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Breast Augmentation
Breast Reduction/Mastopexy (breast lift)
Liposuction
Abdominoplasty and Body Lift
Breast Augmentation
– Surgery to enlarge the breasts. For the past
few years I have been exclusively using saline filled implants for
augmentation. With the safety of gel implants now all but assured,
and with newer gel implants on the horizon, I will probably start
offering them again at some point in the future. Gel implant augmentations
generally have a more natural look and feel than saline augmentations,
although in properly selected patients, saline implants can provide
very nice results.
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Both saline and gel implants have advantages and disadvantages.
Breast augmentation has definite limitations in that it is
impossible to create a “perfect” female breast,
whether saline or gel implants are used. Such limitations
must be understood and accepted. When patients have realistic
expectations, most are quite pleased with their results. Breast
augmentation is performed under general anesthesia on an outpatient
basis.
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Breast Reduction/Mastopexy
(breast lift) – Surgery to lift and/or reduce the
size of the breasts. I utilize at least three different procedures
depending upon the amount of lift/reduction that is desired. Often,
breast augmentation is combined with breast lifting.
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If certain criteria are met, insurance companies may cover
the costs of breast reduction surgery. Minimal breast lifting
procedures can be done under local anesthesia, however, most
breast lift and breast reduction procedures require general
anesthesia.
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Liposuction
– Surgery to vacuum away unwanted fat. Liposuction
is an effective procedure for body sculpting, not for weight loss.
The ideal patient is one who is relatively young, is not significantly
overweight, is generally in good shape, and has a few problem areas
such as lateral thighs (saddle bags), love handles, or other fairly
localized areas of concern.
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I feel that traditional liposuction using very fine instruments
is preferable to ultrasonic liposuction (UAL), although I
do use UAL for some select cases. Liposuction of small areas
can be performed under local infusion anesthesia while more
extensive cases are usually best performed under general anesthesia.
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Abdominoplasty
and Body Lifting – Surgical excision of excess skin
and fat with tightening of abdominal wall structures. Abdominoplasty
addresses the abdomen only, while body lifting removes a circumferential
band of tissue, thereby addressing not only the abdomen but also
flank and back areas.
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The more extensive procedure also lifts the buttocks and
lateral thighs and is particularly effective for people who
have lost significant amounts of weight. Lifting procedures
can also address other areas of the body including the inner
thighs and lax upper arms. Abdominoplasty and circumferential
body lifting procedures can be extensive and require general
anesthesia and one to three nights hospital stay.
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