BREAST SURGERY
This surgery has afforded so many women the confidence and comfort they have been looking for and we can help you too! Many women feel great relief when they are able to achieve what they desire by either enlarging, reducing or lifting their breasts.
Here at ‘MY’, we understand the sensitive issues that surround this type of cosmetic surgery. Breast surgery is a frequently requested form of cosmetic surgery and our surgeons have a wide range of experience and can offer you helpful solutions to the issues you are facing!!
BREAST AUGMENTATION
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You deserve to look and feel great! There are so many reasons for women choosing breast enlargement. This procedure can make all the difference to the confidence and happiness of those who feel they would like to undergo this surgery. Our team are committed to enabling women to make choices that suit them by affording them with the information and care to help them achieve their desired outcome!
Q. Can I choose the cup size that I want?
A. It is advisable to discuss with your surgeon what is a reasonable size in terms of your height and body shape and your expectations before you undergo surgery. It is not possible to predict with absolute accuracy the cup size that an individual patient is likely to be after this procedure. Your surgeon will endeavour to give you a result, which is appropriate for your height, and build keeping your preferences in mind.
Q. What does the operation involve?
A. Breast enlargement is performed under general anaesthetic and may involve one or two nights stay in hospital. With some patients it may be possible to carry out the procedure as a day case. A tube drain is inserted into each breast to remove any blood fluid that may have collected around the implant. This tube drain is normally removed within 24 to 48 hours and the patient is allowed home in a supportive soft brassiere. Following surgery there is some discomfort, which is more than adequately treated by painkillers. The breast can be bruised and swollen and appears larger in the first few days after surgery than the eventual size. In approximately six weeks the swelling and bruising settles to a large extent and the final shape of the breast becomes evident.
Q. What is the usual post-operative care?
A. A small dressing is applied to the suture line in the crease underneath the breast. Most patients are able to shower and change the dressing themselves everyday at home. An outpatient appointment is made for removal of sutures approximately one week after surgery. A review appointment is usually offered one to three months after the operation.
Q. What level of activity can be carried out in the weeks following the operation?
A. For the first couple of weeks patients can experience discomfort while lifting weights or stretching the arms above the head. It is advisable to have help around the house and with young children during this period. The majority of patients are quite comfortable and able to return to work within two to three weeks after surgery. It is usually possible to return to normal exercise schedules including gym, aerobics and swimming four to six weeks after surgery.
Q. What specific issues should be discussed in the preoperative consultation?
A. Your surgeon will discuss the different shapes and types of implants that are available to you. You will be informed as to whether the implant will be placed above or below the pectoral muscle in the chest and what the long-term implications of having a breast implant would be in. Such problems may include capsule formation, leaks and ruptures, future mammograms, implications for pregnancy and breast-feeding and the possibility of revision surgery in the future.
Q. What are the possible complications of this procedure?
A. Breast enlargement surgery can have complications just like any other surgical procedure. These include bleeding, haematoma (blood clot under the skin or in the substance of the breast), infection, visible scar, asymmetry, loss of sensation in the nipple and long-term problems such as capsule formation, leaks or ruptures. Very rarely does an implant have to be removed due to a severe infection following surgery. If this happens the breast is allowed to settle and a new implant is put in three to six months after the operation.
Q. What are the guarantees about the lifespan of an implant?
A. No implant manufacturer guarantees an implant for life but 10 to 15 years is considered a reasonable timeframe for implant survival. Patients are invited to return for an annual review to check the integrity of the implant and for significant capsule formation. If there is a suspicion of a leak or rupture the surgeon may advise you to have an MRI scan or an ultrasound examination to check on the integrity of the implant.
BREAST REDUCTION
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Do you suffer with constant back ache, neck ache and sores from bra straps? What about skin irritation under the breast and real discomfort when exercising?
This could well be the surgery to help you and make these challenges a thing of the past! Our experienced surgeons have helped many women regain comfort and self confidence by breast reduction surgery.
Q. What is the treatment for large breasts?
A. The size of a breast can be reduced by an operation which involves a general anaesthetic and one or two nights in hospital. This is a common procedure in which excess breast tissue is removed and the skin of the breast is tightened resulting in a smaller and better shaped breast with a more youthful appearance.
Q. What is the usual postoperative care?
A. Following surgery a tube drain is inserted into each breast to remove any fluid blood that collects underneath the skin. This tube drain is normally removed within 24 to 48 hours following surgery. Most patients are able to have a shower before they leave hospital and every day at home. An outpatient appointment is made for removal of sutures one week to ten days following surgery.
Q. How does the appearance of the breast change following surgery?
A. Following surgery, the breasts are swollen and bruised and will appear larger and higher than the final result. It is important to bear this in mind for the first six to eight weeks after a breast reduction. The swelling and bruising gradually subsides over a period of two to four weeks. The breast feels firm to start with and gradually becomes more supple and natural in appearance over six to twelve weeks following surgery.
Q. How do patients feel in the first couple of weeks following surgery?
A. Most patients experience mild discomfort in the first few days after an operation which is adequately controlled by painkillers. There may be some restriction of movement especially while lifting heavy weights or stretching above the head which gradually returns to normal over seven to ten days. Most patients returned to normal activities within two to four weeks following surgery and are able to undertake normal exercise regimes including gym, aerobics and swimming approximately four weeks following the operation.
