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If you want more information or to schedule an appointment with New Jersey Cosmetic Plastic Surgeon Dr Richard Peck about Breast Enhancement Surgery such as Breast Augmentation, Breast Lift, Breast Reduction, or Breast Reconstruction, please contact us at our NJ office.
For the woman whose breasts are too large or sagging, we perform a breast lift/reduction, which involves removing excess skin (and, if necessary, tissue) and repositioning the breast. Women who want larger, firmer, or more symmetrical breasts can get saline implants with or without a breast lift.
Who is a Candidate?
- Women who desire larger breasts.
- Women with a moderate degree of breast sagging and smaller breasts, whose problem can be solved by enlargement.
- Women who have one breast that is noticeably smaller than the other.
Intended Result
- Larger and more shapely breasts.
- A more positive self image.
Procedure Description
- The procedure is done on an outpatient basis under general anesthesia.
- A small incision is made under the breast and a saline implant is inserted under the breast tissue or under the breast tissue and the underlying muscle.
Recuperation and Healing
- The patient goes home in an elastic bra. The bra helps hold the breasts in the correct position.
- Initial discomfort is controlled with oral medication.
- Sutures are usually removed in 7-14 days.
- Light activities can be resumed as tolerated. Aerobic activities can be started in about 3 weeks.
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.
 Who is a Candidate?
- If you have sagging breasts due to past pregnancies, genetics, or aging.
- If the sagging is too great to be treated with an implant alone.
- If your nipple-areolar complex (pigmented areas around nipples) are enlarged.
Intended Result
- An elevated, more youthful breast contour.
- Nipple-areolar complexes of the desired size and at the correct height
- The procedure is done on an outpatient basis under sedation and local or general anesthesia.
- The design of the incisions can vary but usually include incisions around the nipple areolar complex and in the crease under the breast.
- The nipple-areolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position.
- The insertion of an implant as well, may or may not be advisable.
Recuperation and Healing
- The patient goes home in a bra with only light dressings over the incision lines.
- The bra is worn as a "dressing" for 2-3 weeks.
- Sutures are usually completely removed within 2-3 weeks.
- Initial discomfort is easily controlled with oral medication.
- Light activities may be started in 7-10 days.
Other Options
- An additional procedure that would enhance the result is Mastopexy (breast lift) -- if the breasts are saggy in addition to being small.
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.
Who is a Candidate?
- If you have large, heavy breasts, which may be the cause of breathing difficulties, back, shoulder and neck pain, poor posture, bra-strap indentations and chafing under the breasts.
- If you have excessive breast size, which may decrease a sense of attractiveness and self-confidence.
Intended Result
- More attractive contour and smaller breast size.
- Freedom from health problems associated with excessively large breasts.
- Improved self image.
- The procedure is done under general anesthesia on an outpatient basis or in the hospital.
- Incisions are made around the pigmented area (the nipple-areolar complex) and extend vertically below the nipple and in the fold under the breast. The nipple-areolar complex is moved upward to the desired location; excess breast tissue, fat, and skin are removed.
Recuperation and Healing
- The incisions are covered with light dressings, and the breasts are placed in a bra. The bra holds the breasts symmetrically during initial healing.
- Initial discomfort subsides daily and can be controlled with oral medication.
- Scars will usually fade in 6-12 months.
- Surgery will probably reduce, and possibly eliminate, the ability to breast feed.
Other Options
- An additional procedure that would enhance the result is Liposuction of axillary area to reduce excess fat deposits.
This procedure is commonly covered by insurance though insurance criteria are becoming more and more restrictive. Our staff will assist you in obtaining pre authorization.
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.
Modern surgical technology makes it possible to construct a natural-looking breast after mastectomy (breast removal) for cancer or other diseases. The procedure is commonly begun and sometimes completed immediately following mastectomy, so that the patient wakes with a new breast mound instead of no breast at all. Alternatively, reconstruction may begin years after mastectomy. Many insurance companies cover reconstruction following breast cancer surgery, and legislation is currently before Congress to make coverage mandatory.
Women whose cancer seems to have been eradicated with mastectomy are the best candidates for breast reconstruction. Those with health problems such as obesity and high blood pressure and those who smoke are advised to wait. Others prefer to postpone surgery as they come to terms with having cancer, consider the extent of the procedure, or explore alternatives.
The reconstruction itself consists of multiple operations, the first of which involves creation of the breast mound and is performed during or after mastectomy in a hospital under general anesthesia. Later surgeries, if necessary, may be done in the hospital or an outpatient facility, with either general or local anesthesia.
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