Breast

At some point in life, many women consider breast augmentation, reduction, or reconstruction. Our highly skilled team of doctors has successfully worked with thousands of women to help them achieve their specific goals. If you have had a mastectomy due to breast cancer, we offer reconstruction procedures customized for you.

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Augmentation Mastopexy

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Breast Augmentation

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Breast Reconstruction

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Breast Reduction

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Mastopexy

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Gynecomastia

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Augmentation with Mastopexy

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Breast Augmentation

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Breast Reconstruction

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Breast Reduction

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Nipple Sparing Reconstruction

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Augmentation

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Augmentation with Mastopexy

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Breast Augmentations

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Breast Reconstruction

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Breast Reduction

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Mastopexy

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Augmentation

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Augmentation with Mastopexy

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Mastopexy

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Breast Reconstruction

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Breast Reduction

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Breast PROCEDURES Explained

BREAST AUGMENTATION
Breast augmentation is an extremely popular procedure designed to enhance the size and shape of your breast. There are a variety of reasons for undergoing an augmentation, including small breast, breast ptosis (sagging with age), loss of volume due to childbearing or weight loss, and congenital breast asymmetry. Augmentation can help restore an aesthetically pleasing breast in all of these situations. Three different surgical incisions can be utilized:

  • Axillary (under arm)
  • Infra-mammary (under the breast)
  • Peri-areolar(around the nipple)

We perform all of these, including the axillary approach which eliminates all scars from the breast.

Cosmetic augmentations are performed utilizing saline or silicone gel filled breast implants which are available in several styles (moderate, moderate plus profile and high profile). The implant style and size that would be most appropriate for you is determined during your consultation.

Silicone gel implants are now available for primary cosmetic augmentations, provided the patient is at least 22 years of age.

In our practice, the silicone implants can be inserted through the same small incision as a saline implant. Our own physician developed a device that allows a “no touch” method to insert gel implants. The Keller Funnel has been used all over the U.S. and in several other countries to facilitate silicone gel breast augmentations as well as reduce infection rate.

The implants are generally placed beneath the muscle of the chest wall which gives a softer, more natural appearance.

This procedure can be done in our office surgery suite under general anesthesia and takes approximately 45-90 minutes. Recuperation takes about 5-7 days and possibly longer if your job requires heavy lifting.

Drs. Keller, Lovett and Blakemore would like to suggest massage therapy following your breast surgery.

Massage therapy will aid in reducing swelling, pain and bruising postoperatively. It can also alleviate the muscle spasms some patients may experience. This will help reduce the amount of muscle relaxants and pain medication you require. In addition, our massage therapists are experienced in scar massage which assists in minimizing the appearance of your surgical scars. A postoperative massage is suggested 7-10 days following your surgery.

Your first postoperative massage is complimentary and you are encouraged to consult with your massage therapist about designing a specific program to expedite your recovery and optimize your results.

Keller Funnel
Every decision you make surrounding your breast augmentation surgery is important. The fact that you are reviewing this information means you are interested in the very latest products and techniques available. The Keller Funnel was designed by our own Dr. Kevin Keller (plastic surgeon) to improve delivery of silicone gel implants during breast augmentation procedures.

Designed to facilitate the delivery of silicone gel implants during augmentation mammaplasty, The Keller Funnel is now used by trained surgeons throughout the United States, including all three of our surgeons. Inventor and our very own plastic surgeon Kevin Keller, M.D. developed the cone-shaped, nylon device with a special interior coating that allows doctors to easily propel an implant into place with minimal force. Experienced users of the Keller Funnel have realized the multiple benefits for both patients and surgeons.

Because every woman is different and individual results may vary, you should speak to your surgeon about the merits of the Keller Funnel that may include:

  • Shorter incision lengths
  • Improved comfort and faster healing
  • No touch technique
  • More choices for incision placement
  • Reduced force on the implant and incision

When contacting to learn more about The Keller Funnel, please feel free to request our “Patient Education Brochure”, we’ll be happy to send you one, alternatively please also feel free to visit: www.kellerfunnel.com

BREAST LIFT (MASTOPEXY)
A breast lift, also known as a mastopexy, is a procedure designed to correct sagging of the breast. Ptosis, or sagging, can be due to aging, weight loss and child bearing. Re-shaping and lifting the breast is accomplished by removing excess skin.

