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Breast Surgery (augmentation and lift)
 

  
Before and after pictures of our actual patient.
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For many women the size of their breasts can have a dramatic effect on her social and psychological well being.  Breast surgery is one of the most frequently performed procedures in the United States today.  Many women compare themselves to a culturally based concept of normality.  With the many advances in cosmetic procedures, breast size can be enhanced, decreased or breasts can even be lifted to better fit the proportions of the woman's body.  Dr. Boss has seen many women who have had marked improvement in their self esteem when they look more like their ideal.  See Dr. Boss if you are interested in changing your appearance

Are you a good candidate?
While breast surgery is available to almost everyone,
it is important to discuss your goals and expectations with Dr. Boss.  The best candidates are healthy women with a desire to enhance or reduce the size of their breasts.  Good breast surgery candidates should have realistic expectations.  Breast enhancement procedures result in improvement not perfection.  Perfect symmetry of the breast is not always possible.  The majority of American women normally have asymmetrical breasts and can expect some degree of asymmetry after breast surgery.  Dr. Boss will asses your individual needs to determine if cosmetic breast surgery is in your best interest and if so which technique is most appropriate.  You will be shown before and after photographs of patients having similar breasts. Dr. Boss may also let you try on different size implants in a bra. to give you an estimate of what the results might be.  

How safe is it ?
Breast surgery is an extremely popular cosmetic procedure for women.  However, like any surgery it involves some risk.  Recent studies have shown breast implants to be safe.  Breast augmentation is for the most part performed using FDA approved saline filled implants.  Dr. Boss feels that saline filled implants are proven and effective.  Dr. Boss's extensive experience and training in breast surgery techniques will usually produce a successful outcome.  

What is minimal incision or Endoscopic breast augmentation ?
Dr. Boss prefers the minimal incision breast augmentation technique.  This is usually performed under outpatient basis under general or local anesthesia.  The surgery consists of lifting the breast tissue and placing a soft natural feeling implant underneath.  The implant that is most often used is that filled with saline.  There are a variety of implant designs all of which have advantages and disadvantages.  Dr. Boss will discuss the choice of implants, reason for selection and review with you the size changes that are possible.  Several different methods are used for placement of implants.  In all cases Dr. Boss uses the minimal incision technique.  He has designed this approach to minimize scarring so that the incisions are not easily noticeable.  After the incision is made, the implant is carefully inserted under the breast tissue or the chest muscle.  Dr. Boss then just adjusts the implant to ideal size and symmetry before the incision is closed.  Dr. Boss has also been a leader in using the endoscope for breast augmentation.  People throughout the country have sought Dr. Boss to place implants because of the smaller incisions needed while using the endoscope. Dr. Boss will be able to determine if the endoscopic Breast Augmentation is best for you.

What is Mastopexy? (breast lift)
Mastopexy is performed on women who have sagging or drooping of breasts.  Often this procedure may be done in combination with minimum incision breast augmentation.  Dr. Boss has several different procedures that can be used to correct the various degrees of sagging.  The procedure consists of removing excess skin from around the nipple and the bottom of the breast and rearranging the skin to tighten the drooping area.  While doing it, Dr. Boss can reposition the nipple and elevate it to the previous position.  When breasts are large and heavy Dr. Boss can also remove excess breast tissue in combination with reshaping of the breasts.  As in all of Dr. Boss's cosmetic procedures, special techniques are employed to minimize scarring.  

What is recovery like ?
A surgical dressing is usually placed to protect the incisions.  Rest is usually prescribed for the first few days.  Some swelling, bruising and minor discomfort may be experienced.  Depending on the type of breast surgery, you may be required to wear a special supportive bra.  Pain medication and antibiotics may be prescribed.  Most of the symptoms subside in a short time. Sutures are removed within one to two weeks.  Most people return to work within 7 - 10 days. Although, light activities can be resumed within a few days, routine physical activity and exercise should be avoided for few weeks.  Dr. Boss will advise you when you can resume normal activity.  Following your procedure, it will take a few weeks before you begin to see your new more pleasing shape.