 
Incisions are made to keep scars as inconspicuous as possible, in the breast crease, around the nipple, or in the armpit. Breast tissue and skin is lifted to create a pocket for each implant. 
The breast implant may be inserted directly under the breast tissue or beneath the chest wall muscle. 
After surgery, breasts appear fuller and more natural in tone and contour. Scars will fade with time. back to top  
Incisions outline the area of skin to be removed and the new position for the nipple. 
Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions, giving the breast its new contour. 
After surgery, the breasts are higher and firmer, with sutures usually located around the areola, below it, and in the crease under the breast. back to top 
Incisions outline the area of skin, breast tissue, and fat to be removed and the new position for the nipple. 
Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions, giving the breast it's new contour. 
Scars around the areola, below it, and in the crease under the breast are permanent, but can be easily concealed by clothing. back to top
The transported tissue forms a flap for a breast implant, or it may provide enough bulk to form the breast mound without an implant. 
After surgery, the breast mound, nipple, and areola are restored. 
Scars at the breast, nipple, and abdomen will fade substantially with time, but may never disappear entirely. |
breast proceduresWith so many new breast augmentation procedures it can become confusing. Our trained staff can assist you in choosing the appropriate procedure best suited for you.
INAModelImagine the Possibilities To see possible outcomes of your surgery see our interactive model! Click here... Breast Enhancement
By inserting an implant behind each breast, Dr. Marouk is able to increase a woman's bust line by one or more bra cup sizes. Breast implants may give a small lift to the breasts but they cannot correct significant sagging of the breasts. A breast lift may be needed, alone or in conjunction with breast augmentation to correct sagging. The Best Candidates for Breast Augmentation Breast augmentation can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Marouk. The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate. All Surgery Carries Some Uncertainty and Risk Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure. Surgical risks include bleeding, infection, poor healing and changes in sensation of the nipple or breast. Capsular contracture, implant leakage or deflation, visible wrinkles, asymmetry of the breasts, implant shifting or other possible complications will be discussed with you by Dr. Marouk. The Surgery The method of inserting and positioning your implant will depend on your anatomy and the desired breast size increase. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible. Working through the incision, Dr. Marouk lifts your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples. Breast implants may be placed either under the breast or under the pectoralis muscle. Putting the implants behind your chest muscle may reduce the potential for capsular contracture. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle may be more painful for a few days after surgery than placement directly under the breast tissue. Implants used may be either saline filled or silicone gel filled, textured or smooth. Dr. Marouk will discuss the pros and cons of all these alternatives before surgery to make sure you fully understand the reasons for and implications of the recommendations. Breast Lift Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume–for example, after pregnancy–breast implants inserted in conjunction with mastopexy can increase both their firmness and their size. The best candidates for mastopexy are healthy, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts. Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you're planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn't interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure. All Surgery Carries Some Uncertainty and Risk A breast lift is not a simple operation, but it's normally safe as performed by Dr. Marouk. Nevertheless, as with any surgery, there is always a possibility of complications or a reaction to the anesthesia. Bleeding and infection following a breast lift are uncommon, but they can cause scars to widen. You can reduce your risks by closely following your physician's advice both before and after surgery. Mastopexy does leave noticeable, permanent scars, although they'll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with unevenly positioned nipples, or a permanent loss of feeling in your nipples or breasts. The Surgery The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and sometimes along the lower crease of the breast. Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the "doughnut (or concentric) mastopexy," in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed. Silicone & Saline Breast Implants Saline Breast Implants. While there are a number of implants available for Breast Augmentation, currently the most commonly used is the saline breast implant. The saline implant has an exterior sack made of solid silicone, which is filled with a sterile saline solution — like the salt-water solution that is administered for intravenous fluids. One of the advantages of this solution is its safety. Should the implant for some reason leak, the saline just gets absorbed by your body, as would the intravenous fluids used during, and after surgery. Yet another advantage of the saline implants is a very low infection rate, which is usually less than one to two percent. Silicone Breast Implants. These are implants that are filled with a silicone gel. More than 1.5 million American women currently have silicone breast implants. Some people feel that the silicone implant results in a more natural appearing breast. The main disadvantage of silicone breast implants is that their rupture is less easily detected than with the rupture of saline implants. When a saline implant ruptures, the saline gets absorbed by the body, making the breast go flat, which can be easily recognized by a woman. On the other hand, because silicone gel mostly stays within the breast tissue and does not get absorbed, there is usually no noted reduction in breast size after rupture of silicone implants. Breast Reduction Breast reduction, technically known as reduction mammaplasty, is designed for such women. The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. Breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Most women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort. In most cases, breast reduction isn't performed until a woman's breasts are fully developed; however, it can be done earlier if large breasts are causing serious physical discomfort. The best candidates are those who are mature enough to fully understand the procedure and have realistic expectations about the results. Breast reduction is not recommended for women who intend to breast-feed. All Surgery Carries Some Uncertainty and Risk Breast reduction is not a simple operation, but it's normally safe. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. You can reduce your risks by closely following your physician's advice both before and after surgery. The procedure does leave noticeable, permanent scars, although they'll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with slightly mismatched breasts or unevenly positioned nipples. Future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples. The Surgery Techniques for breast reduction vary, but the most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. Dr. MIlbourn removes excess glandular tissue, fat, and skin, and moves the nipple and areola into their new position. She then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Liposuction may be used to remove excess fat from the armpit area. Stitches are usually located around the areola, in a vertical line extending downward, and along the lower crease of the breast. In some cases, techniques can be used that eliminate the horizontal part of the scar. And occasionally, when only fat needs to be removed, liposuction alone can be used to reduce breast size, leaving minimal scars. Breast Reconstruction Most mastectomy patients are medically appropriate for reconstruction, many at the same time that the breast is removed. The best candidates, however, are women whose cancer, as far as can be determined, seems to have been eliminated by mastectomy. All Surgery Carries Some Uncertainty and Risk Virtually any woman who must lose her breast to cancer can have it rebuilt through reconstructive surgery. But there are risks associated with any surgery and specific complications associated with this procedure. In general, the usual problems of surgery, such as bleeding, fluid collection, excessive scar tissue, or difficulties with anesthesia, can occur although they're relatively uncommon. And, as with any surgery, smokers should be advised that nicotine can delay healing, resulting in conspicuous scars and prolonged recovery. The Surgery Flap reconstruction. An alternative approach to implant reconstruction involves creation of a skin flap using tissue taken from other parts of the body, such as the back, abdomen, or buttocks. In one type of flap surgery, the tissue remains attached to its original site, retaining its blood supply. The flap, consisting of the skin, fat, and muscle with its blood supply, are tunneled beneath the skin to the chest, creating a pocket for an implant or, in some cases, creating the breast mound itself, without need for an implant. Another flap technique uses tissue that is surgically removed from the abdomen, thighs, or buttocks and then transplanted to the chest by reconnecting the blood vessels to new ones in that region. This procedure requires the skills of a plastic surgeon who is experienced in microvascular surgery as well. Nipple Reduction Recovery Normal activity can resumed usually after 24 hours. Showers are permitted the next day. Dissolvable sutures need no removal but you will need to see the Dr. for a post op visit after 7-10 days. Non -dissolvable sutures will need to be removed within 4-7 days. Swelling and pain are minimal. Inverted Nipple Content courtesy of PlasticSurgery.org |
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