The extent of the scars depends on how significant the sagging is. At a minimum the scar will encircle the nipple/areola region. With increasing amounts of excess skin, additional incisions become necessary extending from the areola to the fold under the breast, and within the fold under the breast. The incisions typically heal well, leaving very acceptable scars.

If you wish to restore the lost volume to the breast as well as to reshape them, the best results will be obtained with a combination of a lift and an augmentation with a breat implant. This procedure can be performed in the surgery center as an outpatient. Recovery time is brief and most individuals can return to work within a week.

Drs. Keller, Lovett and Blakemore would like to suggest massage therapy following your breast surgery. Massage therapy will aid in reducing swelling, pain and bruising postoperatively. In addition our massage therapists are experienced in scar massage which assists in minimizing the appearance of your surgical scars. A postoperative massage is suggested 7-10 days following your surgery.

BREAST REDUCTION
Large breasts are commonly associated with a wide variety of unpleasant symptoms including:

  • Neck/back/shoulder pain
  • Deep grooves from bra straps
  • Skin rashes/infection
  • Poor posture
  • Difficulty exercising
  • Inability to obtain proper fitting clothing

Breast reduction surgery is designed to decrease the size and weight of the breast, thereby alleviating these symptoms. When the breast is reduced, it is also lifted and the nipple restored to the front of the breast. Most scars are red initially, but fade to a fine white line over a period of months.

This surgery is normally done on an outpatient basis and most people can return to work and regular activities within two to three weeks. The surgery may be covered by your insurance company if it is deemed to be medically necessary.

Drs. Keller, Lovett and Blakemore would like to suggest massage therapy following your breast surgery. Massage therapy will aid in reducing swelling, pain and bruising postoperatively. In addition our massage therapists are experienced in scar massage which assists in minimizing the appearance of your surgical scars. A postoperative massage is suggested 7-10 days following your surgery. Patients may return to work in 1-2 weeks.

BREAST ASYMMETRY
Congenital breast asymmetry is a common condition affecting many women. As a young woman develops she may notice a difference in shape and/or size between her two breasts. A combination of the techniques described on this page can often be used to improve the appearance of the affected breast, as well as restore symmetry with the opposite side. Insurance coverage for these procedures vary by insurance company. A consultation with one of our doctors is needed to determine what procedures will be necessary for an individual patient.
BREAST RECONSTRUCTION
Today, almost all patients with breast cancer are candidates for breast reconstruction. In most instances the reconstructive procedure is begun immediately following the mastectomy. This markedly reduces or eliminates the period of time during which the patient must live without a breast. Immediate reconstruction has repeatedly been shown to be safe and much better for the individuals’ emotional well being. Your surgical oncologist and plastic surgeon will work together to design the best operation for you.

Breast reconstruction is performed using either a synthetic implant, natural tissue borrowed from another part of the body, or a combination of both. Implant reconstruction is done in two phases: an initial operation when the tissue expander is placed under the chest wall muscle immediately after the mastectomy and a second operation when the tissue expander is removed and a permanent implant is placed. The tissue expander is an unfilled implant with a valve, which allows it to be slowly inflated in the office after surgery. The permanent implant is a saline or silicone gel filled prosthesis that comes in a variety of shapes and sizes. The implant used is chosen to best match the opposite breast. The advantages of this approach include a more rapid recovery and there are no additional scars off of the breast.

Breast reconstruction using your own tissue involves moving skin, fat and muscle from another area to replace the breast tissue. The lower stomach is the most common area to borrow tissue from, but the back can be used as well.

UPS is accredited by the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF). At our surgical center, you can feel confident that you are receiving the best quality care with each of our doctors. While choosing the right surgeon is of paramount importance, equally important is the facility in which the procedure is performed. The AAAASF looks to factors such as emergency readiness, equipment standards, and cleanliness in deeming a facility safe for surgical procedures. We are proud to be included in this list, and proud of the reputation we have earned over the years with the people we treat.

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