-graft injection to the breast is applied for the correction of breast asymmetry; of breast deformities; congenital defect correction” micro-mastia, and  tuberous breast deformity, breast reconstruction: for post-mastectomy breast reconstruction (as a primary and as an adjunct technique; trauma-damaged tissues (blunt, penetrating), disease (breast cancer), explanation deformity (empty breast-implant socket).); for the improvement of soft-tissue coverage of breast implants and for the aesthetic enhancement of the bust.

Breast Reduction (Mammoplasty)(for large Breast)

It is a widespread belief that a woman’s physical and mental well-being can be influenced by the dimension, shape, and symmetry of her breasts. In fact, an excessively large or excessively small breast can determine in women an alteration in the perception of their body image, a reduction in their self-esteem, and in worst cases a degeneration of social relationships in both public and private spheres.

Moreover, women with breasts that are excessively large compared to the rest of the body are often limited in choice of clothes and in their lifestyle. Not to mention the fact that an excessively large breast can make it difficult to perform some sports or even many of the daily life activities, which are eventually substituted by sedentary activities, creating a vicious circle and contributing to patients’ isolation. The dimension of a woman’s breast influences her life style and her personal and professional choices.

Besides psychological problems, patients with large breasts can have physical symptoms such as headache, cervical pain, backache and shoulder pain, inadequate posture with shoulder incurvation, compression of the brachial plexus with paresthesias of upper limbs, mastodynia, heaviness and fullness, skin maceration at the infra-mammary fold, intertrigo, and dermatosis.

These symptoms can considerably improve or completely disappear after reduction mammoplasty. The fact that reduction mammoplasty is a procedure which allows the plastic surgeon to improve the patient’s quality of life is also demonstrated by the fact that women undergoing this operation are among the most satisfied. In fact, after reduction mammoplasty patients often have a new vision of life and are more prone to practice activities that were previously precluded.

There is no other procedure in breast surgery where the surgeon has a greater opportunity to demonstrate his or her aesthetic abilities than with a breast reduction. In these cases, there is an excess of skin, fat and parenchyma usually coupled with an overall breast shape that is usually less than aesthetic. With careful surgical manipulation of the volume of the breast along with intelligent incision planning, a beautiful and long-lasting breast shape can be created that complements the reduction in breast volume.

Breast Reduction by Liposuction Alone

With liposuction, from thirty to fifty percent of breast volume can be removed with good elevation, along with reduction of the size of the areola without post-surgical wound side effects or the disfiguring inverted T-shaped scar Prof. Moawad added.

Breast Lift (Mastopexy)(for Breast Ptosis)

The breast has a real beauty when it is young, but generally loses its shape with the years, with variations of volume due to pregnancy or weight gain. The surgeon should appreciate the motivation of the patient who has breast ptosis not only as an aesthetic wish but overall like a necessity to recover a sensation of body harmony and of sensuality. The surgical correction of breast ptosis is a way to recover the female identity and recover personal satisfaction. The breast lift (mastopexy procedure) is derived from reductive procedures, the only difference being that in pure ptosis no breast  tissue is removed.

Breast Augmentation (Mammoplasty) &

Breast Lift (Mastopexy) (small breast & ptosis)

For many patients, breast hypoplasia and ptosis of either the gland or the nipple–areola complex (NAC) very often occur together. Perhaps the most common scenario for this presentation is the postpartum patient who presents after having delivered and breast-fed several children. After the transient increase in breast size that stretches out the supporting structures of the breast, involution may occur that then leaves the skin envelope variably under-filled and ptotic. Also, the NAC is very often positioned low on the breast mound. In these patients, simply performing a breast augmentation alone can result in a superiorly mal-positioned implant in relation to the breast mound and a NAC position that remains far too low to be aesthetically acceptable. Conversely, performing a mastopexy alone may leave the remaining breast skin envelope under-filled as there is often not enough existing breast parenchyma to provide the result the patient is trying to achieve. For these reasons, to obtain the best result, it becomes necessary to combine the two procedures. While the rewards for such a surgical undertaking can be tremendously gratifying, the difficulty of the procedure is greater than for either operation alone.

This is related to the fact that the two operations have opposing goals. Breast augmentation increases the volume of the breast and therefore expands the surface area to accommodate the new volume. In contrast, mastopexy generally reduces the skin surface area in the process of accomplishing the lifting of the NAC. Therefore, any operative procedure designed to treat hypoplasia with ptosis must artistically coordinate these two competing surgical maneuvers in such a manner to allow a lifting of the NAC and a reduction in the skin envelope but leave behind enough skin to easily accommodate the new breast volume provided by the implant.

Breast Asymmetry (Congenital and Acquired)

Breast asymmetry is a frequent and difficult problem for the patient and for the plastic surgeon. Asymmetry of the breasts can be either congenital or acquired and includes breast mound volume, inframammary fold position, presence of base diameter constriction, and asymmetries of the nipple/areolar complex size and position.

Management of the tuberous breast represents perhaps the greatest challenge in all of aesthetic breast surgery as, in its most dramatic form, the preoperative deformity in breast shape can be significant. It is important to remember, however, that at times the condition can also be subtle and yet significantly impact in an adverse way the result obtained after aesthetic breast surgery. To avoid poor results in these types of patients, it is very important to recognize which elements of the deformity are present pre-operative and then develop a sound surgical plan designed effectively to correct the anatomic abnormalities that are present


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