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Louisville Cosmetic Surgery - Cosmetic Breast Enhancement Procedures

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Breast Augmentation

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Breast size is important to many women. Some individuals feel that small breasts not only limit their fashion choices, but can also cause dissatisfaction with body image. Breast augmentation to increase fullness and projection of the breasts improves the balance in a woman's figure and can enhance her self-image and self-confidence.

Breast augmentation enlarges a woman's breasts through the surgical placement of breast implants. In general, it is a cosmetic procedure strictly performed to fulfill your personal desire for fuller breasts. In general, breast implants allow women the choice of fuller, natural appearing breasts and a more balanced figure.

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Breast Lift

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A woman's breasts often change over time, losing their youthful shape and firmness. These changes, including loss of skin elasticity, can result from pregnancy, breast-feeding, weight fluctuations, aging and gravity. Heredity may also be a factor. Breasts that have lost their firm, uplifted contours can affect a woman's self-image and confidence.

If you desire to restore the firmness and shape of your breasts, a breast lift may be right for you. In general, a breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Sometimes the areola (the pigmented skin surrounding the nipple) has become enlarged over time, and a breast lift will reduce this as well. A breast lift rejuvenates the female figure with a breast profile that is more youthful, uplifted and firm.

Breast Reduction

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Women with large breasts experience more than dissatisfaction with body image they may experience physical pain and discomfort. Overly large breasts and the weight of excess breast tissue can cause pain and physical conditions that impair a woman's ability to lead an active life. The emotional discomfort and self-consciousness often associated with having large pendulous breasts is as important an issue to many women as the physical discomfort and pain.

If you have large breasts that limit your physical activity and cause pain, breast reduction may be right for you. Breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with a woman's body and to alleviate the discomfort. In general, breast reduction surgery will not only correct the functional symptoms associated with large breasts, but will result in better proportional breasts, enhancing a woman's body image and self-confidence.

Implant Revision Surgery

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One of our specialties is revision surgery on breast augmentation. I've been practicing since 1992 and have done hundreds of these revisions. Some of these patients had their augmentation here, but most come from outside this practice.

I have seen an increase in the number of revision implant surgeries. There are a few reasons for this...every breast ages and changes in weight, pregnancies, or genetic tendencies will change the appearance of the breast with time. Since there are millions of women who have implants, there is a population that will need/want revision over the years.

A recent study confirmed that the most common reason for revision breast surgery is to change size. This why it is so important to spend a lot of time helping the patient decide which size is best for her.

Every breast, whether augmented or not, eventually droops with time. This type of revision may involve replacing the implant and/or a lift at the same time.

Sometimes a breast will get a hard 'capsule'. The non-surgical treatments are not very effective for this. Surgery is usually required to release that scar...the breast immediately becomes soft. Again, some patients change implant sizes or types, ie go from saline to silicone.

Another common revision type is for asymmetry. Everyone wants as much symmetry as possible and that is the goal. Again, sometimes this requires a revision to one or both sides, depending on the side may need a lift, or the other side may need to be dropped, etc.

With the full release of silicone gel implants in early 2007, more and more women are changing their saline implants to silicone. Silicone has a much more realistic 'feel', both to the woman and their partner. Silicone also has much less visible and palpable rippling than saline.

Each revision surgery is unique in its plan. I spend a lot of time pre-operatively with these patients so that we are sure we are communicating both the patient and I understand each other.

Tuberous Breast Correction

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Tuberous breast deformity is a result of breast shape and growth. The tuberous breast has a narrow base and constricted shape. The inframmary crease is tight and there is a short distance from the nipple to the inframammary crease. The areola is usually large and the breast tissue is frequently 'herniated' into the areola. The condition may be on one or both sides.

Of course this appearance is very upsetting to the patient. Treatment is individualized but generally involves augmenting the breast with an implant and possible reducing the size of the areola. All the usual risks and expectations apply as with any surgery.

There is no other effective treatment other than surgery. Just as with everyone, I spend a lot of time to make sure the patients and I are communicating and they know what to expect. Patients with this condition are very happy with the results.

Uneven Breast Correction

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Breast asymmetry, or unevenness of the breasts, is a very common problem. In fact, everyone, no matter how perfect their breasts are, have a slightly different shape comparing the two sides.

These patients have some degree of unevenness, some worse than others. Most of these patients had a lift and augmentation on one side, and only had an augmentation on the other side. For small amounts of unevenness, sometimes only different size implants are all that is necessary. You can see the before and after and the improvement.

I'm always surprised why patients do not address this problem early in life. Like a lot of the things we do (breast augmentation, liposuction, tummy tucks, removal of excess skin after weight loss, etc), I don't think people realize that they do not have to live with something about their appearance that they don't like. Patient education is a big deal, not just educating patients what can be done, but also a big part of our informed consent process.