Many patients themselves are skeptical and most of the time unable to determine if they are needing a breast lift or and augmentation, but the surgeon will be able to take a look at your breast and after evaluation will be able to determine if a lift is sufficient and the best choice, or if you should look into an augmentation. One of the many things they will take into consideration is the relationship of the nipple with the breast fold aka infant mammary fold. If the nipple is significantly below that level, the patient will need a breast lift no matter what as an augmentation alone will not correct the underlying problems. If the nipple is just barely at the level of the mammary fold, it is possible that you can have just an augmentation, as it will work as a sort of internal lift for them.

There are two main types of implants for you to consider: saline and silicone. Most people say the silicone implants feel and look more natural than saline, but they cost more. Silicone implants are typically about $1,000 more than saline, but if you’re interested in gummy bear implants—a type of silicone implant—expect to pay even more. In a RealSelf Q&A, Omaha, Nebraska plastic surgeon Dr. Richard J. Bruneteau says you should expect to pay “about $500 more than standard silicone implants.”
Many different types of breast lifts are now available in conjunction with a breast reduction, including lifts just around the areola (periareolar), vertical/lollipop mastopexies (incision around the areola and down to the breast fold, and full breast lifts with an anchor incision. For patients who have very loose skin in the armpit or back, axillary or bra lifts are also often combined with breast reductions.
The technical goal of saline-implant technology was a physically less invasive surgical technique for emplacing an empty breast implant device through a smaller surgical incision.[89] In surgical praxis, after having emplaced the empty breast implants to the implant pockets, the plastic surgeon then filled each device with saline solution, and, because the required insertion-incisions are short and small, the resultant incision-scars will be smaller and shorter than the surgical scars usual to the long incisions required for inserting pre-filled, silicone-gel implants.
In 1999, the Institute of Medicine published the Safety of Silicone Breast Implants (1999) study that reported no evidence that saline-filled and silicone-gel filled breast implant devices caused systemic health problems; that their use posed no new health or safety risks; and that local complications are “the primary safety issue with silicone breast implants”, in distinguishing among routine and local medical complications and systemic health concerns.”[113][114][115]
The plastic surgical emplacement of breast implant devices, either for breast reconstruction or for aesthetic purpose, presents the same health risks common to surgery, such as adverse reaction to anesthesia, hematoma (post-operative bleeding), late hematoma (post-operative bleeding after 6 months or more),[21] seroma (fluid accumulation), incision-site breakdown (wound infection). Complications specific to breast augmentation include breast pain, altered sensation, impeded breast-feeding function, visible wrinkling, asymmetry, thinning of the breast tissue, and symmastia, the “bread loafing” of the bust that interrupts the natural plane between the breasts. Specific treatments for the complications of indwelling breast implants—capsular contracture and capsular rupture—are periodic MRI monitoring and physical examinations. Furthermore, complications and re-operations related to the implantation surgery, and to tissue expanders (implant place-holders during surgery) can cause unfavorable scarring in approximately 6–7 per cent of the patients. [22][23][24] Statistically, 20 per cent of women who underwent cosmetic implantation, and 50 per cent of women who underwent breast reconstruction implantation, required their explantation at the 10-year mark.[25]
A breast lift involves both repositioning the nipple higher on the chest wall and reshaping the breast.  A breast reduction does the same but also removes breast tissue to make the breasts smaller.  If you are considering a breast reduction with lift or breast lift alone, I would recommend an in-person consultation with a plastic surgeon to allow for a thorough physical examination and a detailed discussion regarding your options to determine the best treatment plan for you.  Best of luck!
You will find many different answers depending on who your ask. Cost will vary depending on many factors.... first of all it differs depending on if a board certified plastic surgeon is performing the surgery or not. Also, if the surgery is performed in a hospital based operating room vs. an office setting, if a board certified anesthesiologist is involved vs. a nurse (or sometimes performing... READ MORE
There are cases where some patients are wanting a very unnatural or obviously augmented look. This can be created by placing the implant over the muscle, as it allows you to really define the sharp edges of the implant, which in turn will create a very obviously implanted look. Aside from that, the advantages of going over the muscle can come in terms of the fact that you are preserving the strength of the pectoralis muscle. Some patients who are athletes or weight lifters, may want to ensure that they are maintaining 100% of their power and strength, therefore if the breast implant is placed over the muscle it allows them to maintain their ability to bench press at their highest weight. Furthermore, there are some patients which due to their anatomy, it is required to place the implant over the muscle. For example, if they had a previous breast augmentation where the breast implants was placed under the muscle that left significant scarring or if they had a severe capsular contraction, it would be recommended that they switch the location of the implant. Another benefit to having the breast implant placed about the muscle is that it can offer a more defined round shape if the patient’s breast has tissue that takes on a different shape.

