Breast Augmentation
Breast augmentation is one of the most commonly performed cosmetic surgeries in United States. It is performed for women who desire improved shape, increased size, or better symmetry of the breasts. There are two different types of implants available; silicone and saline. In general results are better when the implants are placed below the muscle. The operation takes approximately 2 hours and the recovery time is 3-4 weeks. Your own fat can also be harvested via liposuction, purified, and injected into the breasts for augmentation. Multiple sessions may be required to achieve your desired result.
Breast lift ( Mastopexy )
Aging, gravity, childbearing and weight gain or loss often produce unwanted changes in the appearance of the female breast. You may be a candidate for a mastopexy if the amount of glandular tissue that you have is appropriate, but the shape and position of your breasts is not. The goals of the surgery include reshaping the breasts, reducing the redundant skin tissue, and repositioning the nipple-areola complex at a higher, more pleasing location. Women are generally very satisfied with the results.
Aging, gravity, childbearing and weight gain or loss often produce unwanted changes in the appearance of the female breast. You may be a candidate for a mastopexy if the amount of glandular tissue that you have is appropriate, but the shape and position of your breasts is not. The goals of the surgery include reshaping the breasts, reducing the redundant skin tissue, and repositioning the nipple-areola complex at a higher, more pleasing location. Women are generally very satisfied with the results.
Augmentation-Mastopexy
A breast lift can be performed in combination with breast augmentation in patients with drooping breasts if the amount of glandular tissue is inadequate to meet your aesthetic goals. Additionally, adding an implant may improve the upper breast and cleavage contours. Dr. Hertl will consider each woman’s goals and needs in an individualized approach.
A breast lift can be performed in combination with breast augmentation in patients with drooping breasts if the amount of glandular tissue is inadequate to meet your aesthetic goals. Additionally, adding an implant may improve the upper breast and cleavage contours. Dr. Hertl will consider each woman’s goals and needs in an individualized approach.
“Mommy Makeover”
After pregnancy, the breasts and abdominal tissues are stretched and can leave a woman with drooping breasts and volume loss as well as a bulging or misshapen anterior abdomen. Many women choose to undergo reshaping of both the breasts and abdomen at the same time, choosing to have a breast lift with or without augmentation, and a tummy tuck in the same operation.
After pregnancy, the breasts and abdominal tissues are stretched and can leave a woman with drooping breasts and volume loss as well as a bulging or misshapen anterior abdomen. Many women choose to undergo reshaping of both the breasts and abdomen at the same time, choosing to have a breast lift with or without augmentation, and a tummy tuck in the same operation.
Implant Exchange
If a woman has previously undergone breast augmentation but is no longer satisfied with the results of that surgery, then revision or correction of the augmentation can be performed. In its simplest form, this involves exchanging the implants, but if the vagaries of time and aging have changed the appearance of the breast tissues and skin envelope significantly, you may require a breast lift as well.
If a woman has previously undergone breast augmentation but is no longer satisfied with the results of that surgery, then revision or correction of the augmentation can be performed. In its simplest form, this involves exchanging the implants, but if the vagaries of time and aging have changed the appearance of the breast tissues and skin envelope significantly, you may require a breast lift as well.
Removal of Ruptured Implants
The average lifespan of a saline implant is 8-12 years. When saline implants rupture, you will notice a deflation of the affected breast. This does not pose a serious health risk in itself, but is of significant cosmetic concern to the patient and removal or exchange is recommended.
Ruptured silicone implants, on the other hand do pose a health hazard and early removal or exchange is imperative. Patients with ruptured implants should not undergo mammogram as the extreme pressures involved often force silicone gel into the surrounding tissues of the breast and chest wall. Longstanding exposure of the tissues to silicone gel often results in the formation of scar nodules called siliconomas and removing all of the gel from the tissues can be near impossible. If you have been told you have a ruptured implant, please contact our office immediately for a consultation. If you had silicone implants placed before 1989, they are likely ruptured. Removal of ruptured silicone implants is generally covered by insurance, however, replacement of the implant or breast lift after removal if desired is not.
The average lifespan of a saline implant is 8-12 years. When saline implants rupture, you will notice a deflation of the affected breast. This does not pose a serious health risk in itself, but is of significant cosmetic concern to the patient and removal or exchange is recommended.
