Breast Augmentation with Fat Transfer

Fat transfer breast augmentation essentially uses liposuction to take fat from other parts of your body such as thighs, buttocks and abdomen. This is a breast augmentation option for women who are looking for a relatively small increase in breast size and would prefer natural results without an implant.

Did you know?

Average recovery time from breast augmentation with fat transfer is usually quicker than implant surgery.

Am I a good candidate for breast augmentation with fat transfer?

Best candidates are physically healthy women with fully developed breasts who are unsatisfied with their breast size and fullness or concerned about breast asymmetry.

What should I expect during breast augmentation with fat transfer procedure?

This procedure is usually performed under general anesthesia. During the procedure, Dr. Markelov will remove fat from one area of your body using liposuction and carefully inject it back as hundreds of small individual droplets in the breast through small incisions.

Will I need to follow any post-operative instructions?

Your breasts will be wrapped in gauze dressings and an elastic bandage or support bra will minimize swelling and support the breasts as they heal. You will be given specific instructions that will include how to care for your breasts following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with Dr. Markelov.

Breast Augmentation with Implants

Breast augmentation is a surgical revision of the breasts to make them larger, improve symmetry and provide increased fullness. Also known as augmentation mammaplasty, breast augmentation is made possible using FDA-approved silicone or saline-filled implants placed above or below the chest muscles. Patients often seek breast augmentation to enhance a breast that is naturally small or to restore volume lost as a result of weight loss, pregnancy or breastfeeding.

Did you know?

That the popularity of breast augmentation is at an all-time high? According to the American Society of Plastic Surgeons, augmentation mammaplasty is 45 percent more common than it was in 2000. In 2008 alone, surgeons performed more than 300,000 of the procedures. Breast augmentation seems to be a popular cosmetic choice among women of all ages, though the majority of patients are between ages 17 and 55.

Am I a good candidate for breast augmentation?

You may be a candidate for breast augmentation if you are self-conscious or bothered by the size, shape or symmetry of your breasts. The FDA approves the use of saline implants if you are at least 18 years of age, or your choice of saline or silicone implants if you are age 22 or older.

What should I expect during my breast augmentation procedure?

Prior to your procedure, you’ll undergo pre-operative lab work and be instructed to avoid food and drinks on the day of your surgery. You’ll be placed under general anesthesia for the duration of your procedure, meaning you’ll feel and remember nothing regarding the surgery. Depending on the type of implant you receive and your personal preference, Dr. Markelov will make a small incision beneath the breast, around the nipple, or under your arm. The implant will be secured in place and your incision sutured shut. Most breast augmentations take no more than two hours and are usually performed on an outpatient basis.

What post-operative instructions will I need to follow?

It is normal to experience some swelling and soreness in the days following your procedure, and you may be advised to avoid certain physical activity for several weeks after the surgery. You also may be instructed to take certain medications and to return to Dr. Markelov’s office for a follow-up visit within a week after your surgery.

Breast Lift

A breast lift – also known as a mastopexy – is a surgical procedure used to elevate and re-contour the breasts, as well as reduce the size of the areola if necessary. Many circumstances can cause the breasts to lose their youthful shape and density. They may include age, breastfeeding, significant weight loss/gain, pregnancy, or genetics. Though there is little a woman can do to change her risk factors for a loss of breast elasticity, she can undergo a breast lift to eliminate excess skin and prevent sagging.

Did you know?

Breast lifts are different surgeries than breast augmentations. A breast lift will not have a significant impact on the size of the breasts, nor will it restore volume to the upper portion of the breasts. Women who want breasts that are both higher and fuller often choose to undergo both a breast lift and augmentation at the same time for optimal results. On the other hand, a breast lift can also be combined with a breast reduction procedure to both lift the breasts and simultaneously make them smaller.

Am I a good candidate for breast lift surgery?

You could be a candidate for a breast lift if you are a non-smoker who is bothered or anxious about sagging breasts. Often, mastopexy candidates have breasts that are elongated or pendulous with nipples that point downward toward the ground. You may also be a candidate for a breast lift if your nipples are positioned below the crease of your breasts.

What should I expect during my breast lift procedure?

Breast lift surgery is usually performed under general anesthesia, which means you’ll need to avoid eating or drinking on the day of your surgery. During the procedure, your surgeon will form incisions and reshape the underlying tissues of the breast to a more youthful shape and appearance. Your nipples will also be readjusted and resized, and excess skin removed before closing the incisions.

