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Breast

Breast Lift (Mastopexy)

A breast lift, or mastopexy, is done to restore a more youthful, perky shape to the breasts. Ptosis is the term used to describe droopiness of the breast, and a mastopexy reverses this process. There are three common types of mastopexy incisions:

  1. Peri-areolar: this type of incision extends only around the areola (below, left).
  2. Lollipop: A lollipop incision will correct a greater amount of ptosis than a peri-areolar incision. This type of incision starts around the nipple, then extends down the front of the breast (below, center).
  3. Anchor-style incision: identical to the incision used in breast reduction, an anchor-style incision is essentially a lollipop incision with a horizontal incision in the crease below the breast. This will correct even very severe ptosis (below, right).

Photo credit: www.plasticsurgery.org

A small amount of breast tissue may be removed during a mastopexy to help reshape the breast mound, but this does not generally result in a visibly smaller breast.

Recovery after mastopexy is very similar to recovery after a breast reduction. Most of Dr. Greer’s patients take prescription pain medicine for the first 2 or 3 days, then transition over to ibuprofen or Tylenol. Dr. Greer also recommends no lifting >15lbs and no vigorous exercise during the first four weeks to allow your incisions to heal. The majority of patients return to work within a few days unless their job requires intense physical activity.

Before and After Photos***

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Reduction Mammaplasty

Women with breasts that are too large for their frame often suffer from breast pain, neck pain, and back pain. Breast reduction surgery, also known as reduction mammaplasty, may improve some or all of these symptoms. Breast reduction surgery removes breast tissue and skin to make a breast that is more in proportion with your frame.

During Your Consultation

When you see Dr. Greer for the first time, she will ask about what symptoms you are currently experiencing, and what steps you may have tried to improve these symptoms. These may include weight loss, physical therapy, or taking pain relievers such as acetaminophen or ibuprofen.

How Do I Know if I am a Candidate for Breast Reduction Surgery?

The majority of patients who have breast reduction surgery are very satisfied with their results. But the best candidates for surgery understand the possible risks, including scarring, changes in nipple sensation, and changes in the ability to breast-feed. The risk of surgery also changes if you are significantly overweight, if you smoke, or if you have medical conditions that affect healing such as diabetes. Be sure to discuss these issues during your consultation with Dr. Greer. Watch the video below to find out more about whether insurance will cover breast reduction surgery.

After Your Surgery

Many patients are able to go home the day of their surgery or the next morning. You may have a drain placed to remove fluid from the surgical site. If so, you will be given instructions on how to take care of the drain, as well as a log to record the drainage. Every patient’s recovery is different, but most patients are able to return to work within a week or two. We do recommend waiting a four to six weeks before resuming high-impact activities such as running or weight lifting.

Would you like to find out more? Contact us now for a consultation, or read more at the American Society of Plastic Surgery website.

Before and After Photos***

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Breast Augmentation

Dr. Greer feels that having a woman’s perspective gives her an advantage when guiding you through your breast surgery. Whether you are looking to enhance your figure, improve the look of your breasts after pregnancy, or achieve a fuller, younger shape, she is there to guide you through the process.

During Your Consultation

Dr. Greer will discuss your goals of surgery, and outline how breast augmentation is done, and what the recovery period is like. You will get see examples of the different types of saline and silicone implants, and we will discuss which option is right for you. When it is time to choose a size, you will have the opportunity to try on a full range of sizers from the MENTOR® Volume Sizing System.

On the Day of Surgery

Our breast augmentations are performed at TriPoint Medical Center in Concord.
Patients generally go home the same day of surgery. And while every patient is different, many patients are able to return to work within several days to a week.

Would you like to find out more? Contact us now for a consultation, or read more at the American Society of Plastic Surgery website.

Before and After Photos***

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Removal of Breast Implants

Breast augmentation is a great procedure, with a very high satisfaction rate. But unfortunately breast implants do not last forever. Most commonly implants are removed if they rupture, or for capsular contracture (when firm scar tissue forms around the implant). Many women opt to have the implant replaced in these instances, but some prefer to have the implant removed altogether. If this is the case, the question arises:

Whether or not breasts sag after removing implants depends on several factors.

  • First, how long have you had implants? Breasts tend to sag with time regardless of whether you have implants, so you can expect more sagging if you remove implants 20 years later, rather than just a few years.
  • Second, what size implants did you have placed? Larger implants stretch and thin the overlying tissue, resulting in more sagging after removal.
  • Third, have you gained and lost weight or had children since having your augmentation? Both weight change and pregnancy may result in loss of perkiness.

