Joel B. Singer, M.D. - Breast Enlargement

Breast Augmentation/Mastopexy

Breast Augmentation

Click here to review more before and after photos by Dr. Singer or a large collection from all the surgeons featured in the Imperial Plastic Surgery Photo Gallery.

Breast augmentation

BEFORE AFTER

Saline implants were placed under the muscle to increase cup size from an "A" to a "C".

BEFORE

AFTER

Augmented to a full "C" cup, this women's breasts are now proportional to her body and enhance her figure.

Patient Assessment
	Breasts that are small.
	Lack of normal proportion with chest size and overall physique.
	Breasts that have lost volume after childbearing.
	Some women benefit from a combination of both augmentation and uplift (discussed under Breast Uplift) which can greatly enhance their silhouette.

Procedure
	Incisions can be made in one of three places: an infra-mammary incision hidden below the breast, an axillary incision through the armpit, or a periareolar incision around the lower border of the areola. (the pigmented area around the nipple)
	Surgeon creates a pocket either directly behind the breast tissue or underneath the chest wall muscle. A breast implant is inserted, filled to the desired volume with sterile saline solution, and the incision is closed.

Recovery
	Patient goes home with a light dressing and support bra. A soft brassiere is worn for a few weeks.
	There will be some post-operative pain for a few days but it is easily controlled by medication.
	Light activities may be resumed in a week to 10 days, more vigorous activities in two to four weeks.

Intended Result
	Fully shaped breast of the desired size.

Breast Lift/Mastopexy

Click here to review more before and after photos by Dr. Singer.

BEFORE

AFTER

A breast lift with implants reduced the sagging and restored volume.

Patient Assessment
	Sagging, loose breasts.
	Breasts that have lost volume and elasticity after childbearing.

Procedure
	Donut Mastopexy Commonly named the "Benelli Technique", it is used in women with mild to moderate breast sagging (ptosis) because the nipple does not need to move very far. A simple incision is made around the areola (nipple-complex), leaving a scar which fades into this natural line. Women with significant breast ptosis may need a standard breast lift, which involves more incisions.
	Excessive skin is removed and the breast is fitted to a more natural position.
	Some patients may benefit from placement of an implant (Described under Breast Augmentation) to improve breast size and shape.

Recovery
	Patient goes home with a light dressing and a support bra.
	There will be some minimal post-operative pain for a few days but it is easily controlled by medication.

Intended Result
	Elevated youthful breast contour with nipple/areola complex in proportion to new breast size.

		F A Q's

Frequently Asked Questions

I'm only in my late 30s but I'm interested in having my breasts lifted. I like my B-cup size but I want to have my natural sagging reduced. Is it possible to do this small breast lift with minimal scars?

You'll be happy to know that there is a surgical approach which leaves little appearance of a scar because the incision is placed at the edge of the areola. It's called a donut mastopexy. The incision is made at the junction between the nipple's edge and the regular breast skin. The scar then blends into this natural line. The appropriate candidates are smaller-breasted women with average sagging, such as yourself. In some cases, a breast implant can provide increased fullness not achievable with just a breast uplift. To better understand if you might be a candidate and to view before and after photos, contact our office for a complimentary consultation.

With breast augmentation, do you fill the implants all at once or a little at a time? How do you get the right size?

The decision process starts during the initial consultation, when the patient and I discuss how she wants to look and what size she wants to be. Accurate measurements of the breasts are taken. Results that appear the most natural are achieved when the implant chosen is in proportion with the existing contours of the body. During the surgery, implants are inserted and filled with saline solution (sterile salt water) to the selected size, adjusting the size by adding more volume to one side or the other. I have many years of experience with understanding what my patients are asking for and helping them achieve it..

Your breast augmentation results in your slides look very natural. Do you use different shaped implants?

There are many variations of implants: teardrop (anatomical), round, textured and smooth. The choice depends upon the body type, the breast shape and the patient's preference. Understanding the options and the results from different choices has enabled me to do natural looking breast augmentations.

I recently lost a lot of weight. I think I look great except for my breasts. I lost a lot of weight there, too, and now they're too small and they really sag. I want my cleavage back. What can you do for me?

A combination of a breast lift and enhancement may be best for you. A breast lift can remove excess skin that is left over after your weight loss and an implant will replace some of your lost volume. A consultation will help you determine which procedures can help you achieve the results you desire.

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Imperial Plastic Surgery
Phone: (203) 226-6351
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32 Imperial Avenue, Westport, Connecticut 06880