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breast augmentation Chattanooga, Tennessee

Breast augmentation patients  have different motivations for undergoing surgery. Some want to restore volume lost during nursing while others may simply prefer to achieve a more appealing aesthetic. Patients may also seek breast surgery for reasons related to athletic performance. It seems breast implant surgery and breast reduction are two of the most popular cosmetic procedures among female athletes.

 

Breast Reduction

Breast surgery is not always motivated by sheer aesthetics.  Athletes with large breasts may be at a disadvantage. Not only can oversized breasts be uncomfortable, they can actually interfere with athletic performance. When this is the case, athletes may opt for breast reduction surgery.

 

A prime example is tennis star Simona Halep.  At the age of 17 the athlete underwent breast reduction. She felt her breasts slowed her reaction speed and caused discomfort. She went from a 34DD to a 34C and seems very pleased with the outcome of her procedure.

 

While breast reduction can allow for great relief for athletes, the procedure does require some down time. Although most patients are up and walking the day after surgery, strenuous activities (including sports) should be avoided for six weeks.

 

Breast Augmentation with Implants

Many athletes are characterized by their lean physiques. While such a low degree of body fat beautifully showcases abs and shoulder “caps” , women may also lose most of their breast tissue.  Breast implants are a great way to add a more feminine touch to a lean, athletic frame.

 

Breast implants can be placed either under the muscle (Subpectoral) or over the muscle (Subglandular). Although under the muscle (Subpectoral) implant placement is typically the most natural and preferred method, over the muscle can be particularly ideal for extremely athletic patients such as bodybuilders who are more susceptible to muscular distortion which sometimes occurs when the implant is placed under the muscle. It is important to note however that subglandular placement does not appear as natural and also carries a higher risk of capsular contraction.  Choosing smaller sized implants can also help with a more natural appearance.

 

Whether you would like to reduce or enhance your breasts, Board Certified Surgeon, Dr. James E. White,  has several years of experience performing breast reduction, breast lift and breast augmentation surgery. To learn more, call 423-648-4011

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breast reduction

Image Courtesy of Dreamstime

Looking to go down a cup size? You may not need as invasive of an approach as breast reduction surgery to accomplish your goals. For patients who desire only a small decrease in breast volume, no lift…no drastic alteration in size.., liposuction can be a viable option.

Breast Reduction Surgery

While formal breast reduction surgery is a well-established procedure with a successful track record, it comes with a price: visible scarring, post-operative discomfort and increased surgical costs.

During a formal breast reduction surgery, multiple incisions must be made including one around the nipple, another vertically under the nipple plus or minus additional incisions.  If a large nipple lift is needed it may be necessary to complete a long anchor incision at the horizontal crease under the breast. Excess skin and breast tissue are then removed and re-contoured using a combination of liposuction and sharp dissection to lift the nipple and shape the breast.  Eventually, these incisions result in visible scarring.  While, in less severe cases, we can use a less invasive incision technique to reduce the appearance of scarring, breast reduction surgery is ultimately more intensive than a simple reduction by means of  liposuction.

Following breast reduction surgery, patients typically require 5 to 8 days of recovery. Although most patients are up and walking the day after surgery, strenuous activities should be avoided for six weeks.

For patients seeking a significant change in size and a re-contouring effect, breast reduction/lift surgery remains the best course of action.  Not only can it reduce breast size, it can also lift, firm and provide a more “perky” appearance to sagging breast. The cost of breast reduction surgery can range anywhere from $5,000 to $8,000.

Reduction with Liposuction

Another breast reducing option is breast reduction liposuction.  Although still a surgical procedure, is considered less invasive, less costly and results in minimal to no visible scarring.  While liposuction cannot drastically alter size, provide lift or a more pleasing contour, it can decrease breast volume by one cup size.   Skin reduced in size will often respond with some skin tightening.  For patients only wanting a small reduction, liposuction may be the more sensible option.

During liposuction, the breasts are treated with a tumescent solution intended to numb the area and control bleeding. The cannula, less than 3mm in size, is inserted through small 3mm incisions. VASER ultrasound can be used to dislodge fat from the surrounding breast gland tissues using sound waves.  The liposuction cannula then suctions the desired amount of fat tissue from the treated areas.

Following breast reduction with liposuction, patients will be required to wear a compression garment for 1 to 3 weeks. Depending on the patient’s occupation, many can return to work only a few days after surgery.  The cost of liposuction starts around $3000.

While patients desiring more extensive changes in breast size and contour may be better off with formal breast reduction surgery, patients only hoping to achieve slight alteration in size can bypass increased costs, scarring and recovery time by opting for reduction by liposuction.

If you are interested in exploring your options, call 423-648-4011 to schedule you complimentary consultation with our Board Certified Surgeons.

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It is a well-known fact that cigarette smoke stains our teeth, prematurely ages our skin and can lead to cancer, but there are other reasons we do not recommend that our cosmetic surgery patients smoke. Smoking has a serious impact on the results of your cosmetic surgery. Consequently, you may have noticed that most candidates for our surgical cosmetic procedures are “non-smokers”. So, how does smoking specifically effect your cosmetic surgery results?

How does smoking affect my cosmetic surgery?

Nicotine (of any kind ex. cigarette, nicotine gum, chewing tobacco) constricts small blood vessels resulting in worse blood flow to skin after surgery. In addition, smoking increases carbon monoxide levels in the blood resulting in less oxygen to the tissues. Following surgery, oxygen is particularly necessary for its healing powers and its ability to fight infection, transport antibiotics and other important medications and help keep skin tissue alive. Below is a list of important studies involving the effects of smoking and cosmetic surgery.

  • Studies have shown that smokers are 12.5 times more likely to develop skin loss with delayed healing in facelift surgery than non-smokers.
  • In one study, smokers having tummy tucks had a 47% chance of developing a wound at the incision site. These types of wounds may result in increased costs and delayed healing because of the need for wound care devices such as a wound V.A.C. Some wounds may take months to heal and may even require skin grafting.
  • Smoking a single cigarette can decrease the blood flow to the thumb by 24%.
  • A research study found that 85.3% of patients that said they quit smoking 2 weeks before surgery in fact kept smoking. Realize that you are taking significant risks by continuing to smoke when you are asked to quit.

Procedures Most Affected by Tobacco & Nicotine

Tummy tucks, facelifts, breast reductions and breast lifts are the top procedures most affected by tobacco and nicotine use. These types of surgeries are unique in that the skin is undermined and as a result the blood supply to the skin in compromised. In healthy non-smoking patients, the risks of wound breakdown and healing is low. However, in smokers, the risks of skin loss, delayed healing and scarring are increased.

The following are pictures showing major wound with skin loss after cosmetic procedures. Smoking increases these problems after surgery!

How do I avoid this?

Studies show that quitting smoking (and all nicotine products) 3-4 weeks before surgery and 3-4 weeks after surgery will decrease the likelihood that you will develop a wound problem. You will still be at a slightly higher risk than a non-smoker.If you need help quitting there are prescription medications that we can prescribe to help you quit.

Smoking Policy at Advanced Surgical Concepts

We REQUIRE that all smokers COMPLETELY QUIT smoking (and any nicotine products) a minimum of 3-4 weeks before surgery and 3-4 weeks after surgery. After this time period, if you wish to resume smoking, that is your choice.

Some procedures do not require that you quit smoking but we still recommend that you quit for optimal healing.

We may request you have a nicotine test….if the test is positive we may refuse doing your surgery.

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