Breast

Whether you want to increase your breast size, get a lift, go down a size or have reconstructive breast surgery, we have the information for you to get started on your smart beauty choice. Choose a specific procedure to learn more about or browse around to figure out what might work best for you.

Breast Augmentation

Also known as augmentation mammaplasty, breast enlargement or breast implants

Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures.

When to Consider Breast Augmentation

  • If you want a better proportioned or more appealing figure.
  • If you wish your clothes fit better.
  • When pregnancy, weight loss or aging has affected the size and shape of your breasts.
  • To restore symmetry if one of your breasts is smaller than the other.

Breast Reduction

Also known as reduction mammaplasty

The goal of breast reduction surgery is to reduce the size of your breasts and reshape them so that they are proportionate to the rest of your body and are no longer a source of physical discomfort. This commonly requested, predictable procedure has the dual benefits of improving your appearance while relieving the physical and emotional burden of overly large breasts.

When to Consider Breast Reduction

  • If your breasts are too large for your body frame and create neck, back, or shoulder pain.
  • If you have heavy breasts with nipples and areolas (pigmented skin surrounding the nipples) that point downward.
  • If one breast is much larger than the other.
  • If you are unhappy and self-conscious about the large appearance of your breasts.

Pros

  • Your breasts will be in better proportion with your body and will feel firmer.
  • Surgery will alleviate neck, back, and shoulder pain and make it easier to breathe and exercise.
  • Your clothes will fit better and you will feel more confident about your appearance.

Cons

  • You may have decreased sensation in some areas, including the nipples and areolas.
  • Some women complain that their breasts and nipples look slightly uneven.
  • Breast-feeding may be a problem.

Am I a good candidate for a breast reduction?

Women who seek breast reduction often have had children, are overweight, have a predisposition for large, disproportionate breasts, or are sensitive to estrogen. Big breasts often run in a family, inherited from mothers and grandmothers.
Following are some common reasons why you may want to consider breast reduction:

  • You have backaches, neck aches, or skin irritation under your breasts.
  • You have difficulty breathing and notice grooves in your shoulders from your bra straps.
  • You have poor posture or numbness in parts of your breasts and upper chest from excessive breast weight.
  • You find it nearly impossible to buy dresses and blouses and difficult to find tops that fit.
  • You are very unhappy with your appearance because of your breast size.
  • You are in good health with no active diseases or pre-existing medical conditions.
  • You have realistic expectations of the outcome of your surgery. You must be able to discuss what you want with your plastic surgeon so that you can reach an understanding of what can realistically be achieved.
  • Your skin has adequate elasticity, so it can resume its former tightness following surgery.
  • You are mentally and emotionally stable. Breast reduction requires patience and stability to deal with the healing period.
  • You are old enough so that your breast development has stopped.
  • You have finished having children and breast-feeding, because this can have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast reduction before having children and feel that they can address any subsequent changes later. If you plan to breast-feed in the future, you should discuss this with your plastic surgeon.

Breast Lift

Also known as mastopexy and breast lift surgery

A breast lift addresses sagging and uneven breasts, decreased breast volume and drooping nipples and stretched areolas (the darker area surrounding the nipples), recreating a youthful shape and lift to your breasts. If there is too little or too much breast volume, a breast augmentation or breast reduction might be recommended in addition to a lift. Every year, thousands of women undergo successful breast-lift surgery, experience no major problems and are pleased with the results.

When to Consider a Breast Lift

  • Pregnancy, nursing, gravity, weight gain or loss, normal aging, and heredity have taken a toll on the shape of your breasts, resulting in sagging.
  • If your surgeon thinks that breast implants alone are unlikely to achieve the contour you desire.
  • If the tissue surrounding the nipple or areola has become stretched.

Pros

  • You will have improved breast shape, projection, and symmetry
  • Your breasts will have a more youthful appearance.
  • You will look better in and out of clothes and feel more self-confident.

Cons

  • The effects of a breast lift might slowly diminish over time because of gravity and aging.
  • A breast lift leaves scars that will be hidden in a bra or swimsuit.
  • Subsequent pregnancy may compromise your surgical results.

Am I a good candidate for a breast lift?

