Breast Augmentation

Breast augmentation is the most frequently performed cosmetic surgery procedure in the U.S. It can give women with small or unevenly-sized breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy or surgery. The procedure may be combined with others such as a breast lift for more satisfying results.

Implants are silicone shells filled with saline (salt water) and are placed behind each breast, underneath either breast tissue or the chest wall muscle. The procedure lasts one to two hours and is typically performed with general anesthesia. After surgery the patient's bustline may be increased by one or more cup sizes.

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Breast Augmentation with 350cc subpectoral implant (below the muscle)
Before	After		Before	After
Breast Augmentation for treatment of breast asymmetry, 325cc implant on the left breast and 250cc implant on the right breast
Before	After		Before	After
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Endoscopic Transaxillary Breast Augmentation

Drs. Glassman and Sudarsky perform endoscopic transaxillary breast augmentation. This technique allows breast augmentation to be performed without any scar on the breast. A small incision is made in a natural crease of the armpit. With the aid of an
endoscope breast implants can be placed beneath the muscle under direct vision. This technique can also be used when the breasts are of different sizes. Thistechnique is performed without incision in the breast tissue.

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Breast Augmentation 300cc subpectoral implant
Before	After		Before	After
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TUBA (Trans Umbilical Breast Augmentation)

Dr. Sudarsky performs the TUBA (Trans Umbilical Breast Augmentation) technique, which provides insertion of breast implants through the belly button. Advantages
of TUBA include faster recovery, very little tissue trauma, less risk of injury to the sensory nerves of the nipple and breast, shorter operative time and a single scar away from the breast. As with all cosmetic surgeries, the technique and procedure of choice is recommended by the surgeon and discussed with the patient after a thorough physical examination.

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Trans Umbilical Breast Augmentation Before After   Before After           Trans Umbilical Breast Augmentation Before After   Before After

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Breast Reduction

Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery is usually done to provide relief from these symptoms. Performed under general anesthesia, the two- to four-hour procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body. Breast reduction surgery is not recommended for women who intend to breast-feed, since many of the milk ducts leading to the nipples are removed.

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Breast Reduction with lollipop technique
Before	After		Before	After

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A breast lift, or mastopexy, is performed to return youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy, loss of the skin’s natural elasticity or simply the effects of aging and gravity. The procedure can also reduce areolar size (the dark skin surrounding the nipple), and it can be combined with breast augmentation for added volume and firmness. It is usually done under general anesthesia, and lasts from one to three hours.

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Breast lift without implant
Before	After		Before	After
Breast lift with implant Before After   Breast lift with implant Before After

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