Breast Surgery is one of the most popular cosmetic procedures among females whether it is Mumbai, Goa, Pune in India or in the US, Europe or UK. In this dynamic and a highly competitive corporate world a woman needs to be confident about her personality and feel glamorous about it. There may be various reasons to choose cosmetic breast surgery and by understanding your unique concern we offer surgical and non-surgical treatments to improve the area. Our expert and experienced surgeons ensure you with the best result for the various breast surgeries mentioned below.
Beautiful breasts are not just a matter of size rather they are more about being shapely and proportional. A skilled cosmetic surgeon can create a perkier, proportional breast shape using techniques tailored to address a woman's unique needs.
Breast augmentation surgery is one of the most common procedures performed in the civilized world. There are various reasons as to why women may choose to undergo breast enlargement surgery. These range from personal, to social, to physiological. Apart from these some females may just want their breasts to be fuller so as to boost their self-esteem. Breast augmentation surgery may be done with fat injection or with implants. However all majority of cancer surgeons and plastic surgeons recommend against fat injection into the breast for the fear of diagnostic difficulties with cancerous changes on radiological investigations. The surgery is safe if done with USFDA approved implants.
People who are-
Implants can be broadly classified as SALINE and SILICON breast implants depending on its contents. Saline implants have saline solution (salt water) inside the pliable silicon shell. Saline implants were extensively used prior to USFDA approval for cohesive gel implants. Saline breast implants are very safe, but have shown long term problems of rippling, sloshing and deflation. Silicone breast implants are available in the round or circular (most commonly used) as well as the anatomic or ‘teardrop’ shape. These are also available as low, moderate and high profile. The cohesive silicone gel filled implants are the preferred ones by many cosmetic surgeons of repute all over the world. The gel in these implants being cohesive does not leak out even if there is a puncture in the implant. We use only FDA approved MENTOR, MOTIVA or MCGHAN brand of implants.No, breast augmentation does not affect your ability to get pregnant or breast feed since the implant is placed underneath and separate from the breast tissue. Theoretically there are higher chances of damage to milk ducts if a areolar incision is used for breast augmentation. Inframammary and axillary approaches are safer in this regard. Also the presence of implant in the breast does not alter the milk production or its constituents and has no harmful effect on the breast fed child.In the initial days you might feel that a certain weight is strapped to your chest. However body over a period of time gets adapted to this and implants become an integral part of you. Also the newer implants are placed under the gland, so the feel is that of natural breast tissue.Depending on the approach used for insertion of implants the scars may be located in the inframammary crease (under the breasts), periareolar (around the areola) or in your axilla. The scar is very well camouflaged in the periareolar area. The Inframammary crease scar is also hidden beneath the breast and is not apparent unless the breast is manually lifted up. The axillary scar however is visible if one prefers to wear sleeveless outfits.NO, breast augmentation does not correct the stretch marks over the breast. The stretch marks are seen in patients who have lost weight or after breast feeding when the volume of breasts decreases. Since the marks are whiter than the normal breast skin, they may appear less prominent as the entire breast skin is stretched out by the implant.Breast augmentation surgery is performed under general anesthesia and is usually a day care procedure. You are discharged the very same day.Once the incision is made, a pocket is dissected just enough to accommodate the chosen implant. The implant is placed in a pocket, either beneath the pectoral muscle, or above the pectoral muscle. This would depend on the type of implant, individual physical characteristics, the volume of breast naturally present and extent of augmentation needed. It is usually placed through an incision about 5-7 cm long just under the breast in the breast fold. Tube drains may be placed after the procedure to let out collected blood through the surgical site in some cases.The surgical dressing should not be tampered with for about 5 days. You are to wear a sports bra following the procedure for a period of 4-6 weeks, during and following which you are to follow a breast exercise regimen as advised. The sutures are usually absorbable and don’t have to be removed. There might be slight altered sensation in the breast following surgery which is normal and recovers within 3-6 months. You are not to sleep on sides or on the tummy for 6 weeks. Contact sports are to be avoided for 6 weeks.
- Self-conscious when wearing figure hugging clothes
- Problems selecting clothes in that the bust size doesn’t match hip and waistline
- Post weight loss deflation of breasts
- Post pregnancy deflation of breasts
- Feel that breasts are too small
- Marked asymmetry in breast size
- Those who have undergone Cancer surgery
Since the implant is a foreign body placed within the body, it has been recommended to undergo MRI examination of the breasts every three years.Like any other surgery standard risks for anesthesia exist. Apart from these the following complications are attributed to breast augmentation surgery and these risks should be minimal if the surgery is done by experienced and qualified surgeon.
