Introduction
Breast surgery includes procedures to improve the size, shape or symmetry of a woman’s breasts. This covers cosmetic surgeries (augmentation and reduction) as well as reconstructive surgery after cancer. Women choose breast augmentation to enlarge or balance their breasts, breast reduction to relieve discomfort from very large breasts, and breast reconstruction to rebuild a breast after mastectomy. Our board-certified plastic surgeons offer personalized solutions to meet each patient’s goals with attention to both aesthetic outcomes and compassionate care.
Breast Augmentation (Breast Implants or Fat Transfer)
Breast augmentation is a procedure to increase breast size or restore volume lost after pregnancy or weight changes. It can improve breast symmetry and boost self-confidence.
Candidates: Women who feel their breasts are too small, or one breast is noticeably smaller than the other. Also patients whose breasts have lost fullness after pregnancy or weight loss.
Procedure: Implants (saline or silicone) are placed under the breast tissue or chest muscle through a small incision (commonly under the breast, around the areola or in the armpit). Another option is fat transfer (fat grafting) to gently add volume using your own body fat.
Before Surgery: We perform a breast exam and a mammogram if needed. You will discuss your desired size and type of implant (shape, profile). You may need to stop smoking and avoid certain medications as directed.
After Surgery: Most augmentations are outpatient. You will wake up with dressings and a support bra. It’s normal to have some swelling and soreness for a few weeks after surgery. Your doctor will give you pain meds and tips like using ice packs to stay comfortable. Rest and avoid heavy tasks to help your body heal smoothly.
Recovery: Return to light activities in a day or two, but avoid heavy lifting and vigorous arm movements for about 4–6 weeks. Wear the surgical bra as directed to support healing. Bruising and swelling will fade over several weeks.
Result: Fuller, more proportionate breasts. Scars are placed in discreet locations and will gradually fade over time. Many patients report improved confidence and body image.
Breast Reduction (Reduction Mammaplasty)
Breast reduction surgery removes extra tissue and skin from the breasts to reduce their size and weight, improving comfort and posture. This often relieves discomfort (back, neck and shoulder pain) and improves body proportion.
Candidates: Women with very large, heavy breasts that cause chronic pain or skin irritation under the breasts. Common symptoms include deep shoulder grooves from bra straps, difficulty exercising, and self-consciousness about breast size.
Procedure: Excess fat, glandular tissue, and skin are removed. The nipple and areola are usually repositioned higher. Incision techniques vary (anchor, lollipop or crescent patterns) depending on the amount of reduction needed.
Before Surgery: We assess your breast health and discuss your symptoms. Pre-operative mammograms or exams may be recommended. You should be at a stable weight and not smoke. We explain the incision pattern, scar placement and post-op expectations.
After Surgery: You will have surgical dressings and may have small drains to remove fluid. Expect pain, tightness and swelling in the chest. Pain is managed with medication. Drains, if used, are usually removed in about a week.
Recovery: Plan to take 1–2 weeks off work. Wear a special post-operative bra to support healing. Avoid heavy lifting (over 10–15 pounds) and strenuous exercise for at least 3–4 weeks. Most patients feel comfortable with daily activities by the second week.
Result: Lighter, lifted breasts and relief of pain and discomfort. Scars will remain around the areola and possibly vertical or in the breast crease, but they typically fade significantly over time.
Breast Reconstruction
Breast reconstruction rebuilds one or both breasts following mastectomy (breast removal due to cancer) or lumpectomy. This surgery restores breast shape and symmetry.
Timing: Reconstruction can be done immediately during cancer surgery or delayed until after cancer treatment. Many patients undergo multiple procedures to refine the result.
Techniques:
Implant-based: A silicone or saline breast implant is placed to recreate breast volume. Sometimes a temporary tissue expander is used first to stretch the skin, followed by a permanent implant.
Autologous tissue (flap): Tissue (skin, fat and sometimes muscle) is taken from another body area (such as the abdomen, back or buttocks) and used to form a new breast. Examples include the DIEP flap (abdomen) or latissimus dorsi flap (back).
Before Surgery: Specialist coordinate closely with your cancer care team. They ensure you have completed any chemotherapy or radiation. A physical exam and possibly imaging of the chest are done to plan reconstruction.
After Surgery: Implant reconstruction recovery is similar to augmentation (some swelling and soreness). Flap reconstruction involves additional healing at the donor site; for example, patients with an abdominal flap have recovery similar to a tummy tuck in that area. You will wear a support bra and possibly have drains at both sites.
Recovery: Expect at least 4–6 weeks for full recovery after a flap procedure. Implant-only reconstruction typically requires 2–3 weeks before returning to normal activities. You will need to wear a supportive garment and avoid strenuous arm movements. Further surgery (nipple reconstruction or a lift on the other breast) can be done later if desired.
Result: A rebuilt breast that improves body image and symmetry. While sensation may be reduced, reconstruction helps patients feel more whole after cancer treatment.
Why Choose Our Clinic for Breast Surgery
Board-certified plastic surgeons: Our team has specialized training and extensive experience in all types of breast procedures.
Personalized approach: We tailor every surgery to your unique anatomy and goals, spending time to understand what you want to achieve.
Compassionate care: We recognize that breast issues can be sensitive. Our staff provides respectful, supportive care at every step.
Comprehensive services: From cosmetic augmentation to cancer reconstruction, we offer the full range of breast surgeries under one roof.
State-of-the-art facilities: Our surgical suites and recovery rooms use advanced technology for your safety and comfort.
Ready to transform your life? Contact us today to schedule a breast surgery consultation. Our compassionate team is here to guide you toward the best decision for your health and confidence.