Many patients themselves are skeptical and most of the time unable to determine if they are needing a breast lift or and augmentation, but the surgeon will be able to take a look at your breast and after evaluation will be able to determine if a lift is sufficient and the best choice, or if you should look into an augmentation. One of the many things they will take into consideration is the relationship of the nipple with the breast fold aka infant mammary fold. If the nipple is significantly below that level, the patient will need a breast lift no matter what as an augmentation alone will not correct the underlying problems. If the nipple is just barely at the level of the mammary fold, it is possible that you can have just an augmentation, as it will work as a sort of internal lift for them.
Mentor's Spectrum® post-operatively adjustable saline breast implants allow the physician to adjust the size of the breast implant for up to 6 months after breast augmentation surgery. One of the more difficult decisions you'll face in breast augmentation is deciding what size breast implant best fits your body. The Spectrum® implants give you and your surgeon more flexibility over the end result of your breast enlargement procedure.

Saline-filled Breast Implants. Saline-filled breast implants are filled with sterile saline (salt water). They come in both smooth and textured shells and can be round or anatomically (tear-drop) shaped. Saline breast implants are also available in low and high profiles, and in many sizes. A saline-filled breast implant is usually empty before implantation. The doctor moves it into place during your surgery, and then fills it. The saline is administered via a process that ensures the implants remain sterile.
Since the late nineteenth century, breast implants have been used to surgically augment the size (volume), modify the shape (contour), and enhance the feel (tact) of a woman's breasts. In 1895, surgeon Vincenz Czerny effected the earliest breast implant emplacement when he used the patient's autologous adipose tissue, harvested from a benign lumbar lipoma, to repair the asymmetry of the breast from which he had removed a tumor.[110] In 1889, surgeon Robert Gersuny experimented with paraffin injections, with disastrous results.[further explanation needed]

World-class plastic surgeons and surgical specialists, spearheaded by Dr. Mel Ortega are providing some of the best breast enlargement surgery results at Spectrum Aesthetics, Miami. Our experienced board-certified plastic surgeons are experts in making clients breast look and feel more attractive. Our surgeons use the best saline and silicone breast implants and also utilize the safest, state-of-the-art breast augmentation procedure techniques to further ensure a positive surgical experience and a long-lasting outcome.


In order to achieve such outstanding breast augmentation results, our plastic surgeons at Spectrum Aesthetics incorporate only the highest quality breast implant products. Prior to the completion of boob job procedure, our specialists inform our clients about the full benefits of breast augmentation. As a consequence, our surgical procedures result in natural looking breasts, which further increases the level of satisfaction of our clients and their individual degree of self-confidence.

When trying to determine the implant sized for your body, it can be a tricky question but also a very important question. This is the question that you and your surgeon will spend the most time discussing during your consultation. Breast size and Implant size is very subjective, since what you may consider attractive and desirable may be very different from what others consider attractive, but in the end the surgeon wants to do what is best for you and you will be pleased with. Now with that being said, it is important to remember that not all expectations can be met. This is why it is important to discuss this in detail so that the surgeon can give you feedback and recommendations that are proportional to your body frame. There are instances where patients want to go slightly over what would be considered proportional, and that is fine so long as it is safe for the patient. The operation is relatively similar regardless of the implant size, but it is crucial that you choose the implant size and the resulting breast size that will make you the happiest and attain your desired results. As stated earlier, there are certain limitations. For example, you may not have enough skin, or you may have a breast shape that precludes a very large implant. So, this is something that you and your surgeon can discuss, and they will be able to help guide you to the best decision for you and your desired results.
Adam R. Kolker, MD, explains: Although silicone breasts feel similar to real breasts, they are still man-made and don’t feel like natural breast tissue. You’ll be more likely to notice there’s an implant in a woman who began with little breast tissue than a woman who had more breast tissue to begin with. Smaller implants and those that are placed below the muscle are harder to detect.
The human body's immune response to a surgically installed foreign object—breast implant, cardiac pacemaker, orthopedic prosthesis—is to encapsulate it with scar tissue capsules of tightly woven collagen fibers, in order to maintain the integrity of the body by isolating the foreign object, and so tolerate its presence. Capsular contracture—which should be distinguished from normal capsular tissue—occurs when the collagen-fiber capsule thickens and compresses the breast implant; it is a painful complication that might distort either the breast implant, or the breast, or both.

