1. Breast lift vs breast augmentation: How to tell which is needed?

A Breast Augmentation is done to enhance or enlarge the breast. A Breast Lift is performed to raise the breast back into the “normal” position. The procedures may be performed alone or in combination to not only lift, but enlarge the breast. If the breast has a normal position, with most of the breast tissue above the base/inframammary crease and if the nipple is not below the base, then a Breast Augmentation would be the best choice. If however, the breast skin has significant laxity and the nipple sits low on the breast, a Breast Lift is the correct option.

2. Can breast lift with implants provide symmetrical breasts?

A Breast Lift is designed to create symmetric breasts. If asymmetry exists prior to surgery, a breast lift alone or combined with an augmentation can very commonly create a very even and symmetrical breast shape.

3. What kind of breast lift leaves minimal scars?

The Breast Lift with the smallest scar is called a Concentric Mastopexy or Doughnut Lift. The procedure involves a surgical scar just around the areola or outer area of the nipple. However, most often the Breast Lift also has a small scar that extends vertically down from the nipple to the base of the breast or below the breast in the crease.

4. Can breast lift and breast augmentation procedures be performed on the same surgery?

Breast Lift and Breast Augmentation surgery are often performed together. Patients who require a Breast Lift will quite commonly have a significant loss of volume that makes the breasts appear “droopy”. Combining an implant with the lift, can create a very natural, fuller breast. In our experience, the combined procedure has a much longer lasting result than just a Breast Lift alone.

5. Is it possible to breastfeed after breast lift surgery?

We have numerous patients who have had Breast Lifts done prior to pregnancy and nursing. There have not been many issues. While no one is guaranteed that they have the ability to breast feed after pregnancy, Breast Lifts should minimally alter that option.

6. Should I wait until after pregnancy to get a breast lift?

While pregnancy does change the breast shape and size, it is a matter of the severity of the breast changes before pregnancy that should determine the timing of surgery. The best, longest lasting result would clearly occur when breast changes are minimized, i.e. pregnancy and weight changes. We have had many patients that would prefer the improvement over waiting until pregnancy. Make sure that all those issues are completely discussed with your Plastic Surgeon.

7. What questions should I ask my doctor before a breast lift?

Any question should be on the table when considering cosmetic breast surgery. Make sure your MD is board-certified by the American Board of Plastic Surgeons. Ask how many Breast Lift procedures the doctor has performed. Ask to see pre and post-operative photographs. Make sure you ask about risks, complications and physical limitations.

8. What is the recovery time from a breast lift surgery?

Recovery time after a Breast lift alone or combined with an Augmentation is in stages. The toughest part is the first 24-48 hours, when pain medication will be necessary. Patients will often take between 4-7 days off of work. Heavy lifting or strenuous exercise may be limited for 4-5 weeks. Most patients can resume driving after 2-3 days.

9. What is the difference between a crescent breast lift and a vertical lift?

A crescent lift includes a small semi-circular incision above the areola/colored are of the nipple. This may be performed in combination with a Breast Augmentation to reposition a nipple that is slightly low with minimal skin laxity. A Vertical Lift may include an incision all the way around the areola and a vertical incision to the  base of the breast. This procedure is done in patients with more severe skin laxity and droop of the breast and nipple. Both procedures are performed as outpatient operations at an accredited surgery center.

10. Can I combine breast lift and areola reduction in one surgery?

Very commonly areola reduction is included with the Breast Lift procedure. With pregnancy, nursing or weight changes, the areola can enlarge and expand as it drops in position. Often there is also asymmetry of the areola from one breast to the other. Correction of asymmetry and reduction of the enlarged size makes the final result that much more natural and appealing.

11. Will a breast lift without implants make breasts look smaller or larger?

A Breast Lift without implants will often  make the breasts appear slightly smaller. However, the improved position and shape should improve the appearance significantly such that the reduced size is not of any consequence. As described above, combining an implant with the Breast lift will often improve the final result and provide a longer lasting improvement.

shutterstock_57017042 (1)If you have never had a facial treatment before you may have several questions such as: what is a facial and why do I need one? What type of facial is best for me? What should I expect after a facial?