The body will always form a capsule of scar tissue (collagen fibers) around any foreign substance placed under the skin. And this capsule can become contracted and tightened around the implant. This can lead to pain and may alter the appearance of the implant and cause hardening of the breast, which may necessitate removal of scar capsule or implant replacement. Following breast augmentation by implants it is recommended to undergo MRI examination of the breast every three years to rule out this long term complication rarely seen in the Indian population.Breast Implants do not reduce or increase the risk of having breast tissue cancer. A very rare cancer ALCL (Anaplastic Large Cell Lymphoma) which is found in other parts of the body may also be found in the breast as it is associated with the scar capsule. Breast Implants are regularly used for reconstructing breast after cancer surgery of the breast which indicates no added risk. Regular monitoring by MRI scan of the breast can detect all cancers at the early stages with safe outcomes.Yes, autologous (your own fat) can be used to enlarge breasts. Live fat cells containing stem cells are harvested from the abdomen, buttocks and thighs in a sterile manner through liposuction. These are then injected into the breast in small aliquots. These cells develop a blood supply and survive permanently. Not all injected cells may survive which may cause hardness and lumpiness of the breast and more touch up procedures may be required. Moreover fat grafting usually requires 2-3 sessions for the best result.'Gummy bear Implant' is the most advanced cohesive gel implant which does not leak out of its shell even if the shell is injured or cut. These give the natural feel as well as perkiness to the breasts.For most of our patients, getting back to work early is a priority. Thanks to an innovative post-operative regimen designed by us, return to work the very next day is possible now. A special set of exercises instituted on the first post-operative day helps to reduce the discomfort and tight feeling after surgery. Fifth generation silicon gel implants are preferred for augmentation as their feel is closest to being natural.The cost of this surgery depends on the duration of surgery and the facility chosen. The Surgeons fee for a breast Implant surgery is INR 125,000 + taxes (conditions apply). Add-on cost includes facility, anaesthetist, implants etc.
- Altered nipple or breast sensation,
- Bleeding (hematoma)
- Fluid accumulation
- Capsular contracture
- Hypertrophic scars or keloids
- Implant displacement
- Implant leakage, rippling or rupture (in saline implants)
- Possibility of revision surgery
- Wrinkling of the skin over the implant
So if you are looking for Breast Surgery like Augmentation or Breast Enhancement in India then your best option is CSI. You may visit our clinics in Mumbai, Pune and Goa for consultation of Breast Augmentation surgery by our expert cosmetic surgeons.
As one ages the gravity plays its role on the breast tissue. The breast skin loses its elasticity along with other factors such as pregnancy, breast-feeding and weight loss, ultimately causing a loss in the shape and firmness of breasts. Changes to the breasts can be dissatisfying and make women feel as if they are losing some of their femininity and youthful vitality. If the breasts have increased in size these patients are treated with breast reduction surgery. However the patients who are satisfied with the volume of their breasts and are only concerned about the position of their breast are treated with breast lift to raise the breast and make it firm thereby giving a youthful breast. If in addition to loss of volume, there is loss of breast substance one may opt for an implant in addition to breast lift surgery, thereby not only firming and lifting up the breast, but also making it larger. It is important to realize that if you become pregnant after having a breast lift, the effects of pregnancy and breast feeding may compromise the results, and cause your breasts to sag and change shape. Although a breast lift cannot stop the aging process, it can help you not only improve the position of your breasts, but restore the fuller, shapelier appearance that you desire, for years to come.
The breast lift procedure is done under general anesthesia and may or may not require hospitalization depending on the baseline investigations and the quantum of surgery to be performed.Mastopexy / breast lift surgery is commonly performed as a hospital based procedure but can also be done as a day care. The type of procedure depends on the breast volume, the amount of breast sag and the quantum of loose skin.
- Breasts that lack substance or firmness
- Enlarged areolas due to stretched skin over the breast.
- Nipple and areola positioned below the breast crease
- Nipples and areola point downward
- One breast is lower than its fellow
- Pendulous breasts
- Deflated breasts secondary to weight loss (diet or bariatric surgery)
Minimal sag of the breast with loss of volume (psuedoptosis) can be addressed by an implant and removal of excess skin around the areola. This will leave minimal scars which are hidden.
