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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.

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