What post-operative instructions will I need to follow?

A breast lift is major surgery that requires a recovery period that lasts several weeks after your procedure is complete. You’ll awaken from surgery with bandages and dressings over your incisions, as well as compression garments to help minimize swelling. You may be instructed to wear a specific type of support bra as you heal. It is important to follow all of your surgeon’s instructions following your procedure, including taking medications as directed to help lower the risk of infection.

Once your mastopexy incision has healed and swelling has subsided, you’ll need to maintain the new shape and position of your breasts by keeping a steady weight and maintaining a healthy lifestyle. Keep in mind that despite undergoing a breast lift, age, gravity, pregnancy and other factors can influence the long-term results of your procedure.

Breast Reduction

Breast reduction surgery, also known as reduction mammaplasty, is a procedure used to remove excess fat, tissue and skin from the breasts. If you have large breasts, you might choose to have breast reduction surgery to ease discomfort or to achieve a breast size proportionate to your body.

Breast reduction surgery may also help improve your self-image and self-confidence and your ability to participate in physical activities.

Did you know?

The study, which was published in Plastic & Reconstructive Surgery Journal, found that following breast reduction surgery, women report improvements in many areas, including headaches, breathing and sleeping difficulties and musculoskeletal pain.

Am I a good candidate for breast reduction surgery?

If you are experiencing one or more of the following symptoms or conditions you may be considered a good candidate for reduction mammoplasty:

  • Breasts that are too large in proportion to one’s body size.
  • Back, neck and shoulder pain caused by heavy breasts
  • Grooves in shoulders caused by tight bra straps
  • Poor posture due to breast size
  • Heavy breasts that droop significantly, with downward pointing nipples and areolas
  • Breasts that are not equal in size (one significantly larger than the other)
  • Rashes and/or infection affecting the skin trapped beneath one’s breasts
  • Inability to participate in athletic/physical activities due to breast size
  • Feelings of self-consciousness regarding breast size

If you regularly experience one or more of these symptoms, a breast reduction procedure may bring you tremendous relief. Following the procedure your breasts will be in correct proportion to your body size. Aside from alleviating uncomfortable symptoms, a breast reduction can enhance the shape and appearance of your breasts and greatly improve the comfort and fit of your clothing.

What should I expect during breast reduction procedure?

There are various different ways to do a breast reduction. Dr. Markelov will decide which is the most appropriate for you depending on the size of your breasts and the desired outcome. There are two most common types of incisions that used for breast reduction. Anchor type or inverted T reduction results in an anchor-shaped scar starting around the areola, travelling vertically down and then horizontally across the breast crease. Vertical pattern breast reduction results in a circular scar around the areola, and a vertical scar passing down the breast. Excess skin and breast tissue are removed during the procedure. The remaining breast tissue is reshaped to create smaller and perkier breasts.

Will I need to follow any post-operative instructions after breast reduction surgery?

You will be required to wear supportive bra at all times for several weeks after surgery and monitor incision sites for any appearance of infection during the breast reduction recovery time. Taking care of the incisions correctly and avoiding infection can help to reduce the appearance of breast reduction scars over time and shorten healing time.

Combination Breast Lift and Augmentation

Patients who wish to restore breast volume can also choose to have breast implants inserted during a breast lift procedure. Breast lift surgery with implants results in increased breast size as well as enhanced breast shape and position. The size and shape of the breast implants used will depend on the woman’s aesthetic goals. Dr. Markelov works with each patient individually to help her achieve a more youthful-looking figure with breast lift.

Did you know?

New statistics from the American Society of Plastic Surgeons show breast lifts have grown 70% since 2000, outpacing breast implants 2-to-1. Many women opt for a breast lift with implants in order to attain natural-looking, full, shapely breasts.

What post-operative instructions will I need to follow?

Dr. Markelov will prescribe pain medication to help keep you comfortable, and many patients find they can switch to Tylenol after the first few days. While you’ll be able to get up and walk around the house the same day of surgery it might take a week before you can resume most daily activities. Many patients return to work within the first week after breast lift surgery, depending on the nature of their jobs. You will need to wear a support bra at all times and limit exercise other than walking for the first 6 weeks after a breast lift. Dr. Markelov will provide you with detailed instructions about when it is safe to resume any activity.