Portland, Oregon 97216
Before and After Photos from Ronald V. Demars MD
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Mastopexy (commonly referred to as a breast lift without implants or a breast uplift in the UK) restores shape and volume that may have been lost due to age, weight loss, or nursing. With most breast lifts, the nipple and areola are shifted to a higher position in order to create a natural look. If you want larger (as well as perkier) breasts, a breast lift with implants might be worth researching.
A breast lift reshapes sagging or uneven breasts, which may have been affected by aging, pregnancy, or weight loss. The nipple and areola are often shifted to a higher, more youthful position. A breast lift with implants uses this same technique, while also placing silicone or saline breast implants for added volume.
Breast reconstruction is most commonly performed following a mastectomy. Women who want to restore the volume and shape of their breasts may choose to get breast implants, tissue (commonly called "flap") reconstruction, or a combination. Doctors tend to recommend tissue reconstruction for patients who have undergone radiation therapy, due to their increased risks for capsular contracture (a problematic scar tissue response to implants). Nipple reconstruction is also frequently part of the process.
After a mastectomy removes one or both breasts, reconstructive surgery involves a series of procedures to rebuild the breast and reconstruct nipples. Some women choose to have additional procedures months or years later to improve the symmetry of their breasts, fill in areas with fat grafts, or refine their nipples. The Federal Women's Health and Cancer Rights Act stipulates that insurance plans providing mastectomy coverage must provide coverage for surgery done to improve symmetry between a reconstructed breast and the opposite breast (even a revision) and for nipple reconstruction. (To verify your coverage, pre-certify the procedure with your insurance carrier and request a predetermination of benefits.)
Latissimus flap breast reconstruction (also called a lat flap) is a muscle-transfer technique to rebuild the breast following a mastectomy. A surgeon moves a flap of skin along with the latissimus dorsi muscle and attached blood vessels from the upper back under the skin to the chest, usually inserting an implant under the flap to achieve the desired fullness. For women who don't have enough donor tissue for TRAM, DIEP, or SIEA flap procedures (or don't have access to surgeons who can perform this kind of microsurgery), latissimus flap reconstruction can look natural and offer a good result without significant complications.
A breast reduction involves the removal of excess fat, skin, and tissue, which usually results in the nipple and areola being shifted to a higher position. If the areola has been stretched due to the size of the breast, it may also be reduced. Not only does this surgery result in a smaller, perkier bust, it can also help eliminate the back, shoulder, and neck pain that’s often caused by large breasts.
Brow lift refers to any procedure that lifts the eyebrows, including a forehead lift. It is a surgery that usually involves an incision at the hairline to smooth and tighten the skin.
The mid-face lift or cheek lift is a surgical procedure that corrects under-eye puffiness, indentations of the upper cheek, and prominent nasal folds.
A facelift reduces wrinkles and sagging skin on the face and neck caused by aging or weight loss. The procedure removes excess skin, tightens the underlying muscles, and redrapes the skin in a higher position. The results go beyond what can be expected from wrinkle-fighting injections like Botox. Different types of lifts, such as cheek lifts or mini lifts, address specific concerns.
A body lift combines various procedures—frequently a butt lift, thigh lift, and tummy tuck—to lift and removeexcessiveskin. The procedure is typically performed following massive weight loss that has left skin stretched and saggy.