Buffalo Breast Lift doctors

William F. DeLuca Jr, MD William F. DeLuca Jr, MD
Albany Plastic Surgeon
711 Troy Schenectady Rd Suite 123, Latham
19 answers
Todd B. Koch, MD Todd B. Koch, MD
Buffalo Plastic Surgeon
6315 Sheridan Dr, Williamsville
12 answers
Andrew P. Giacobbe, MD Andrew P. Giacobbe, MD
Buffalo Plastic Surgeon
7 Hopkins Road, Williamsville
1 answer
Robert Perry, MD Robert Perry, MD
Buffalo Plastic Surgeon
6932 Williams Road Suite 1700, Niagara Falls
David P. Rigan, MD David P. Rigan, MD
Buffalo Plastic Surgeon
3725 North Buffalo Street, Orchard Park

Recent Answers

Advice for Breaslift Plus Augmentation- Which Technique Is Right For Me? (photo)

I'm a 36C. My plan is to have a breast augmentatin with silicone implants to increase my bust size to a 36D. I want a breast lift but don't want the vertical scars. Would a cresent or donut lift give me enough (1 to 2 cm) lift with the implants? In my most recent consultation, the surgeon said my sag is 2.5 centimeters. Thanks for your advice!

A: TYPE OF BREAST LIFT

Thanks for the photos, they are very helpful.  It appears that your nipple is at or just below the breast crease.  I would not recommend a lift.  I think you would do well with a subfascial or dual plane augmentation.  Even though you have a wide frame, I would consider a high profile implant to give you a more lifted appearance.

 

Todd B. Koch, MD
Buffalo Plastic Surgeon
What Options do I Have for a Breast Lift after Breast Feeding? (photo)

I am 135lb, age 28, 5'3". I am considering a breast lift. I am Currently a 34D, and with a bra on...the girls look great. Nude, not so much. I feel gross. I had my son 10 years ago, and nursed him. I will not be having any more children. I am in the process of losing the last of the weight to get to a more healthy place...but my breasts have suffered tremendously. I do not want them any bigger, or smaller. They are the perfect size for my body shape (wide hips and curvy posterior). Any thoughts or opinions?

A: Breast lift options after breast feeding?

Hi Nicole, thanks for the question. Based on your photos, I would say that you are an ideal candidate for a vertical augmentation mastopexy with a small implant.  The reason for the small implant is to provide the superior fullness needed for a similarly sized result. Transposition of breast tissue alone will fail to adequately accomplish your goals because a small amount of breast tissue is removed inferiorly to allow better tightening of the breast mound and to keep your overall breast size unchanged. 

The aforementioned approach is the gold standard for a patient that presents as you do.  The ultimate place for fat grafting in breast surgery has yet to be determined especially given that any variation and graft take in the superior pole region would result in asymmetry.  The link below is to one of my cases that is very similar to your own - hope you find it helpful. 

Regards, Dr. DeLuca

William F. DeLuca Jr, MD
Albany Plastic Surgeon
Will I Be Able to Do a Breast Lift and Augmentation at the Same Time? (photo)

I had my breast augmentation done back in Feb 2011 and at first was very satisfied with the results, but now they are starting to sag and I need a breast lift. Will I have to have the implants removed, have a breast lift performed, and come back at a later date for implants? Or will someone be able to do it all at once? I posted some pictures from right after surgery and then from today.

A: Can a breast lift and augmentation be performed at the same time?

It appears from your early post-operative photos that you had a sub-glandular augmentation with relatively large prosthesis.  As you have experienced, these tend to descend and settle inferiorly because the only support that you have is essentially the skin envelop of the lower pole of the breast. You may initially have had a small amount of ptosis (drooping) that your surgeon was trying to correct with a sub-glandular augmentation. But this tends to eventually lead to a larger - but still drooping - breast. 

If the augmentation had been performed sub-pectorally, then after the settling period, you would still have superior fullness (which is not present in your post operative photos). 

The way I approach situations such as yours is relatively straight-forward: in a single procedure, I switch to a sub-pectoral pocket and perform a vertical mastopexy.

The sub-pectoral placement produces a nice breast mound with superior fullness while the mastopexy repositions the breast tissue over the mound.  In experienced hands, situations like yours can be corrected in a single procedure with a relatively low re-operation rate. 

When you stage the procedure, you commit the patient to two operations when in the majority of cases, excellent results can be achieved in one surgery.  I hope that this helps and good luck. 

William F. DeLuca Jr, MD
Albany Plastic Surgeon
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