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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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tummy tuck chattanoogaPregnancy is one of the most beautiful miracles of life. Unfortunately, for many mothers, pregnancy imposes some not so beautiful effects on the body including stretch marks, protruding abdominal muscles and sagging skin. Once a new mother has lost all of the “baby weight”, she may be disappointed to see that her stomach no longer looks the way it did before enduring pregnancy.

 

When diet, cardio and endless abdominal exercises fail to produce the desired results, tummy tuck surgery, also known as abdominoplasty, may be the only solution. During tummy tuck surgery, excess skin is surgically removed and the abdominal muscles may be tightened. Because the loose skin is removed, the appearance of stretch marks can be reduced as well. This is due to the fact that much of the skin exhibiting stretch marks is excised or removed during abdominoplasty surgery.

 

While this procedure has been proven highly effective for decades, tummy tuck surgery is a relatively invasive procedure. Before undergoing this elective treatment, here are a few things to consider.

 

    1. Scars

Although easily concealed, scars will be present at the site of incisions. If you undergo a traditional tummy tuck, incisions are made at the lower abdominals (typically from hipbone to hipbone) and around the belly button. If you are only undergoing a mini tummy tuck, scars will only be present at the lower abdominal area. Although the incision required for each individual is different, belly button scarring is typically inconspicuous and the other incision can be concealed in the skimpiest of bikinis. However, it is a good idea to bring your bikini bottoms with you to your consultation. Many times, wider incisions are necessary due to extensive loose skin and fat deposits. You and your surgeon should be on the same page regarding expectations. Are you willing to gain a scar in order to achieve a flatter, and firmer stomach?

 

  1. Downtime

Because tummy tuck is a relatively invasive procedure, downtime can definitely be an issue. While it varies from patient to patient, everyday activities should be avoided for a minimum of seven to ten days. If you have a more physical job, then 2-6 weeks of downtime maybe recommended.

 

Because any lifting should be avoided during recovery, caring for young children may also be a factor unless you have access to extensive childcare. No lifting greater than 10 pounds includes lifting and caring for small children. Once the 6 week mark has been reached, you should be considered fully healed and cleared of any restrictions.

 

     3. Subsequent Pregnancies

Before committing to the cost, recovery and serious nature of surgical intervention, patients should be done with child bearing. While a tummy tuck will not pose a threat to the health of subsequent pregnancies, patients will most likely need another tummy tuck to keep the desired effect. Unfortunately, prior tummy tuck surgery does not leave patients impervious to further stretch marks and stretched skin. Complete your family, and then consider tummy tuck.

 

These are just a few factors to contemplate before undergoing tummy tuck surgery. Our board certified surgeons have years of experience with this procedure. Call 423-648-4011 to schedule your private consultation!

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dreamstime.com

dreamstime.com

Thunder thighs, bat-wing arms and muffin-top plague many women in their quest to attain a sleek silhouette. As if a girl has enough to worry about, wearing a supportive bra often results in another undesirable effective….bra rolls.

 

Also known as “back fat”, bra rolls often appear in the upper back at the bra line and are a result of excess fatty tissue or lax skin which is often “magnified” when the pressure of a brassiere is applied. For many, this condition gets worse with age. Because of the location of the tissue, it is often a trouble area tricky to address with exercise alone. So, what is a girl to do? It definitely limits ones wardrobe.

 

Sure, you could wear looser, less supportive brassieres or ditch them altogether, but then you set yourself up for sagging breasts and poor posture. You could also amp up your fat burning efforts with stricter devotion to proper nutrition and fitness. The problem many women are finding, however, is that no matter how much weight they may shed, their body refuses to rid itself of fat in this area.

 

While many companies have recently developed compression garments specifically designed to eliminate “back fat” or “bra rolls” , such products have their limits. Some garments are simply ineffective while others are hard to conceal, especially in more revealing clothing.

 

Unfortunately, the only way to isolate or target specific trouble areas is through surgical intervention. The two main methods of bra-roll attack are liposuction or skin tightening and excision with an upper back lift. So, which procedure are you best suited for?

 

 

Bra Fat Liposuction

For younger patients with robust skin quality who simply wish to reduce the amount of fatty tissue at the bra line, liposuction is a less invasive option. Liposuction of bra fat rolls is very effective in reducing the appearance of bulging fatty tissue at the upper back. Even better, liposuction requires less recovery and surgical time and is more affordable than a bra-line backlift. It is important to note however, due to the fibrous characteristics of the upper back, this area can be more challenging to treat. This is why it is important to do your research before selecting a surgeon to complete this procedure. While liposuction is effective in removing fat volume, liposuction will not address lax, sagging skin. Some patients are surprised to learn that what they may really need is a back lift, not liposuction.

 

 

Bra- Line Back Lift

When a patient displays poor skin elasticity and significant skin laxity, liposuction is ineffective.  In fact, liposuction alone can make the area worse. For this type of patient, a bra-line back lift is best. In fact, many post-bariatric surgery patients are great candidates for this procedure as they have lost a significant amount of body fat yet struggle with loose skin where fat cells once resided.

 

During a bra-line back lift, an incision is made at the bra line on the back. Excess tissue is then removed and/or tightened into a lifted position. Upon healing, patients will most likely still display scarring at the incision site. Luckily, many patients are able to conceal their scar with their bra. This procedure typically takes 60 to 90 minutes to complete and starts around $6,000. Recovery typically takes one to three weeks.

 

During your consultation with our board certified surgeons, your treatment plan will be established whether it be simple back liposuction or a bra-line back lift. If you would like to banish the bra-roll, call 423-648-4011 and schedule your complimentary consultation!

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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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