Large breasts are a significant problem for many women your age. Even before having children breasts can become so large that they become a social problem and also interfere with physical activities and sporting activities. It is very common to do breast reduction surgery in patients before they have children; however, it is very important to understand that your breasts will still behave the same way with pregnancies even after breast reduction – meaning that if there is a significant amount of weight gain with a breast reduction or if you choose to breastfeed, the breasts will enlarge again. However, they will never become quite as large as before the breast reduction. Many women who have had breast reduction and then go on to have pregnancies, if they keep the weight gain to a normal 25-30 pounds, they do not see significant changes in their breasts. Breast reduction surgery is one of the most satisfying procedures for patients since the weight is gone immediately and the back pain is alleviated almost immediately, even though there may be some discomfort from the actual surgery in the first couple of days, the weight is lifted and there is immediate relief of the strain the breasts were causing on the shoulders.

A tummy-tuck breast aug is a combination of procedures that is very commonly done. Very often women have concerns about their tummies and their breasts and when these procedures are performed at the same time, they do compliment each other and the overall result is even better. The way we are able to do th is safely is, of course, to make sure the patients are in good physical health before the surgery and after the surgery pain is a concern. Therefore, we use techniques of anesthesia that allow us to do this on an outpatient basis and one of these things that have offered significant comfort to patients is a pain-pump which is a device that automatically delivers a local anesthetic therefore keeping the operative areas numb for 3-5 days after surgery. With these techniques we are able to do combined procedures of the tummy and breasts safely and comfortably.

People who have lost a lot of weight whether on their own or after gastric bypass can be ideal candidates for a body lift. A body lift is essentially a tummy-tuck, thigh-lift and buttock-lift all at the same time. The incision for this would go all the way around, starting at the pubic area extending around the hips all the way to the buttocks. The scar is placed along special lines so that it will fall right under your normal underwear or under garments and will not be seen. The procedure may take 4-6 hours and it is done under general anesthesia. The scar again does go all the way around but because it is placed very low it can be hidden under under-garments or under normal clothing. It is a perfect procedure for someone who has lost a massive amount of weight and has excess skin and laxity along the tummy, thighs and buttocks since it would take care of all three areas all at once.

When considering a breast augmentation, cup size is a very personal thing, but whether you would like to be a B or a full D-cup I believe the most important thing is to have the breasts look and feel natural. That’s why I place the impalnts under the muscle, giving the breasts a softer, more natural look and feel. Even if you chose to have larger implants it’s still very important that they look natural.