If you’ve become increasingly unhappy about the sagging of your breasts, you may wonder what surgery can do. Don’t be surprised if your surgeon suggests combining breast augmentation or breast reduction with your lift; adjunct procedures may be necessary to achieve your goals.
The following are some common reasons why you may want to consider a breast lift:

  • Breasts that are pendulous but adequate in size.
  • Breasts that lack substance or firmness.
  • Nipples and areolas that point downward, especially if they are positioned below the breast crease.
  • Breasts that appear different from each other; one breast may appear firm and well positioned while the other does not.
  • Breasts that are not equal in size.
  • Breasts that are relatively small.
  • Breasts that are large and heavy can be lifted, but the results may not be as long-lasting as a breast lift performed on smaller breasts; the weight of larger breasts works against surgical changes.
  • You are finished with childbearing and breast-feeding. If you plan to have children, you may want to postpone cosmetic breast surgery. Pregnancy may stretch the breasts and reduce their volume, compromising surgery benefits.

Breast Reconstruction

Also known as reconstructive mammaplasty or postmastectomy surgery

Breast reconstruction includes a variety of procedures performed to restore the form and shape of the breast, following mastectomy or lumpectomy surgery. Factors such as individual anatomy, aesthetic goals and the need for any postsurgical chemotherapy or radiation will determine your options. Discussing your cancer surgery with a plastic surgeon before undergoing mastectomy is crucial, because the proposed cancer removal surgery may significantly affect the choices and the results of any type of breast reconstruction.

When to Consider Breast Reconstruction

  • If you think reconstruction will give you a sense of psychological well being or a feeling of “wholeness”.
  • To help restore your feelings of femininity and confidence in your appearance.
  • To improve symmetry if only one of your breasts is affected.
  • To allow you to wear low-cut necklines and normal swimwear.

Pros

  • You will not have to cope with wearing external breast forms or pads.
  • This is a way of removing any reminders of your mastectomy and cancer experience.
  • It can help you feel better about how you look and restore confidence in your sexuality.

Cons

  • Breast reconstruction involves additional surgery, medical appointments and possibly additional costs
  • Breast reconstruction may interfere with the natural state of your body, which has just returned to normal health.
  • A reconstructed breast will not have the same sensation and feel as the breast it replaces.

Am I a good candidate for a breast reconstruction?

The following are some common reasons why you may want to consider breast reconstruction:

  • Results are best if you are not overweight (body mass index is under 30).
  • You should not have blood-flow (circulation) problems or other serious health problems, such as high blood pressure and heart disease. Diabetes and autoimmune diseases, such as rheumatoid arthritis and scleroderma, increase the risk of wound healing problems and infections. Clotting disorders may increase the risks of breast reconstruction using flaps, and bleeding disorders and agents used to prevent blood clots increase the rate of postoperative bleeding.
  • Smoking interferes with blood flow and can cause problems after surgery, delay healing and lead to larger scars.
  • Radiation therapy significantly affects the timing and even the type of breast reconstruction you will undergo. It delays wound healing and can cause the skin to darken and tighten. Reconstruction, which may be delayed for months after radiation, may include the use of your own tissue to help replace some affected skin.
  • Chemotherapy following mastectomy can also affect the timing of your reconstruction.
  • Previous surgical history, past medical history and coexisting illnesses are factors in determining whether this surgery is suitable for you.

Lower Body Lift

Also known as belt lipectomy

Dramatic weight loss, weight fluctuation or natural aging frequently results in sagging skin in areas below the waistline. Lower-body-lift surgery tightens and sculpts the buttocks, back of the thighs, outer thighs, inner thighs, hips and abdomen. Loose skin that looks aesthetically displeasing or causes mobility restrictions is removed. A lower body lift is appropriate if you are near your ideal weight and may precede or follow an upper body lift procedure. Every year, thousands of people undergo successful lower-body-lift surgery and are pleased with the results.

When to Consider a Lower Body Lift

  • If you have had dramatic weight loss due to bariatric surgery or dieting.
  • If you have relatively thin layers of fat below the skin in the hip, thigh, abdomen and buttock areas
  • If overhanging skin in your lower body restricts your mobility and/or causes painful chafing, rashes or infection.
  • If you are distressed by sagging skin in your lower body.

Am I a good candidate for a lower body lift?