A facial is a cosmetic procedure in which the skin is deeply cleansed, exfoliated, and massaged and can only be performed by a licensed esthecian. The purpose of a facial is to rejuvenate the skin, remove impurities, and increase circulation. Before booking a facial, you should know what to expect. The first thing your esthetician will do is a full consultation. You may be asked to fill out a consultation form with questions about your skin and health history. Your esthetician will ask you questions about your current skincare routine, what your skin concerns are, and what you are looking to achieve. The next step is a thorough skin analysis. Your skin will be examined under a magnifying lamp where your esthetician will look at your skin up close and determine which treatment will be best for you. Your skin may also be examined under a Wood’s lamp, which is a hand held device that uses a black light to illuminate areas of the face that would otherwise be difficult to see. The Wood’s lamp can show bacterial infections in the skin or underlying hyperpigmentation; your esthetician will determine which skincare protocol and treatments will address those concerns. After careful analysis, your treatment will begin with a thorough skin cleansing followed by a deep exfoliation. Your skin will then be prepped for extractions using a desincrustation solution and steam, which will soften the skin and allow for proper blackhead removal. Extractions can be uncomfortable, but shouldn’t be painful. Always inform your esthetician if you’re feeling any pain during your facial. Immediately following your extractions, the skin will be toned and desincrustation solution will be removed. Your skin will then be massaged using essential oils appropriate for your skin type. After massage, a facial mask will be applied to address specific concerns and will be allowed to absorb for about 10 minutes. After the mask is removed, your esthetician will then massage skincare products on your skin and will give you instructions on how to properly care for your skin post facial.  A skincare protocol will be recommended in order for you to care for your skin at home and  you should expect to have your next facial within 3-4 weeks. A regular series of facials will give you the best results.

It can be a bit confusing when choosing which type of facial to get. Generally, there are anti-aging, deep cleansing and sensitive skin facials. So how do you know what to choose? The type of facial that would be best suited for you truly depends on your skin type and concern. Your esthetician can help determine which facial is best for you. All facials are able to be customized to your specific needs. No skin is identical therefore no facial will be identical.

After a facial your skin is deeply cleansed, exfoliated and massaged; circulation is increased which can cause some flushing or temporary mild redness. You should also expect your skin to go through mild detox which might cause a few small breakouts and is completely normal. Avoid picking at these breakouts as it can cause scarring.  After your facial you should avoid applying anything to your skin until the next morning, this includes water; do not wash your face until the next morning. Try not to use any at home peels or retinoid products for at least 3 days after your facial; avoid steam, sauna, or working out after a facial. Your skin has already been exfoliated and massaged and you do not want to over exfoliate or over stimulate your skin. Make sure to avoid prolonged sun exposure, and apply plenty of sunscreen when outdoors. And lastly, avoid applying any makeup for the rest of the day. Your skin will have a glow and radiance that you will not want to cover with makeup.

Proper care of the skin is a partnership between you and your esthetician. You should consistently take care of your skin to maintain the results of the facial in order for you to have the long term  results you desire.  As long as you follow the aftercare instructions, use the skincare products recommended and continue to see your esthetician on a monthly basis, you should expect to see your skin improve overtime.

To view our list of facials and other spa services, click here.

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1. Breast Lift vs Breast Augmentation: How to tell which is needed?

A Breast Augmentation is done to enhance or enlarge the breast. A Breast Lift is performed to raise the breast back into the “normal” position. The procedures may be performed alone or in combination to not only lift, but enlarge the breast. If the breast has a normal position, with most of the breast tissue above the base/inframammary crease and if the nipple is not below the base, then a Breast Augmentation would be the best choice. If however, the breast skin has significant laxity and the nipple sits low on the breast, a Breast Lift is the correct option.