Moderate and severe ptosis of breasts will require a slightly more invasive procedure with relocation of the breast tissue, nipple areola complex and removal of the excess skin. This leaves a scar shaped like a lollypop which should fade with time.
Severe ptosis of breast tissue with excess skin in the breast extensions can only be addressed by removing the excess skin leaving an "anchor like" scar. The nipple and areola are reduced if they are large and relocated and centered over the breast tissue.Tube drains may be placed after the procedure to let out collected blood through the surgical site. You are to wear a sports bra following the procedure for a period of 4-6 weeks, following which you are to follow a breast exercise regimen as advised.Common surgical risks as with any other surgery are bleeding and infection which can delay healing of the incision and may cause wide scars. Healing is a concern with people who smoke (cessation for a few weeks prior to surgery is a must) and in diabetics. Because the breast tissue is braced and lifted there is bound to be scars which might feel lumpy but will soften with time. The scar will be visible for a few months and will either be pink or dark. This will fade with time but will not be totally invisible. Rarely people may have an increase or decrease in sensation of the nipple for a few months. This improves with time as swelling of the breast reducesBreast lift / Mastopexy surgery is the only option available to address significantly drooping breasts. Well positioned and perky breasts can be expected from this surgery. The final shape of the breasts can be appreciated once the healing is complete.The cost of this surgery depends on the duration of surgery and the facility chosen. The Surgeons fee for a breast lift (mastopexy) surgery is INR 225,000 + taxes (conditions apply). Add-on cost includes facility, anaesthetist, implants etc.
Breast form an essential entity to the personality of a female. A proportionate breast for a female figure varies according to the cultural and contemporary practices prevalent in the society. While the notion more is better holds true for most of the things, too much of a breast tissue is also a bane. This leads to social embarrassment and inability to wear well-fitting clothes for the fear of showing off. Also this may lead to postural problems like shoulder and backache along with frequent infections in the breast crease areas due to inability to maintain proper hygiene. Breast reduction surgeries have become safer with better understanding of the blood supply to the breast. A huge array of these surgeries is available depending on the amount of reduction desired.
Females with following problems should consider a breast reduction surgery
There is no right age. It is highly customizable depending on the gravity of the problem. Most surgeons however will prefer to wait until child bearing and breast feeding is complete however if very large breasts are causing a physical or psychological concern then they can be operated on as early as 16 years. We will evaluate you for hormonal imbalances and if any is found, necessary references and treatments will have to be started prior to the surgery.This surgery is usually done under general anesthesia. Usually no blood transfusions are required, but depending on the quantum of surgery you may be asked to be ready for one.Pre-operative planning for the surgery is meticulously done with the patient sitting up. The placement of the nipple, amount of skin and breast tissue to be removed are pre marked. The procedure is performed under general anesthesia. The surgery takes about 3-4 hours to complete depending on the amount of breast reduction and the technique used.
- Large breasts with Skin irritation under breasts
- Restriction of physical activity due to the size and weight of breasts
- Pendulous breasts with nipple and areola pointing downward
- One breast is much larger than the other
- Indentations on shoulders due to bra straps
- Dissatisfaction or self-consciousness about the large breasts
- Breasts too large in proportion to body frame
- Back, neck or shoulder pain due to larger breasts
The technique used will depend on the volume of the breast to be reduced and the amount of skin sagging to be corrected. Liposuction may be employed as an adjunct in some cases, when there are easily accessible significant fat stores. The scars resulting from surgery are essentially of two types. One is an inverted T scar with the transverse limb in the breast crease. The transverse limb is not visible in a sitting or a standing position as the breast falls over it. Half of the vertical limb also gets covered under the mound of the breast. Another scar which is common to both the vertical pattern as well as inverted T pattern reductions is a periareolar scar which is very well camouflaged at the areola and skin interphase.
After selecting one of the above approaches the surgeon removes the excess breast tissue, ensuring that the blood and nerve supply of the remaining breast remains intact, and the breast wound is closed over a drain.Immediately after the surgery you will be nursed in a position with head end elevated. There may be drains placed through the wounds and bandages over your chest. The dressings would be changed on the third day and you would be asked to wear a sport bra to support your breasts. The drains will be removed once the secretions decrease. You will be discharged from the hospital once the drains are removed. The sutures usually don’t have to be removed as they are resorbable. Restricted activity of the arms is suggested for about 2 weeks following which you will be gradually allowed to do normal activities within a month’s time.With the progress of technology and better understanding of the breast anatomy significant complications from breast reduction are infrequent. However the risk still persists and one should be prepared for the eventuality and carefully weigh the benefits of surgery versus the risks involved.