After you’ve struggled to achieve a healthy weight or have undergone bariatric surgery, you may still feel frustrated by your appearance if you have excess skin along the lower abdomen, relaxed abdominal wall muscles and loose and wrinkled skin along the thighs and buttocks. A lower body lift, which leaves a circumferential scar hidden in the bikini line, can dramatically improve areas of sagging skin and/or cellulite below the waistline. The following are some common reasons why you may want to consider a lower body lift:

  • You have undergone bariatric surgery or significant weight loss through dieting.
  • Pregnancy and/or aging have left you with loose skin and cellulite below the waistline.
  • You have loose skin on your hips, the sides and fronts of your thighs, your inner thighs and your abdomen
  • You have significant skin laxity, excess skin, ptosis (sagginess) of the buttocks and abdominal wall laxity.
  • The layers of fat below your loose skin are relatively thin.
  • You are willing to accept a thin circumferential scar around your waist.
  • You do not smoke. Smoking slows down the healing process and increases the risk of serious complications during and after surgery. If you smoke, you must quit at least six weeks before surgery.
  • Your weight has been stable for at least a year, with no further weight loss expected. For optimal results, body contouring should not be done for about two years after the start of any massive-weight-loss program. This time allows your skin to shrink as much as possible and your nutrition to be stabilized and optimized, factors that will aid in your recovery.
  • You are in overall good health without chronic medical conditions such as diabetes or heart disease. People in poor health are not good candidates for body contouring procedures. You must obtain clearance for plastic surgery from your primary care physician or from doctors treating you for medical conditions.
  • You have a healthy diet. Problems such as protein deficiencies can interfere with healing.
  • You have mental stamina. Surgical contouring procedures require patience and endurance.

Pros

  • Loose skin will be removed and your contour sculpted, so you can see the results of your weight loss
  • You will experience the improved self-esteem that comes from looking better.
  • You will get rid of overhanging skin that may cause painful chafing, rashes and infections.

Cons

  • This is a demanding surgical procedure with a lengthy recovery.
  • You will probably need one to three days of hospitalization or skilled nursing care at home.
  • You will have a scar that will be hidden in the bikini line.

Spider Vein Treatment

Also known as sclerotherapy and laser vein treatment

Spider veins (not to be confused with varicose veins) are dilated or stretched blood vessels that have a branching pattern and are commonly found on the thigh, lower leg and occasionally on the face. Spider veins are progressive in nature and usually increase in number and visibility with age. Sclerotherapy and laser vein treatments are used to treat these vessels, erasing them from your skin.

When to Consider Spider Vein Treatment

  • If you have visible veins on your legs or thighs that have a branching or weblike pattern.
  • If you have a pattern of branching veins on your face that you try to conceal.
  • If you feel that your spider veins are a sign of aging that you would like to eliminate.

Pros

  • Sclerotherapy and laser therapy are safe, time-proven procedures that cause little, if any discomfort.
  • These therapies provide an overall improvement in the appearance of spider veins.
  • There is no downtime. Patients can immediately resume work and almost all normal activities.

Cons

  • Multiple treatments are usually necessary to remove the veins.
  • Patients may be asked initially to wear support stockings to help keep treated veins closed and to reduce bruising.
  • Bruising, color changes and small areas of scarring may occur where sclerotherapy or laser treatment has been performed.

Am I a good candidate for spider vein treatment?

The following are some common reasons why you may want to consider spider vein treatment:

  • You are embarrassed by the prominent branching veins visible on your thighs and lower legs.
  • You avoid wearing shorts or swimming apparel because you don’t want others to see your spider veins.
  • The branching veins on your face are unsightly and you must use makeup to camouflage them.
  • You are not pregnant and you do not have a history of blood clot formation.

Thigh Lift

Also known as thighplasty

A thigh lift is a procedure that involves the removal of excess skin and fat from either the inner or outer thighs. This is often desirable after substantial or bariatric weight loss or in individuals for whom dieting and exercise have failed to reduce excess tissue in their upper thighs. Liposuction may be used as an adjunct to the recontouring of the inner thigh. If you are committed to maintaining a healthy lifestyle and a moderate weight, a thigh lift can help you regain the youthful thigh contours you desire.

When to Consider a Thigh Lift

  • If you want your thighs to have a better, more proportional contour and a firmer look and feel.
  • If you have undergone bariatric surgery or massive weight loss.
  • If you are distressed about loose, flabby skin on your thighs.
  • If you have difficulty fitting into clothing because of heavy thighs.