The best way to know what to expect after implant removal is to consult with a plastic surgeon. The more information you have regarding your initial augmentation surgery, the better your surgeon will be able to predict what your results will be after implant removal. This information may include the location of the implants (under or over the muscle), where your incision is located, and the size and type of the implants. Based on this information and a physical exam, your surgeon may recommend an additional procedure such as a breast lift to obtain optimal results.

Before and After Photos***

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Breast Reconstruction

Facing a diagnosis of breast cancer is a terrifying time for any woman. And the amount of information you are given can be overwhelming. This brief outline will help you understand how breast reconstruction works.

During your visit, Dr. Greer or Dr. Blanchard will help guide you through the options to arrive at a plan that is right for you. We recommend you bring a friend or family member to your visit to take notes.

What are the Types of Breast Reconstruction?

Breast reconstruction can be described by either when it is done (timing), or what type of reconstruction is done.

Timing

  • Immediate reconstruction – this describes reconstruction done at the same time as your breast cancer surgery. The advantage to immediate reconstruction is starting your reconstruction off sooner, and possibly having fewer operations.
  • Delayed reconstruction – this type of reconstruction is done as a separate operation from your breast cancer surgery. It can be done weeks or even years later.

Which type is right for me?

Many patients prefer to have as few operations as possible, while others are not emotionally ready to proceed with reconstruction. Some patients will have radiation as part of their cancer treatment, and in this case we often delay reconstruction until after radiation is completed.

Type of reconstruction

  • Using your own tissue (autologous reconstruction) – Autologous reconstruction uses muscle and skin from either your back (latissimus flap) or stomach (TRAM flap) to replace your missing breast tissue. This can be done at the same time as your breast cancer operation, or as a delayed reconstruction. Using your own tissue means that the reconstructed breast will change size naturally as you gain and lose weight. But the trade-off is a longer initial recovery.
  • Using implants – Reconstruction using breast implants can also be done immediately, or after a delay. In either case, a temporary expander is first placed. This is a type of breast implant that is slowly inflated over time. Skin is taken out with a mastectomy, making it difficult to fit a full-sized breast implant under the skin that is left. When you have an expander placed, a small amount of saline is injected every week in our office. Your skin slowly stretches out, and you actually grow new skin. After the expander is fully filled, it is exchanged for a breast implant.

Implant-based breast reconstruction often has a shorter recovery time compared to reconstruction that uses your own tissue. But it does mean two operations. And implants do not last a lifetime- they often need to be changed out for new implants after five or ten years. This is something you can discuss in detail with Dr. Blanchard or Dr. Greer during your consultation, as you both choose which option is right for you.

Other things to know:

  • After surgery to reconstruct your breast, you may go home with a drain. This is a small tube that helps remove fluid from the site of your surgery. If so, you will be given instructions on how to take care of the drain, as well as a log to record the drainage.
  • If you have reconstruction on one breast, you may need a lift (mastopexy) or reduction on the other side to make your breasts more symmetrical.
  • Reconstructing your nipple is the last stage of any breast reconstruction. Some women choose to have their nipple reconstructed, and some do not. It is an entirely personal decision. If you decide to have your nipple reconstructed, this is a separate procedure that is done at least six months after your breast reconstruction is complete.

Would you like more information? You can read more at the American Society of Plastic Surgery website, or call our office for more information.

Before and After Photos***

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“Prior to surgery, I had baggy, saggy 63 year old tired breasts. Before surgery I was hesitant: was I too old to have a breast reduction? Was I really a good candidate? I had a breast reduction, and now I have lovely perky breasts. I haven’t had this size breasts since I was 13. I love the fact that I have beautiful symmetrical sized breasts, and that I can wear sexy bras now, not over the shoulder boulder-holders!!! And no more $100.00 for a bra unless I feel like splurging!! I would definitely recommend Dr. Greer and her staff. I have never had a doctor care so much about me as a patient. Any time I had a concern she was right there to reassure me. Even if it was an after hours call she was really patient with me. Now I feel confident in how I look, and that’s all thanks to Dr. Greer.”

***All patient results may vary, these procedures are for cosmetic purposes only and results are not guaranteed, nor are permanent. All patients are different and in no way will any procedures be alike, nor the recovery period.