Apart from risks of anesthetic medications the surgical procedure may cause bleeding, infection, and wound dehiscence (particularly at the junctions). After the reduction surgery the breasts may not be perfectly symmetrical or the nipple height may vary slightly. This if desired can be corrected secondarily. There is a theoretical risk of permanent loss of sensation in the nipples or breasts .In a very rare event of injury to or loss of the nipple and areola, they usually can be satisfactorily reconstructed using skin grafts.Only certain segments of the breast gland are removed during the surgery and the milk carrying ducts are not disrupted by the surgery. This means that the breast feeding potential in young patients is maintained to a large extent. Many young women with large breasts tend to be poor breast feeders. This would continue after the surgery too. Those who are able to feed after reducing breast, may not be able to nourish their children completely by breast feeding as the amount of milk produced may not be adequate.Since the residual breast tissue after breast reduction surgery is far less, there are lesser chances of developing cancer in such a breast. However if one is destined to develop breast cancer, the breast reduction surgery does not prevent one from having it. After the breast reduction surgery the removed tissue is subjected to histopathological examination to rule out precancerous and cancerous changes in the breast. In short there is no increased or reduced risk of breast cancer after breast reduction surgery.Breast reduction surgery has evolved over the last few decades to become a safe surgery with fabulous results. Conventional techniques of breast reduction are open methods where the excess tissue is excised and the breast parenchyma is lifted and stitched in normal position. This entails having visible scars on the breast. For an unmarried woman having scars may be unacceptable.
Keyhole breast reduction surgery in India is ideal for young women with large breasts. The fat component in the large breast is removed by the keyhole technique using tiny access points. This will reduce the size of the breast and the associated heaviness. If the skin tone on the breasts is good, there will not be any additional drooping from the procedure.
Ideal candidates for this procedure would be young women with large fatty breasts, good skin tone and only moderate degree of sagging.The cost of this surgery depends on the duration of surgery and the facility chosen. The Surgeons fee for a breast reduction surgery is INR 275,000 + taxes (conditions apply). Add-on cost includes facility, anaesthetist, technology etc.
Gynecomastia (Male Breasts)
For a man, nothing can be more embarrassing than having breasts. But this can happen and does happen to a lot of men. Medically termed "gynecomastia" which originated from the Greek words for "women-like breasts" and is a combination of breast tissue and fat accumulation. Both can be removed entirely by a keyhole surgery-“power liposuction”, which is done as a day care surgery without hospitalization. The scars are minimal and fade in time. Going to swimming pool or baring the chest need not be a scary thought anymore.
Gynecomastia affects an estimated 40 to 60 percent of the male population. It usually affects both the breasts, but sometimes one breast may only be involved. The most common cause is pubertal, however in majority of cases it resolves on its own by 20 years of age when the growth of a male is complete. Certain drugs such as anabolic steroids, medications containing estrogen, alcohol, marijuana, etc., and medical conditions including cancer, impaired liver function, to name a few, may cause or contribute to enlarged male breasts.The procedure is usually carried under local anesthesia with sedation as a day care procedure if all your baseline investigations are within normal limits.The surgery is carried out through two pinhole incisions on the sides of your chest with the help of power assisted liposuction technique. The excess fat and breast tissue is sucked out and after the surgery you are made to wear a pressure garment for a period of two weeks.You will be discharged in the evening of surgery. From next day onwards you are permitted to do restricted physical activity. By the end of two weeks you will be able to do all activities. The pressure garment is to be worn for a period of 4 weeks for 24 hours and thereafter only at night for another two weeks. This is important as it helps the skin to drape over your body without leaving any dead space.Usually it is not required, but if the skin fails to drape back a second touch up surgery may be needed to deal with the excess skin. Once the tissue has been removed completely it does not come back. Indications for 2nd stage of surgery include-
The risks of surgery include standard risks for anesthesia and the following, which are minimal if the surgery is performed by an experienced surgeon.
- Drooping male breasts ( Grade II or III)
- Deflated breasts secondary to weight loss
- Excess breast skin which extends to the back
- Fluid collection
- Under correction
- Over correction (Saucer deformity)
- Hypertrophic scar/ Keloid formation
Our expert and experienced surgeons ensure you with the best result for different type of the breast surgery as available below.
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