Pros

  • Clothing and swimwear will fit better.
  • Your body will appear more shapely and proportional.
  • Your thighs will be firmer and more youthful, with a curvaceous appearance.

Cons

  • There may be visible or poor scarring.
  • Where fat has been removed by liposuction, the skin may appear deflated.
  • A secondary procedure may be required to correct any unevenness or bumps.

Am I a good candidate for a thigh lift?

The following are some common reasons why you may want to consider a thigh lift:

  • The effects of aging have led to sagging, cellulite and loose skin on your thighs.
  • You have succeeded in a weight reduction program and you now desire shapely thighs that reflect your more proportional, toned figure.
  • Clothes do not fit properly because of your heavy thighs.
  • Your thighs make you feel self-conscious and you want to restore your self-assurance regarding your body.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

Tummy Tuck

Also known as abdominoplasty

Tummy-tuck surgery or abdominoplasty, can flatten your abdomen by removing loose, excess fat and skin and tightening muscles in the abdominal wall. It can also remove some if not all of the stretch marks in your lower abdomen. It is popular following pregnancy, massive weight loss or whenever a flabby abdomen with weak muscles impairs body contour. Most patients report improved self-esteem as a result of this procedure.

When to Consider a Tummy Tuck

  • If you’ve got flab, stretch marks or excess skin in your abdomen that does not improve with diet or exercise.
  • If the shape of your abdomen has been affected by pregnancy or massive weight loss.
  • If you feel that your protruding abdomen is unattractive.
  • If your self-confidence is marred by your stomach contour.

Pros

  • Tummy-tuck surgery will restore a flat tummy.
  • You will look better in clothes and swimwear.
  • You will have a more youthful-looking body.

Cons

  • You will have a scar (located in the bikini area).
  • Another pregnancy may influence surgery results, so it is best to wait until you’ve finished having children before undergoing this procedure.
  • Weight gain following abdominoplasty may negatively affect your surgery results.

Am I a good candidate for a tummy tuck?

There comes a time when you realize that efforts at dieting and exercise are yielding lower numbers on your bathroom scale but not changing the appearance of your sagging and protruding abdomen. The following are some common reasons why you may want to consider a tummy tuck:

  • Aging, heredity, pregnancy, prior surgery or weight fluctuations have left you with extra skin on your abdomen, abdominal muscle weakness, or both.
  • You do not smoke. Smoking slows down the healing process and increases the risk of serious complications during and after surgery. If you smoke, you must quit at least six weeks before surgery.
  • Your weight is stable. Slender individuals with extra fat and loose skin in the lower tummy are the best candidates; if you are generally obese, this procedure is not appropriate for you.
  • If you have a significant amount of intra-abdominal fat surrounding your internal organs, you may need to slim down before considering a tummy tuck.
  • You are physically healthy. You must be in relatively good physical shape to tolerate this procedure.
  • You are finished having children. The muscles that are repaired during an abdominoplasty can separate again during future pregnancy.
  • Internal or external scars from any previous abdominal surgery may also affect your candidacy.

Upper Arm Lift

Also known as brachioplasty

An upper arm lift, or brachioplasty, reshapes the upper arm to tighten loose skin and remove fat that often creates a “bat wing” appearance under the arm. Removing the excess skin caused by weight loss or natural aging can tighten loose skin that extends from the underarm area to the elbow; liposuction is sometimes used in combination to achieve the best results. Every year, thousands of people undergo successful upper-arm-lift surgery and are pleased with the results.

When to Consider an Upper Arm Lift

  • If your weight is normal, but you feel your shape is marred by underarm laxity.
  • If you have lost a massive amount of weight and are left with excess upper-arm skin and fat that may resemble bat wings.
  • If you are willing to accept a scar in exchange for shapelier arms.

Pros

  • You will look much better in form-fitting clothes.
  • You will have increased confidence and a better self-image.
  • You will be able to wear short-sleeve or sleeveless clothing without feeling self-conscious.

Cons

  • You will have visible scars along the insides of your arms, extending from the armpit to the elbow.
  • If your sagging under arm skin is not excessive, an upper arm lift may not be worth the resulting scars (in this case, consider limited-incision brachioplasty or liposuction).
  • Your surgeon will not be able to predict exactly how your scars will look.

Am I a good candidate for an upper arm lift?

