Breast Surgery | SurgiSculpt™
Author: Babak Moein, MD FACSBoard-certified,
Fellowship trained in Cosmetic Surgery

Breast Surgery

Breast Surgery CASE STUDIES

Cosmetic Breast Surgery

Cosmetic breast surgery is dedicated to improving the appearance of your breast mound size, shape, and positioning. you may desire breast augmentation surgery to get larger breasts than those you were god given.  In contrast, you may ask for breast reduction surgery to make them smaller than you were endowed with. Breast size can change as you age and is affected by weight fluctuations and breastfeeding following pregnancy. Breast shape can also change with time and exposure to gravitational forces, especially if you have undergone implant augmentation or the following breastfeeding. Breast shape deformity or even asymmetry may occur by a congenital deformity expressed during embryologic development or if you favor one breast over another during breastfeeding. Breast shape deformity or asymmetry caused by complications during embryologic development is a congenital breast deformity. Finally, breast mound position can be compromised as the breasts age and sag directly by the effects of gravitational forces. Sagging can be more pronounced if the breasts are generous in size, possess heavy implants, or are not supported with the routine use of supportive bras. Various breast cosmetic surgeries have been proposed to address the undesirable changes in breast size and shape enumerated above:

Breast augmentation

Breast augmentation, or augmentation mammoplasty, involves a cosmetic procedure involving breast implants or fat grafting to increase the breast mound's size for improved aesthetic appeal. This cosmetic procedure increases breast volume if you are not well endowed with well-proportioned breasts or if you have observed the loss of breast volume with age or following pregnancy and breastfeeding. Breast augmentation procedures will improve breast projection and fullness. Plastic surgeons should be aware that minimal improvement in breast and nipple sagging will be observed. Plastic surgery limited to a breast augmentation will only lift the nipples approximately 0.5 to 1.0cm in a vertical position. Either breast implants or fat transfer to the breasts will add breast fullness and volume, thus improving overall breast-to-body proportions and silhouette. While fat grafting provides modest gains in breast volume in the range of 1/2 bra cup size to 1 bra cup size, the gains are permanent and do not require maintenance. Breast fat grafted by plastic surgeons can additionally be altered in their shape since the fat can be placed differentially throughout the breast, and fat-grafted breasts are not vulnerable to capsular contracture. In contrast, breasts augmented with an implant can be enlarged to 2 to 3-cup sizes but are limited by the need for maintenance and follow-up with altered diagnostic criteria when undergoing mammography. Patients are also offered a choice between saline implants and silicone gel implants. Types of implant chosen will affect follow-up regimens requiring mammography to diagnose implant rupture in silicone implants versus only a physical examination for saline implants. The most consistent method to insert breast implants is through the inframammary breast crease delineating the belly and breast junction. The type of breast implant chosen will also determine differences regarding breast look and feel in the postoperative outcomes. Pain after breast surgery is tolerable when the local anesthetic solution is used to freeze the sensory nerve trunks. The surgical tape covers the breast crease incision used to insert the implants following your surgery. Postoperative breast pain is tolerable since the sensory pain nerves are compressed by wearing of the compression garments.

Breast lift

A breast lift, also called a mastopexy, is a surgical procedure that reverses the appearance of sagging breasts and drooping nipples and areolas. Elevating the breasts affects not only the position but also the shape and size of the breasts. This procedure involves removing sagging breast skin, tightening the surrounding tissues, and supporting the newly raised breasts like a bra. Rejuvenating the breasts and creating a more youthful contoured breast aesthetic are the goals of a breast lift. This surgical procedure can be designed to preserve 95% or more breast volume or remove  20 to 50% of the breast volume to accommodate the patient's desire to possess smaller breasts. Breast volume preservation is achieved with a breast lift design that only eliminates sagging and removal of only excess skin. Patients who desire breast volume reduction or have uneven breasts may benefit from breast volume reduction to improve symmetry during their lifts. Today, two varieties of breast lift techniques are used. These include the inferior pedicled versus the superior pedicled breast lift surgeries. The inferior pedicled breast lift allows for near complete preservation of breast volume but is associated with lower breast pole prominence. The superior pedicled breast lift will result in 25 to 30% breast volume reduction, but it does provide the ability to remove lower breast pole contracture and elimination lower breast pole fullness. It would be best if you asked your SurgiSculpt health care provider questions regarding the nuances of the two different breast lift techniques.

Breast lift with implants

A breast lift with implants, also known as an augmentation mastopexy, combines a breast lift with implant augmentation. This breast surgery will improve contour, breast mound position, and breast mound volume, accentuating the uplifted shape of breasts that are drooping and deflated. Breast shape, position, and fullness can be improved by restoring youthful and perky breasts while increasing breast volume. The superior pedicled breast lift is mandatory for a breast lift with implant surgery. This is because the superior pedicled breast lift preserves the nipple-areola complex from the top of the breast since the lower breast pole will be compromised by the dissection required to place the breast implants. The most common feedback from patients undergoing a simultaneous breast lift with implants is that they notice upper pole fullness, which is impossible with a breast lift alone. In addition, the breast lift with implants eliminates all breast tissue and skin looseness, and nipple and areola sagging is not feasible with breast augmentation alone. The combined breast implant surgery and simultaneous breast lift procedure is probably the most technical cosmetic breast surgery performed today. Your healthcare provider's physical exam provides the most important determinant of breast implant size. This is because the breast lift surgery will remove approximately 25% of the breast volume. This loss of breast volume must be supplemented with the implant chosen to make up for the desired breast volume.

