Breast

Breast Augmentation at New Jersey Plastic Surgeon Farkas Plastic Surgery

Augmentation

Breast augmentation is cosmetic breast surgery that can increase the size of the female breast. It is one of the most frequently performed cosmetic surgery procedures in the world. A breast augmentation can give a woman with small or unevenly-sized breasts a fuller, firmer, better-proportioned look. In some situations, the placement of a breast implant can also provide a small breast lift. A breast augmentation can be performed using a variety of different techniques. The most common incisions are: Underneath the breast (inframammary), around the areola (periaerolar), or in the armpit (transaxillary). Both saline and silicone implants are approved by the FDA for breast augmentation, however, only saline implants are approved for those patients younger than 22 years of age. Modern silicone implants are filled with cohesive gel that has a consistency that more closely resembles jello or a 'gummy bear' than water. This gel is believed to better prevent silicone migration once the outer silicone cover (shell) has worn out many years after implantation.

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Reduction / Lift at New Jersey Plastic Surgeon Farkas Plastic Surgery

Reduction / Lift

A breast reduction or breast lift (Mastopexy) involves repositioning the nipple to a higher position, making the areola or colored part of the nipple smaller, and re-shaping the breast with a removal of a varying amount of skin and breast tissue. When a reduction is performed a significant amount of breast tissue is removed with the primary goal to relieve back and neck pain.

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Breast Reconstruction at New Jersey Plastic Surgeon Farkas Plastic Surgery

Reconstruction

A breast reconstruction with tissue expanders is generally performed immediately after a mastectomy for breast malignancy or during the correction of congenital breast deformities. It involves placing a shaped breast tissue expander under the chest muscle or more recently on top of it. Tissue expanders are designed to be firmer and appear larger than a normal breast implant because they need to provide enough support to gradually stretch the overlying breast skin and muscle. Tissue expanders in general have a metallic port, which is accessed in the clinic with a magnet and filled through a small catheter. The lower border of the breast is frequently reconstructed with an extra layer of tissue called acellular dermal matrix, which acts to support and secure the tissue expander in place as it expands. If the expander is placed on top of the chest muscle or pre-pectoral, the breast pocket created beneath the mastectomy skin is recreated with the acellular dermal matrix covering the entire expander in the new pocket. The tissue expansion will start in the operating room and then be continued in the clinic by Dr. Farkas and his nursing staff when the initial healing phase is complete. Dr. Farkas usually recommends at least one night observation so that patients are comfortable and confident in their recovery after this type of surgery.

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Nipple Reconstruction at New Jersey Plastic Surgeon Farkas Plastic Surgery

Nipple Reconstruction

Nipple reconstruction is typically the last surgical stage of your breast reconstruction. Often this is done through the same incision as the initial surgery. The procedure itself involves the elevation and rotation of multiple flaps to give a new projected nipple or a grafting of the areola or nipple sharing procedure. The location will be discussed immediately prior to surgery. The initial nipple reconstruction will look much different in size shape and color then the final result. Depending on your desires this can be tailored to your specific case to some degree. Some reshaping may be performed at the same time as the nipple reconstruction. In some circumstances as part of the reshaping fat grafting can be performed at this same time. If this is planned it will be discussed with you. In most situations, this is an outpatient surgery and is tolerated very well. Areola tattooing and/or 3-D tattooing is typically discussed 8 weeks after nipple reconstruction.

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Gynecomastia at New Jersey Plastic Surgeon Farkas Plastic Surgery

Gynecomastia (Male Reduction)

Gynecomastia is a medical term that comes from the Greek words for "women-like breasts." Though this oddly named condition is rarely talked about, it's actually quite common. Gynecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast over development, there is no known cause in the vast majority of cases.

The surgery can be performed by excision or liposuction depending on whether the breast is excess glandular tissue or fatty deposits.

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Breast Augmentation Mastoplexy at New Jersey Plastic Surgeon Farkas Plastic Surgery

Augmentation/Mastoplexy

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Breast Lift at New Jersey Plastic Surgeon Farkas Plastic Surgery

Lift

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Breast Lift at New Jersey Plastic Surgeon Farkas Plastic Surgery

Augmentation and Lift

Augmentation mastopexy is a surgical procedure to reshape the breast and add volume where needed. It is most commonly performed in women who have a history of pregnancy and/or breast feeding but may be seen in patients as they age or have weight fluctuations. Most women are simply looking to rejuvenate their breasts and restore them to where they were previously and not necessarily looking for dramatic size changes. The best candidates for breast augmentation/mastopexy are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations and have a reasonable desire to have an improvement in your breast shape and contour you are likely an excellent candidate for surgery.

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Implant Based Reconstruction at New Jersey Plastic Surgeon Farkas Plastic Surgery

Implant Based Reconstruction

A breast reconstruction with tissue expanders is generally performed immediately after a mastectomy for breast malignancy or during the correction of congenital breast deformities. It involves placing a shaped breast tissue expander under the chest muscle or more recently on top of it. Tissue expanders are designed to be firmer and appear larger than a normal breast implant because they need to provide enough support to gradually stretch the overlying breast skin and muscle. Tissue expanders in general have a metallic port, which is accessed in the clinic with a magnet and filled through a small catheter. The lower border of the breast is frequently reconstructed with an extra layer of tissue called acellular dermal matrix, which acts to support and secure the tissue expander in place as it expands. If the expander is placed on top of the chest muscle or pre-pectoral, the breast pocket created beneath the mastectomy skin is recreated with the acellular dermal matrix covering the entire expander in the new pocket. The tissue expansion will start in the operating room and then be continued in the clinic by Dr. Farkas and his nursing staff when the initial healing phase is complete. Dr. Farkas usually recommends at least one night observation so that patients are comfortable and confident in their recovery after this type of surgery.

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Microvascular Reconstruction at New Jersey Plastic Surgeon Farkas Plastic Surgery

Microvascular Reconstruction

Breast reconstruction using your own body’s tissue from your abdomen with either a free TRAM or DIEP flap has the advantages of forming a natural appearing and feeling breast. The abdominal tissue is removed with its blood vessels and transplanted to the chest vessels to assume a new role as living tissue under the breast skin. The blood vessels and tissue are fragile and can be injured very easily. Dr. Farkas promotes the healing of the free flap with close observation for the first 72 hours. The flap is monitored with a Doppler ultrasound, which detects a pulse and blood flow within the flap. Most patients will be hospitalized from three to seven days but this varies for the individual patient. Despite the increased complexity of the procedure the increased length of recovery, Dr. Farkas strives to make this breast reconstruction method a reliable option with a very predictable recovery so please do not hesitate to call the office with any questions throughout your recovery period.

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