Danbury Doctors

Breast Augmentation with or Without Mastopexy? (photo)

I've had consultations with 2 surgeons so far. One said I'd achieve a good result w/ just implants. The 2nd one measured me & said that to achieve my desired result, I need a circum-areolar lift w/ implants to fix my nipple position & reduce the size of my areola. I'm looking to restore upper pole fullness & desire the round, perky look. I want the best result possible, but I also wasn't anticipating the extra scars. Could this be achieved with implants alone or is a lift really necessary?

will achieve the best possible result, or whehter combining the augmentation with a mastopexy or breast lift will achieve the best possible results.  As one of the most important factors in this decision ios the desire of the individual patient, it really isn't appropriate to gneralize the answer to your particular patients to all women in your situation.  The short answer is that augmentation may acgieve the results you desire with less scarring, and if the scar is critically important to you that is probably the best decision you can make.  If you want the "best possible result" and additional scars would not bother you, than you might be better served with the combination surgery, particualrly if you believe that the size of your areola should be reduced.  If you are unsure, remember that in the end you can add a breast lift down the road to an augmentation performed today, but you cannot undo a breast lift that has already been done.  For better or worse, once you have educated yourself about the benefits and risks of each procedure, the decision rests in your hands.  Good luck...

Michael H. Rosenberg, MD

White Plains Plastic Surgeon

What Types of Breast Implants Use Body Fat, Instead of Silicone?

Is it true that this type of surgery is safer for people with allergies to synthetic materials?

to breast augmentation, but the technique has not yet gained wide acceptance in the plastic surgery community.  Implants in the United States are filled with saline (by the surgeon at the time of the breast augmentation) or filled with silicone gel by the manufacturer.  There are no implants that are filled with body fat.  Microfat injections using a careful technique to preserve the fat that is harvested from a patient, and then injecting that fat into another area of the body is a commonly accepted technique.  It has been used to fill hollow areas in the face, under scars, and in the breasts following mastectomy and reconstruction to supplement an implant or flap.  The use of fat to primarily augment the breast in place of an implant for cosmetic augmentation has its proponenets, and may prove to be an effective methodology in the coming years.  Be sure to seek the guidance of an experienced breast surgeon who is knowledgeable about this technique before proceeding...

Michael H. Rosenberg, MD

White Plains Plastic Surgeon

When is Breast Liposuction an Ideal Option for Women?

What size women and/or breasts are ideal for breast liposuction?

for breast reduction.  For those patients who do not need a lift, and simply want to be smaller, liposuction can be a great option and I have used it with success.  For those patients who are good candidates for a short scar reduction technique, adding liposuction, particularly to the lateral aspect of the breast can be very helpful.  Also, even in patients who need large reductions and removal of extra skin to correct sagging in the breasts, liposuction lateral to the breasts, in the underarm area extending into the back, can improve the result by sharpening the contour of the breast.  The bottom line is, there are many situations in which liposuction can be an improtant componenet of breast reeduction, or  even the only technique used, but determining which situation applies requires consultation with an experienced breast surgeon, and is probably not something you can decide on your own...

Michael H. Rosenberg, MD

White Plains Plastic Surgeon