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BREAST PROCEDURES

BREAST AUGMENTATION

Breast Augmentation is a surgical procedure to increase the size and/or alter the shape of women's breasts by using artificial implants. Patients have the choice of Saline or Silicone Implants. Contrary to recent history, the FDA reinstated the safety and use of Silicone Implants on patients twenty two years or older (breastimplantsafety.org).

SURGERY

Incisions may be made in the crease of the breast, the armpit, or the perimeter of the areola. This can be discussed with Dr. Wayment on an individual basis. After the incision is made, the surgeon creates a pocket; either underneath the breast tissue or under the chest wall muscle. The implant is placed and centered directly behind the nipple. Finally, the original incision is sutured. The surgery usually lasts an hour and is performed on an outpatient basis.

AFTER SURGERY

At the end of surgery, the incisions are taped and a surgical bra is applied. Sutures are removed within seven to ten days. Activities are modified for six weeks.

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MASTOPEXY (Breast Lift)

Aging, childbirth, and weight loss can lead to a loss of volume and tone of the breast causing sagging and drooping (Breast Ptosis). A Mastopexy or Breast Lift is an effective way to elevate the breast on the chest.

SURGERY

There is the Traditional Full Mastopexy that involves an incision along the crease underneath the breast, an incision around the Areola, and a vertical incision between the Areola and the base of the breast. This incision is sometimes called an "Anchor Incision". It produces a great shape and position of the breast on the chest wall. Excess skin is removed, the breast is elevated, and the size of the Areola may be reduced.

Other techniques include the Periareolar which removes tissue from around the Areola and therefore the scar is limited to around the Areola.

The other Breast Lift is called the "Lollipop Lift". In this procedure the incision is made around the nipple and Areola as well as extending down vertically to the crease underneath the breast. Dr. Wayment can discuss which technique is best for the patient.

AFTER SURGERY

Tape is applied to the incisions. Sutures are self absorbing and do not need to be removed. Activities are modified for six weeks.

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BREAST REDUCTION

Some women experience neck pain, back pain, headaches, breathing problems, and skin irritation do to excessively large breasts. A breast reduction is designed to alleviate these problems and help one feel better about their breast size.

SURGERY

There are a couple of ways to perform a breast reduction. The most common involves making an anchor shaped incision that begins around the Areola (dark area of the nipple complex). The incision extends down and then across the natural crease under the breast. Excess fat, breast tissue and skin are removed and the nipple is brought up to a new position. The incisions are sutured. Drains are placed to collect any extra fluid. The two alternative incisions are a Periareolar or a Vertical incision. The different techniques can be discussed with Dr. Wayment. The surgery usually takes about three hours and is performed on an outpatient basis.

AFTER SURGERY

Tape is applied to the incisions. Drains are usually removed within a week. Activities are modified for six weeks.

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BREAST RECONSTRUCTION

Breast Reconstruction is the rebuilding of a breast, usually in women. After a patient has a Mastectomy (breast removal), they have the option to rebuild that breast. The procedure recreates the size and shape of the patient's original breast.

SURGERY

The most common type of breast reconstruction combines skin expansion with a breast implant. Dr. Wayment makes an incision in the outer part of the breast. Then, a balloon expander is inserted under the chest wall muscle. The incision is closed. Over a period of weeks, Dr. Wayment injects Saline into the expander through a port that lies just below the surface of the skin. Once the skin has stretched to the desired size, the expander is removed and replaced with a permanent implant. Reconstruction of the nipple and Areola are performed in a separate operation.

Another approach can be performed through a technique called a Flap Reconstruction. There are two options. The first option, Dr. Wayment creates a Latissimus flap (back skin and muscle) with the blood supply still attached. This helps form the breast itself with the addition of a tissue expander. The tissue expander creates a pocket for the implant to be placed.

The other type of Flap Reconstruction uses tissue from the abdomen, back, thigh or buttocks and is relocated to the chest area. Drains are placed to collect any excess fluid. Breast Reconstruction usually involves multiple procedures. Length of operation will vary depending on the procedure. The first stage of the procedure is performed in the hospital and requires a one to two day stay. Each consecutive procedure is performed on an outpatient basis.

AFTER SURGERY

Dressings are applied. Drains are removed when drainage subsides (usually seven to ten days). Sutures are removed within a week. Activities are modified for six weeks.

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GYNECOMASTIA (Male Breast Enlargement)

Gynecomastia, or breast enlargement in men, is a condition that can be caused by changes in hormone levels, certain medications, or a health condition. Men and boys may suffer from this and can have difficulty coping. Surgery removes excess fat and tissue from the breast to create a flatter, more masculine chest.

SURGERY

An incision is made around the Areola (dark area around the nipple). Then, excess fat and skin are removed. Liposuction will be performed to contour the breast. After the fatty tissue and skin are removed, the incision is sutured back together. Drains are placed to collect any excess fluid. The procedure usually lasts one to two hours and is performed on an outpatient basis.

AFTER SURGERY

Tape is applied to the incisions. A compression garment applied and worn for six weeks. Drains will be removed within a week. Activities are modified for six weeks.

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