Within a week, the transmission of a nerve impulse causing a contraction of muscle is gradually stopped. It stretches, the skin is straightened, fine wrinkles disappear completely, and the deep ones become less pronounced. Its peak effect of botulinum toxin reaches two weeks later and lasts from 4 to 6 months. During this time, the tissues remember their new relaxed state and the subsequent introduction will preserve the effect of the drug for a longer period (up to 8 months). It should be noted that the procedure should be conducted no more than 2 times a year, otherwise excess doses of toxin can cause the formation of antibodies in the body and provoke immunity to the action of the drug.
On average, breast reduction costs between $6,500 and $12,000. This does not include additional expenses that may be involved such as any medical tests that must be done prior to surgery (e.g mammogram) surgical garments and pain medications. Many women who consider breast reduction also have other cosmetic procedures done at the same time such liposuction, breast lift and abdominoplasty to enhance the overall results. If additional procedures are performed at the same time, this could also increase your overall cost. However, there usually is a discounted rate surgeons offer for having multiple procedures performed at the same time.
A small, removable fill tube is left temporarily attached to the breast implant after surgery. The tube is accessible to the physician by injection through the skin. In a simple office procedure, breast implant size can be varied by adding or removing saline until you have achieved the result you desire. At this point, the fill tube is removed (again, in a routine office visit) and a self-sealing valve immediately closes and seals the breast implant.
The ASPS and the Plastic Surgery Foundation (PSF) have partnered with the FDA to study this condition and in doing so created the Patient Registry and Outcomes For breast Implants and anaplastic large cell Lymphoma Etiology and epidemiology (PROFILE). The United States FDA strongly encourages all physicians to report cases to PROFILE in an effort to better understand the role of breast implants in ALCL and the management of this disease.[74]
A breast lift involves both repositioning the nipple higher on the chest wall and reshaping the breast.  A breast reduction does the same but also removes breast tissue to make the breasts smaller.  If you are considering a breast reduction with lift or breast lift alone, I would recommend an in-person consultation with a plastic surgeon to allow for a thorough physical examination and a detailed discussion regarding your options to determine the best treatment plan for you.  Best of luck!
It is certainly possible to lift a breast without changing the volume or removing any tissue, however, the breast will sometimes appear smaller after this procedure due to its position. It is also possible to reduce breast volume without lifting the tissue (usually via liposuction) but all reductions that are performed by making incisions will also include a lift.
Many patients return to work within the first week after breast lift surgery, depending on the nature of their jobs, and resume most daily activities after a week or so. You will need to limit exercise other than walking for the first 2-6 weeks after a breast lift; your cosmetic surgeon will provide you with detailed instructions about when it is safe to resume any activity.
After reviewing the medical data, the U.S. Food and Drug Administration concluded that TDA-induced breast cancer was an infinitesimal health-risk to women with breast implants, and did not justify legally requiring physicians to explain the matter to their patients. In the event, polyurethane-coated breast implants remain in plastic surgery practice in Europe and in South America; and no manufacturer has sought FDA approval for medical sales of such breast implants in the U.S.[93]

Some costs for breast implant revision surgery may be covered by your surgeon, depending on the reason for revision. “Generally, if the doctor feels the result is below their expectations, they will often cover much or all of the cost,” says Seattle plastic surgeon Dr. Richard P. Rand in a RealSelf Q&A. “However, if the problem is something about your body, like capsular contracture or wrinkling and rippling above the muscle, it is reasonable that charges should apply as this is no fault of the doctor.”


When the patient is unsatisfied with the outcome of the augmentation mammoplasty; or when technical or medical complications occur; or because of the breast implants’ limited product life, it is likely she might require replacing the breast implants. Common revision surgery indications include major and minor medical complications, capsular contracture, shell rupture, and device deflation.[44] Revision incidence rates were greater for breast reconstruction patients, because of the post-mastectomy changes to the soft-tissues and to the skin envelope of the breast, and to the anatomical borders of the breast, especially in women who received adjuvant external radiation therapy.[44] Moreover, besides breast reconstruction, breast cancer patients usually undergo revision surgery of the nipple-areola complex (NAC), and symmetry procedures upon the opposite breast, to create a bust of natural appearance, size, form, and feel. Carefully matching the type and size of the breast implants to the patient's pectoral soft-tissue characteristics reduces the incidence of revision surgery. Appropriate tissue matching, implant selection, and proper implantation technique, the re-operation rate was 3 percent at the 7-year-mark, compared with the re-operation rate of 20 per cent at the 3-year-mark, as reported by the U.S. Food and Drug Administration.[64][65]
In 1997, the U.S. Department of Health and Human Services (HHS) appointed the Institute of Medicine (IOM) of the U.S. National Academy of Sciences (NAS) to investigate the potential risks of operative and post-operative complications from the emplacement of silicone breast implants. The IOM's review of the safety and efficacy of silicone gel-filled breast implants, reported that the "evidence suggests diseases or conditions, such as connective tissue diseases, cancer, neurological diseases, or other systemic complaints or conditions are no more common in women with breast implants, than in women without implants" subsequent studies and systemic review found no causal link between silicone breast implants and disease.[113]
A woman wanting a reduction comes usually after having put up with the pain and in some cases embarrassment and hassle for years before she presents in front of surgeon. She experiences neck, back, shoulder pain, skin irritation and even infection, she feels self conscious and sick of breasts getting in the way of a normal life/shopping/exercising. 