Mommy makeover

A mommy makeover encompasses many procedures to tighten and tone the body post-pregnancy. Breast augmentation is an attractive and desired breast surgery for women who want to have their breasts full again. A breast lift is an excellent choice for moms who have noticed the sagging of their breasts following breastfeeding. Finally, a breast lift with implants is a great choice for patients who have observed both deflation and drooping of their breasts. A tummy tuck will address the post-pregnancy changes in the abdominal region, tighten the abdominal muscles, narrow the waist, and eliminate unsightly and redundant skin. Finally, back, buttocks and thigh contouring can be performed as part of a high definition 360 body contouring procedure to transform the circumferential appearance of your entire body.

Breast reconstruction

Breast reconstruction is the rebuilding of the breast tissues and appearance of the breasts following breast cancer surgery such as a mastectomy or lumpectomy. Initial breast reconstruction usually falls under implant-based or autologous flap reconstruction. Following the building of the breast mound properly, subsequent ancillary procedures may be recommended. Adjunct surgeries include:

  • Creation of the nipple and areola complex
  • Fine-tuning the breast contour with fat transfer
  • Breast symmetry procedure to correct and improve the non-cancer side

The type and extent of reconstructive surgeries depend on the evaluation of your reconstructive surgeon, who must consider cancer surgeries performed, the presenting deformities, and medical necessity criteria such as cancer status. Selection criteria for the various surgeries require meticulous consideration and planning. In general, a mastectomy with reconstruction is more complicated than a lumpectomy with reconstruction.

Breast reduction

Breast reduction is a type of breast surgery that reduces the overall size of the breasts. Breast reduction is made in cases where clients have excessively large breasts that sag and cause chronic pain to the upper back, neck, and shoulders. When this pain affects daily routine and work obligations and is not alleviated with the taking of anti-inflammatory medications and a supportive bra such as a sports bra, medical insurance may assist with compensation for this procedure. This procedure leads to not only smaller breasts but spontaneous pain relief. Breast augmentation patients identified during the taking of a medical history who may have changed their mind and desired breast volume reduction are not covered by insurance. but also lifted and firmer breasts, creating a more youthful appearance. Effective treatment should eliminate the extraneous torque placed on the shoulders and neck. Reducing the torque on the neck and shoulders is achieved by not only reducing the weight of the breasts but also lifting of the nipple and areolas higher on the chest and closer to your center of gravity.  Breast reduction patients should expect a 2 to a 3-cup reduction in breast size.

Male Breast Surgery

Male breast surgery may be done to de-feminize the male chest in cases of gynecomastia. This breast surgery removes excess fat and glandular tissue to flatten the chest and create a more masculine chest. Cases of male breast surgery arising from gynecomastia typically occur in overweight male patients, male patients displaying hormonal imbalance, or if they partake in the smoking of marijuana. Infrequently, male breast surgery must be supplemented with eliminating excessive skin. Excessive skin is eliminated using an inframammary crease excision to provide a well-camouflaged incision line. Conservative therapy for gynecomastia may involve VASER liposuction alone, eliminating excess fatty tissues and reducing glandular bulk. More aggressive therapy for gynecomastia may include the creation of the armor chest plate appearing chest that complements abdominal etching.

Gender Confirmation breast surgery

Male breast confirmation surgery may transform the female chest into a masculine one. Various surgeries have been described that include VASER liposuction with Renuvion J plasma to tighten loose skin or a wedge mastectomy used to debulk and eliminate breast soft tissues and skin. In contrast, female breast confirmation surgery can be performed to convert a masculine chest into a feminine chest by using breast implant augmentation. Of note, the capacity for a male chest to accommodate a larger breast implant may be limited. As such, female breast confirmation candidates must be counseled to either choose a small to moderate-sized implant or undergo expansion before breast implant augmentation to stretch the breast skin first. Another consideration for breast implant augmentation in confirmation surgery is the placement of implants over instead of under the muscles as done in conventional breast augmentation patients. More superficial placement of implants is advocated to avoid distortion of more generous sized pectoralis muscles that would result by placement of implants under the muscle.  is to place implants above the muscle, unlike conventional implant augmentation which is performed under the pectoralis muscle, due to the more prominence of male pectoralis muscles that can cause a dynamic deformity if Surgical interventions required are only delineated following clinical presentation, as each patient has unique desires.


Absolutely amazing

My experience has been absolutely amazing. I was nervous walking in, knowing I would have to be assessed for my breast augmentation but as soon as he walked in all nerves went out the door. He connects with you and makes you feel very comfortable. We went over everything in such detail. He leaves no questions unanswered. After the procedure at each check up, he made sure I was following instructions so I would get the best results possible. He is proud of his work and he absolutely should be. My confidence has gone up and I am so comfortable in my own skin now. I had planned for years to do this procedure and I'm grateful it took me that long, otherwise I wouldn't have ended up here The staff in his office are all amazing as well. They are extremely helpful and always smiling. Thank you for helping me feel beautiful and confident!

super results great experience

My surgeon and his staff were really great. Nice and professional they made me feel at ease about my breast augmentation from beginning to end. His practice is top notch no stone went unturned. I love how my breasts look and feel i enjoy them everyday thanks You are the best.

I had amazing time

The team is great. I love the staff, everyone here is nice. And I love my new boobs. 🙂 Thank u very much and thank u Claudia for help me with everything. Thanks a lot everyone 🙂

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