2. How to choose the right breast implant size?

When choosing the right implant shape and size, it is important to discuss your desire for size with the Plastic Surgeon. Your physician should discuss the different style, shapes, and sizes, and how they relate to your specific breast and chest shape. Commonly the dimensions of the implant may be more important than just the size/volume. Make sure you have the opportunity to try on sizers with a bra, and we recommend bringing a shirt that will help you visualize the true shape in clothes after augmentation.

3. Do breast implants lift slightly sagging breasts?

Breast Augmentaion can often help with slightly sagging breast skin. If the nipple position is normal and sagging skin has occurred due to volume loss, then an Augmentation alone may provide the minor lift necessary.

4. Can I have breast implants under local anesthesia?

It is not recommended that Breast Augmentation be done under local anesthesia. At a very minimum, some sedation is necessary to make the procedure tolerable. Most commonly, it is performed under general anesthesia, at an accredited surgery center.

5. Can I have breast implants if I’m planning to have kids in the future?

Breast implants before children/pregnancy is very common. It is unusual to perform an Augmentation before the age of 18, but after is quite common. Pregnancy does affect the shape and size of the breast, but Breast Augmentation prior to children does not alter the pregnancy.

6. Can I breast feed if I have breast implants?

We have hundreds of patients who have had Breast Augmentation prior to pregnancy and nursing. There have not been any issues. While no one is guaranteed that they have the ability to breast feed after pregnancy, Breast Augmentation should not alter that option.

7. What is the best shape of implants to achieve more natural looking results?

The best shape to achieve to achieve a natural looking breast is dependent on the individual’s chest and breast shape. Round implants in a submuscular or or subglandular pocket can have a very natural look. Newer style implants, such as the “form stable” contoured implants can produce a very natural shape. Make sure that your Plastic Surgeon discusses all the different options with you at the time of the consultation.

8. Do silicone implants harden over time?

Implants do not harden over time, either saline or silicone gel. In a small percentage of patients, the scar tissue around the implants can “contract” and make the breast feel hard. Depending upon the severity of the tightening, the scar tissue may need to be surgically removed and revised.

9. Do breast implants need to be replaced overtime?

Implants are mechanical devices, and on occasion, they do fail. If a rupture or leakage occurs, the implants should be replaced. If a saline implant leaks, it would be obvious with the breast quickly becoming smaller. However, if silicone gel implants leaks, it may not be obvious. As the current gel implants are not liquid, but more “gummy” material, they will not actually leak and travel. It is currently recommended by both the manufacturers and the FDA, between 3 and 5 years after a silicone gel implant is placed, that an MRI of the breast be performed to evaluate the integrity of the implants. If a rupture is identified, it is recommended that they be replaced. The current rupture rates for implant vary from 1-10% over 10 years. If the breast remains soft, normal and shows no evidence of rupture, there is no reason to have them replaced.

10. How long is the downtime for breast augmentation surgery?

Cosmetic breast surgery is almost always performed as an outpatient procedure. We usually have patients take between 2 and 4 days off of work post operatively. In a larger procedure, patients may take a week off to recover. A supportive bra is worn for 4-5 weeks after surgery and limited lifting and exercise is also required during that time.

11. Silicone vs. Saline: Which breast implant is safer?

A common question about breast augmentation is, which is safer: Silicone or Saline? In our experience, neither implant has significant risks. The vast majority of our patients now choose Silicone Gel implants. Gel implants have a more natural feel, less rippling, and a reduced rate of rupture versus Saline implants.

12. What are the risks of breast implant?

Risks of Breast Augmentation surgery are quite similar to any surgery. We inform our patients about the risk of: bleeding, infection, poor healing, and sensitivity changes to the breast and/or nipple. Specific complications to breast implants also include: hardness/capsular contracture, rippling of the implant, and implant rupture/failure. Overall it is a very safe procedure with low complication rates near 1-2%.