The simple answer to the risk of losing sensation in the breast and nipple is that your chances of this are very low, somewhere between 1-2%. The incision is made in an area that doesn’t have any sensory nerves as a precautionary measure to minimize any potential risk to loss of sensation. Furthermore, the breast tissue itself is not cut. It is moved aside so that a space can be created for the implant, and then the implant is placed in the newly created opening. There have been some cases where sensation has been increased with the nipple and areola due to the implant pushing them forward.
In 1998, the U.S. FDA approved adjunct study protocols for silicone-gel filled implants only for breast reconstruction patients and for revision-surgery patients; and also approved the Dow Corning Corporation's Investigational Device Exemption (IDE) study for silicone-gel breast implants for a limited number of breast augmentation-, reconstruction-, and revision-surgery patients.[113]
Breast implants are available in two basic shapes: round and contoured. Contoured implants were originally designed to be used for breast reconstruction, but are now used for cosmetic breast augmentation as well. Contoured implants are shaped like a teardrop to simulate the natural shape of the breast and are made with a textured surface to help prevent movement or rotation. Round implants can also be used to create a very natural appearance, especially when placed under the muscle.
Breast reduction surgery, or reduction mammoplasty, can instantly and effectively reduce breast size through the removal of excess breast tissue. Breast reduction is a surgical procedure that involves the removal of excess skin, fat, and glandular tissue to reduce breast size, eliminating the negative issues associated with breasts that are larger than the patient desires.  Usually, the breast is lifted significantly and enlarged areolas are reduced.  The tissue removed can also be sent to a pathologist for breast cancer screening if the patient desires.
A rhinoplasty procedure, also referred to as a nose job or nose reshaping, is one of the most popular cosmetic surgeries performed in the United States. Rhinoplasty procedures are generally performed to help with redefining the size of your nose, the shape of your nose, and the overall appearance of your nose. The vast majority of rhinoplasties and performed for cosmetic purposes. However, when there is a breathing issue involved, then functional rhinoplasty is performed to correct the structure of the nose and help alleviate any breathing related issues.
Twenty-five percent of women will need another surgery after 10 years because implants don’t last forever. The implant could begin to leak over time or a “scar shell” could develop around it, warping the shape and causing a need for new implants. Weight loss, pregnancy, and change in preference are other factors that could lead the patient to having another surgery after a few years.

Swelling is a normal part of breast lift and breast reduction surgery. Swelling will involve the breasts and the tissues around the breasts as well. It can even extend onto the abdomen and the back. Elevating the head of your bed for two to three days will minimize swelling. You may sit in a chair. Applying ice to your breasts will also help. When applying the ice bags make sure there is a small amount of water in with the ice at all times. Your skin should feel cool to the touch. Do not use frozen gel packs. Reducing the swelling reduces the pain after your surgery.


Most experts agree that Botox can also be a preventative measure for some younger clients, ‘It preserves the skin and stops lines developing,’ explains Spyrou. ‘Botox softens and temporarily freezes the muscles, which means the treated area will stay flat. If you can’t physically frown, then over time, the line will smooth out.’ That being said, there's a lack information about the long term effects of starting botox at a younger age. "The long term safety data in these treatments is usually focussed on older individuals." Says Dr. Justine Hextall, Consultant Dermatologist on behalf of The Harley Medical Group. So as with most cosmetic procedures, there are risks.
Breast implants are not lifetime devices and breast implantation may not be a one-time surgery. The most common complications for breast augmentation and reconstruction with MemoryGel® Implants include any reoperation, capsular contracture, and implant removal with or without replacement. The most common complications with MemoryShape® Implants for breast augmentation include reoperation for any reason, implant removal with or without replacement, and ptosis. The most common complications with MemoryShape® Implants for breast reconstruction include reoperation for any reason, implant removal with or without replacement, and capsular contracture. A lower risk of complication is rupture. The health consequences of a ruptured silicone gel breast implant have not been fully established. MRI screenings are recommended three years after initial implant surgery and then every two years after to detect silent rupture. The most common complications with MENTOR® Saline-filled Implants include reoperation, implant removal, capsular contracture, breast pain, and implant deflation.
She advises me that there are many conspiracies around botox- staying up right for more than two hours, is false for starters. ‘The solution takes 20 minutes to settle in your muscles, so I do advise you to stay upright for then, any longer wont make a difference’. She does however advise me not to undertake exercise that’s too strenuous or hot following the treatment (fine by me) and to carefully wash my face when I get home, not scrubbing or rubbing too hard.
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