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Cosmetic plastic surgery can be generally characterized by three types of procedures. Plastic surgeons make big things smaller, small things bigger, and we pick up what falls down. The latter is a common consequence of the breast aging process.
The most common cosmetic breast performed by plastic surgeons is augmentation. However, for some patients the problem is not size, but rather position of the breasts and nipples. Breast droopiness occurs for two reasons; gravity and skin quality. Gravity, the plastic surgeon’s best friend, cannot be changed. Skin quality is impacted by many variables. Things like pregnancies, weight fluctuations and genetics all play a role in the tone of a woman’s breast skin.
The first step to determine the correct breast procedure is a thorough and honest consultation. Breast lift surgery creates significant scarring which must be factored into the decision. The two most common measurements taken at the examination are the distance from the midline neck notch to the nipple, and the distance from the nipple to the crease at the bottom of the breast. These help the surgeon choose the best procedure for each patient.
Women with breast measurements that exceed the ideal for their figure are candidates for breast lift surgery, also called mastopexy. Several options exist for mastopexy, each with varying degrees of scarring. The patient should consult with a plastic surgeon experienced with these options and be able to see photographic examples of each surgery.
The most common type of breast lift is the classic “anchor” or Wise pattern. The procedure raises the nipple-areola (which can also be reduced in diameter), tightens the skin to make the breast perkier, and recreates a shapelier teardrop silhouette. A variation of this technique is the LeJour, or “lollipop” scar procedure.
A less common, but very valuable procedure is the peri-areolar lift because it carries far less scarring than the other options. It is also known as the Benelli lift, named after the French plastic surgeon who initially described the technique. It is especially useful for women seeking a limited scarring breast lift with simultaneous implant augmentation. The technique is difficult to master and is not offered by all plastic surgeons.
Mastopexy surgery can enhance a woman’s figure. Some women may choose to change size as well. It can be combined with breast augmentation or reduction. However, breast lift should be carefully considered only after consultation with a plastic surgeon experienced in the various options.
About the Author:
Dr. Perez is a member of the NOVO National Council of Leaders in Breast Aesthetics. He has served as a consultant for both Mentor (J&J) and Inamed (Allergan), leading breast implant manufacturers. Dr. Perez has lectured internationally on the subject of breast lift surgery and has been selected among the Castle Connolly (U.S. News & World Report) America’s Top Doctors. More information is available at www.PerezPlasticSurgery.com or call (954) 351-2200. Visit our website blog to learn about The Dirty Little Secrets of Plastic Surgery.
Plastic surgery is more popular now than ever before. However, many misconceptions exist about the role of plastic surgery and overall wellness. We often see patients who believe that surgery is the solution to an overweight or sedentary lifestyle. The reality is that plastic surgery, diet and exercise are all pieces of the puzzle. The best results are achieved when each piece is correctly applied.
A well balanced, varied and moderate diet is both healthy and necessary to maintain ideal body weight. Patients sometimes think that liposuction is a treatment to remove large volumes of fat. Liposuction is not intended to be a treatment for obesity. In fact, fat is not very dense tissue so the weight of liposuction fat is often only a few pounds, hardly a dent in an overweight patient.
I often recommend that overweight patients work with nutritionists to reach a reasonable weight before considering surgery. The ideal body contour candidate is at a good weight and in physical shape.
Get to the Gym
Another misconception is that “If I just have a six pack chiseled into my abdomen by a plastic surgeon I don’t have to do crunches”. Wrong. Exercise is critical to developing a lean, well defined physique as well as improving overall fitness. Zumba moms, spin fanatics and ballroom dancers are among our most common patients because they are fit, lean and want to look as good as they feel. We often work in tandem with personal trainers to achieve the best results.
So What’s Plastic Surgery For?
Diet is to maintain weight. Exercise is for fitness and definition. So where does plastic surgery fit in? Well, I like to define plastic surgery as three types of procedures; we make big things smaller, we make small things bigger, and we pick up what Mother Nature causes to fall down.
Here are a few examples of the more common procedures we perform. Breast augmentation is common for women in such good shape that they’ve lost their breast fat. Breast reduction (for women or men) or breast lift may be necessary if there is too much tissue or loose skin. Tummy tucks are common among moms or yo-yo dieters because neither diet nor exercise will eliminate the stretch marks or tighten the loose belly skin and muscles. Liposuction is best for stubborn areas such as love handles and outer thigh saddle bags. And facial rejuvenation surgery such as eyelids, face and neck lifts help the face look as youthful as the body.
So remember the fountain of youth requires all three; diet, exercise and plastic surgery. One is not a substitute for the others. However, as with all plastic surgery, a skilled, experienced surgeon, a safe facility, and a competent anesthesiologist are also key to a successful outcome.
About the Doctor:
Dr. Perez has been selected among Castle Connolly/U.S. News and World Report’s America’s Top Doctors (again for 2012-2013). He has lectured internationally and been featured as a plastic surgery expert for major media outlets. Surgery is performed at the Broward Health Weston facility.
To schedule a consultation with Dr. Perez call (954) 351-2200. To learn more about any of these procedures, or to view our recent ABC News segments, featuring Dr. Perez visit www.PerezPlasticSurgery.com.