After losing a significant amount of weight and embarking on a program of vigorous exercise, you may find that you still have loose, hanging underarm skin that resembles bat wings. Although you can improve your upper-arm appearance with exercise, this redundant underarm skin remains a problem that does not improve with exercise. The following are some common reasons why you may want to consider an upper arm lift:

  • You have lost the weight you desire, but are left with redundant underarm skin.
  • You are an adult with significant upper arm skin laxity due to aging.
  • Your weight is relatively stable and you are not significantly overweight.
  • You are a healthy individual with no medical conditions that could impair healing or increase surgery risks.
  • You are a nonsmoker.
  • You are committed to a healthy diet and lifestyle.

Upper Body Lift

Also known as body lift or back lift

When to Consider an Upper Body Lift

  • You recently underwent massive weight loss through natural means or bariatric surgery.
  • You have excess, sagging skin following pregnancy.
  • You are discouraged by loose skin around your arms, chest or waist.
  • You have “back rolls” or rolls of fat around the edges of your lower back.

Pros

  • Your clothes will fit better and your body will appear slimmer.
  • Loose skin that causes chafing and rashes will be removed.
  • Surgery will smooth the bulges and rolls that make you self-conscious.

Cons

  • There are fairly large scars that your surgeon will try to hide or minimize.
  • This is a demanding plastic surgery procedure with a somewhat lengthy recovery period.
  • You will probably need one to three days of hospitalization or skilled nursing care at home.

Am I a good candidate for a upper body lift?

In order to undergo an upper body lift, you must be in good physical health. If you have lost a considerable amount of weight, have loose, sagging skin or want to improve the contours of your body, you might benefit from this procedure. The following are some common reasons why you may want to consider an upper body lift:

  • You have undergone bariatric surgery or significant weight loss through dieting.
  • Liposuction of fat pockets in your upper body has resulted in loose skin that needs to be removed.
  • You have loose skin under your arms, by your armpits, on your breasts and rolls on your back.
  • The layers of fat below your loose skin are relatively thin.
  • You do not smoke. Smoking slows down the healing process and increases the risk of serious complications during and after surgery. If you smoke, you must quit six weeks before surgery.
  • Your weight has been stable for at least six months, with no further weight loss expected. For optimal results, body contouring should not be done for about two years following the start of any massive-weight-loss program. This time allows your skin to shrink as much as possible and your nutrition to be stabilized and optimized, factors that will aid in your recovery.
  • You are in overall good health without chronic medical conditions, such as diabetes or heart disease. People in poor health are not good candidates for body contouring procedures. Get clearance for plastic surgery from your primary care physician or from doctors treating you for medical conditions.

Vaginal Rejuvenation

Also known as female genital plastic surgery or aesthetic vaginal surgery

Vaginal rejuvenation usually combines vaginoplasty (“tightening” of the vagina) and/or labiaplasty or vulvaplasty (reshaping of the vulva or labia, the outer and inner lips of the vagina). It has become an increasingly popular option for women. For individuals who desire recontouring after childbirth, significant weight loss, aging or injury to genital structures, vaginal rejuvenation offers increased self-confidence and comfort.

When to Consider Vaginal Rejuvenation

  • If the contours of your vaginal structures have altered and stretched over time.
  • If you experience soreness or pain with sexual activity, bicycle riding or horseback riding.
  • If the effects of multiple vaginal deliveries have led to reduced sensation during intercourse.

Pros

  • Your vagina and surrounding muscles will return to nearly the tightness you had in your youth or before pregnancies.
  • A recontoured, trim vagina may boost your self-confidence.
  • You may find that wearing clothing, such as bikini bottoms or panties, is enhanced by your sleek new shape.

Cons

  • Bladder injury, hemorrhage and infection might occur.
  • Your partner and you may need some time to adjust to the new sensations resulting from your tightened vaginal walls.
  • You may need to experiment to find positions and approaches that are comfortable and pleasurable for both you and your partner.

Am I a good candidate for vaginal rejuvenation?

The following are some common reasons why you may want to consider vaginal rejuvenation:

  • Your vaginal structures sag and have become more lax due to aging, weight loss or pregnancies.
  • You have discomfort from scarring as a result of previous genital surgeries.
  • You have stress urinary incontinence and wish to combine a “vaginal lift” with a corrective procedure.
  • You desire a sleeker, more refined contour to your labia and vulva.