Q. How much time do I need off work?
A. Most patients are able to return to work which does not involve heavy lifting, approximately two to three weeks after surgery.
Q. What are the possible complications of this procedure?
A. Breast reduction can have complications just like any other surgical procedure. These include bleeding, haematoma (blood clot within the breast), infection, visible scars, asymmetry and loss of sensation over the breast and nipple. Although it is very unusual there is a small possibility of partial nipple loss or fat necrosis (painful lump) in the breast. Very rarely is it necessary for patients to have a revision procedure following a breast reduction. Your surgeon will discuss potential complications with you in detail at the time of the consultation.
BREAST UPLIFT
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Many women find that following pregnancy and breast-feeding, their breasts have suffered and may be in need of an uplift! It is possible to lose the stretch marks and regain your desired look once more with this type of surgery!
Q. What is the treatment for breast ptosis or droop?
A. Breast ptosis can be corrected by a procedure called mastopexy which involves removal of excess slack skin and repositioning of the breast tissue and nipple resulting in a more youthful appearance of the breast.
Q. What does the operation involve?
A. A mastopexy is carried out under a general anaesthetic and usually involves one night in hospital. Following the operation, a tube drain may be placed within the breast to remove any fluid or blood that collects after surgery. This tube drain is removed one or two days after surgery and the patient is allowed to go home. Most patients are able to shower daily and replace their own dressings at home. An outpatient appointment is made for a week after surgery for removal of sutures.
Q. What is the usual postoperative course?
A. Most patients have minimal discomfort, which is well controlled with painkillers. They may have slight difficulty in lifting heavy weights or stretching the arms above the head which normally resolves within a few days. The breasts are usually bruised and swollen for two to six weeks after the operation. During this period patients are advised to wear a sports bra or a soft bra with no under wires. The vast majority of patients are virtually back to normal in two weeks and are able to participate in gym, aerobics and swimming at four weeks after the operation.
Q. How much time do I need off work?
A. Most patients are able to return to work within two weeks of the surgery.
Q. What are the possible complications of this operation?
A. Just like any other operation mastopexy has its own possible complications such as bleeding, haematoma (blood clot in the substance of the breast), infection, delayed wound healing, visible or unfavourable scars, minor asymmetry in size, shape or position of the scars and loss of sensation in parts of the breast or the nipple. These complications are relatively unusual. Sometimes patients may require a small secondary revision procedure approximately 1 year following surgery.
CORRECTION OF INVERTED NIPPLES
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Our team of qualified surgeons have helped many women with this issue! Inverted nipples is a problem for many women. It can cause difficulty for women to breast feed and can cause some to feel self-conscious. Something can be done about it!
Before considering surgery though, be sure to have your breast checked thoroughly as this problem can occasionally be a sign of cancer.
Q. What does surgery for this condition involve?
A. Correction of inverted nipples can be carried out either under local anaesthesia or general anaesthesia as a day case procedure. A small incision measuring a few millimetres is made just below the nipple and the shortened ducts are divided. The nipple is everted and held in place with a dissolving suture which is placed under the skin. A small dressing is applied which is removed the following day.
Q. What is the usual postoperative course?
A. There may be slight bruising or swelling and tenderness at the site of surgery. This usually resolves within a few days. Patients can have a shower as normal and change the small dressing over the nipples themselves every day.
Q. How much time do I need off work?
A. Patients can return to work within a couple of days of the operation.
Q. Are there any possible complications of this procedure?
A. Just like any other operation this procedure could have complications such as bleeding, haematoma formation and infection. Following this procedure there can be a loss of sensation in the nipple and it may not be possible to breast-feed. In a small percentage of cases the inversion of the nipple can recur.
GYNAECOMASTIA (Enlarged male breasts - reduction surgery)
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Are you fed up of being conscious of taking your shirt off? Would you like to feel confident taking your family swimming again? Our team of experts have helped many men with this very real problem and they can help you!
Q. How is gynaecomastia treated?
A. Gynaecomastia can be dealt with by a procedure which involves a combination of liposuction of the fat accumulated in the breast and excision of the breast disc, if required. This procedure is carried out under general anaesthetic and usually involves a stay of one night in hospital. In the event that liposuction alone is required, it may be possible to have this procedure carried out as a day case. Following surgery, there is some discomfort which is more than adequately treated by painkillers. There is bruising and swelling in the breast. There may not be a significant change in the size of the breast following surgery in the first few weeks as the fat that is removed is replaced by fluids. In approximately six weeks, this fluid will be absorbed and a reduction in size is then visible.
Q. What is the usual postoperative care?
A. Following surgery, a small dressing is applied to the site of the incisions for liposuction or for removal of the breast disc. Sutures are removed a week after surgery. A pressure bandage or binder is applied around the chest to decrease the swelling. This is normally worn for a week after the procedure.
Q. How much time do I need off work?
A. Most people are able to return to work, which does not involve heavy manual labour in approximately two weeks. It may take up to four weeks for certain individuals to be able to resume normal activities at work and for leisure.
Q. What are the possible complications of this procedure?
A. Treatment of gynaecomastia can have complications just like any other surgical procedure. These include bleeding, haematoma (clot under the skin), seroma (fluid collection under the skin). There is a change in the sensation over the breast and in the nipple. There can be asymmetry (difference in size) or rippling of the skin. Very rarely is it necessary for patients to have a revision procedure following treatment of gynaecomastia.