Ruptured silicone implants, on the other hand do pose a health hazard and early removal or exchange is imperative. Patients with ruptured implants should not undergo mammogram as the extreme pressures involved often force silicone gel into the surrounding tissues of the breast and chest wall. Longstanding exposure of the tissues to silicone gel often results in the formation of scar nodules called siliconomas and removing all of the gel from the tissues can be near impossible. If you have been told you have a ruptured implant, please contact our office immediately for a consultation. If you had silicone implants placed before 1989, they are likely ruptured. Removal of ruptured silicone implants is generally covered by insurance, however, replacement of the implant or breast lift after removal if desired is not.
Correction of Breast Asymmetry and Congenital Deformity
It is common for a woman’s breasts to differ in size, but occasionally the difference will be more than a cup size. These patients often choose to undergo surgery to reduce the larger breast, enlarge the smaller breast with an implant, or both.
Some girls develop breast deformities during puberty resulting in misshapen breasts or even the absence of a breast. These deformities may cause serious psychosocial and body image issues for a young teenage girl. You should choose a physician, like Dr. Hertl, who has extensive experience in treating these sensitive problems.
It is common for a woman’s breasts to differ in size, but occasionally the difference will be more than a cup size. These patients often choose to undergo surgery to reduce the larger breast, enlarge the smaller breast with an implant, or both.
Some girls develop breast deformities during puberty resulting in misshapen breasts or even the absence of a breast. These deformities may cause serious psychosocial and body image issues for a young teenage girl. You should choose a physician, like Dr. Hertl, who has extensive experience in treating these sensitive problems.
Breast Reduction
Many women suffer from extremely large breasts and typically suffer from back, shoulder, and neck pain or chronic rashes in the folds under the breasts. Treatment goals are 4-fold: reduce the amount of breast tissue, reduce the amount of excess skin, reduce the areola size, and relocate the nipple-areola complex to a higher position. Inherent in this operation is the goal of reshaping the breasts to a more pleasing aesthetic form. Women undergoing breast reduction surgery are often some of the happiest in our practice.
Many women suffer from extremely large breasts and typically suffer from back, shoulder, and neck pain or chronic rashes in the folds under the breasts. Treatment goals are 4-fold: reduce the amount of breast tissue, reduce the amount of excess skin, reduce the areola size, and relocate the nipple-areola complex to a higher position. Inherent in this operation is the goal of reshaping the breasts to a more pleasing aesthetic form. Women undergoing breast reduction surgery are often some of the happiest in our practice.
Male Breast Reduction
Male breast enlargement (gynecomastia) is an embarrassing problem commonly affecting both teenagers and adults. Reduction of enlarged breasts can help you regain confidence and self-esteem. Dr. Hertl is very experienced in the treatment of gynecomastia and uses a combination of liposuction and excision of excess tissue depending on the degree of enlargement.
Male breast enlargement (gynecomastia) is an embarrassing problem commonly affecting both teenagers and adults. Reduction of enlarged breasts can help you regain confidence and self-esteem. Dr. Hertl is very experienced in the treatment of gynecomastia and uses a combination of liposuction and excision of excess tissue depending on the degree of enlargement.
Secondary Correction after Breast Surgery or Reconstruction
Dr. Hertl is a highly-regarded expert in the field of breast reconstruction. She now limits her practice to the elective correction of secondary breast deformities after reconstruction and nipple-areola reconstruction. Most women (including patients in our practice) who undergo reconstruction will ultimately require some adjustment or correction over time owing to aging, gravity, weight fluctuations, or simply a desire to achieve a better outcome. Whether you have had implant reconstruction or reconstruction with flaps utilizing your own tissues, we can help. Her extensive experience using implants in patients undergoing radiation has been invaluable to many patients. These procedures are typically covered under insurance in patients who have had breast cancer or have undergone mastectomy. If you desire improvement in your breast position, size, shape, firmness, projection, and/or symmetry, then contact us today to schedule a consultation.
Dr. Hertl is a highly-regarded expert in the field of breast reconstruction. She now limits her practice to the elective correction of secondary breast deformities after reconstruction and nipple-areola reconstruction. Most women (including patients in our practice) who undergo reconstruction will ultimately require some adjustment or correction over time owing to aging, gravity, weight fluctuations, or simply a desire to achieve a better outcome. Whether you have had implant reconstruction or reconstruction with flaps utilizing your own tissues, we can help. Her extensive experience using implants in patients undergoing radiation has been invaluable to many patients. These procedures are typically covered under insurance in patients who have had breast cancer or have undergone mastectomy. If you desire improvement in your breast position, size, shape, firmness, projection, and/or symmetry, then contact us today to schedule a consultation.
