Breast Augmentation

All About Breast Lifts

breast lift mastopexyAs women age, they often notice changes to their breasts, especially following childbirth and breastfeeding. While it’s true that changes like sagging or drooping are part of the normal aging process, the good news is that if you are unhappy with the look of your breasts, there is a relatively simple procedure called a breast lift that can help reposition, reshape and rejuvenate your breasts to restore a more youthful appearance.

What is a breast lift?

If you’re happy with the size and volume of your breasts but want a perkier look, then a basic breast lift (mastopexy) — a procedure that reshapes and lifts your breast tissue — may be just right for you.

During this procedure, your surgeon will likely remove a substantial amount of skin to help your breast go back to a more aesthetically pleasing position. If you also want to reduce the size of your nipple and its surrounding area (areola), it can be done at the same time.

If you’d like your breasts to be more lifted and larger, you can get those results with a mastopexy with a breast augmentation procedure. Your surgeon will reposition your breasts, and also use a breast implant to increase their volume.

And finally, if you’d like more lifted and smaller breasts, your best option is a mastopexy with a breast reduction. If you currently have implants you’d like to have replaced with smaller implants, we can offer several options.

Where are the incisions made?

Excess skin is removed from all over the breast. The exact location of the incisions depends on how much skin needs to be removed. However, there is always one incision around the areola and one that goes in a straight line down to the fold of the breast. Sometimes, a small incision is also needed in the fold underneath the breast. Your surgeon will discuss with you your unique needs and will be able to show you where your incisions will likely be prior to your surgery.

How long will it take me to recover?

While it may take several months to see the final results from your breast lift, your actual recovery typically happens within a few weeks. You can expect to have some bruising and swelling during that time. You’ll also have stitches and bandages covering your incisions.

Since the procedure doesn’t affect the muscles of the chest, the pain is usually minimal and easily managed. In fact, many patients are able to go off pain medication within a few days after surgery, and back to work within 10 days.

You should plan to avoid intense activities, such as upper-body workouts, for four to six weeks.

Am I a good candidate for a breast lift?

A breast lift can produce remarkable improvement in the appearance of your breasts, but there are limitations to what the surgery can accomplish. As long as you’re in good health and have realistic expectations, you’re a good candidate. Some lifestyle choices, like smoking, increase your risks and can have a negative impact on healing, so being a non-smoker is ideal.

Your surgeon will talk with you about your medical history, as well as assess your current health, before scheduling any cosmetic procedure.

Emory Aesthetic Center

At Emory Aesthetic Center, we’re committed to making your cosmetic surgery experience a positive one. Our team of highly skilled surgeons are happy to answer questions that you may have, so you fully understand what you can expect during and after your breast lift procedure.

Contact us today to schedule a consultation and speak to a cosmetic surgeon about the approach that’s right for you.

About Dr. Miotto

Gabriele C. Miotto, MD, is an assistant professor of surgery in the division of Plastic and Reconstructive Surgery at the Emory University School of Medicine, and the associate program director of the Emory Aesthetic Center Fellowship Program. She is fellowship-trained in aesthetic and oculoplastic surgery and certified by the Georgia Composite Medical Board as well as the International Society of Aesthetic Plastic Surgery and Brazilian Society of Plastic Surgery. Dr. Miotto is also certified by the National Board of Medical Examiners.

 

Request an appointmentor call us at 404-778-6880.

Optimizing Your Recovery After Cosmetic Surgery

surgery roomPeople love what cosmetic surgery can do to enhance their appearance and self-esteem, but nobody looks forward to the recovery period. Maybe you’re worried about pain or not being able to complete your normal activities. You might be concerned about missing work, caring for your children, or even the possibility of gaining weight when you’re not able to exercise. Fortunately, recent advancements in surgical and postsurgical care help to enhance the recovery period — with benefits like less pain, improved mobility and a quicker return to your normal activities.

Advancements in Surgical Techniques

The field of cosmetic surgery is constantly evolving. Several new techniques have been developed that make for a much smoother recovery. The tummy tuck (abdominoplasty) procedure is a great example.

With traditional methods, a tummy tuck requires the use of one or two drains. Drains are plastic tubes that are left under the skin at the surgical site and poke out through the incision or through a small, separate hole in the skin. The drains require special care — you have to empty them, measure the output, and be careful with them during showers and other activities. They also have to be removed by your surgeon.

Luckily, with new treatment advances, we’ve been able to eliminate the need for drains and all the work that comes with them. Instead, your surgeon can now use progressive tension sutures — a method of placing stitches internally during the procedure — so you can now wake up with no drains at all. Best of all, studies have shown that progressive tension sutures actually work better than drains at preventing fluid buildup.

Better Pain Control Immediately Following Surgery

We’ve also made headway in the area of pain control. Over time, we realized that the less pain you have early on (when the pain is usually at its worst), the less pain you’ll experience later in your recovery. Now engaging a new strategy, surgeons are using local anesthetic agents to help with your pain after surgery instead of just during the procedure.

Two particular procedures where local anesthesia can help with recovery are breast augmentations and tummy tucks. In breast augmentation, a local anesthetic can be placed around the implant to help reduce pain for the first few hours. During a tummy tuck, which is known to be one of the more extensive and painful recoveries, your surgeon can use a long-lasting local anesthetic to reduce your pain for 48 to 72 hours.

Post-Surgical Pain Control Using Medications

One of the most significant changes over the past several years is the use of a multimodality pain control strategy. This means using more than one medication or type of pain control to improve your recovery.

In the past, surgeons often recommended you avoid aspirin and ibuprofen (Motrin, Advil) after surgery. However, we’ve found that in higher doses, these medications not only provide effective pain relief, they also work to reduce inflammation — something a narcotic medicine (Vicodin and Percocet) can’t do. They also reduce the need to take more powerful pain medications (narcotics) as frequently as was traditionally prescribed. This is especially important because narcotics can cause unpleasant side effects like nausea or constipation, and carry the risk for addiction.

So, it’s now common to use anti-inflammatory pain relievers, narcotics and muscle relaxants in combination to effectively combat your pain. This makes a lot of sense because different medications work in different ways, and their results can be complementary.

Emory Aesthetic Center

At Emory Aesthetic Center, we’re committed to making your cosmetic surgery experience a positive one. Our team of highly skilled surgeons and nurses are happy to answer your questions so you fully understand what you can expect during and after your procedure.

In an effort to make your recovery even smoother, we’ve launched a new program that enables you to remain in the comfort of your own home during your postoperative check. Instead of having to get up and about early on in your recovery, you can simply connect with your doctor or nurse through a secure video system.

About Dr. Eaves

dr. felmont eavesFelmont F. Eaves III, M.D., F.A.C.S., leads the Emory Aesthetic Center as Medical Director. He is double-board certified by the American Board of Surgery and the American Board of Plastic Surgery.

Dr. Eaves’s leadership is apparent in his impressive accumulation of distinctions. He serves as Director of the American Board of Plastic Surgery, the board that certifies plastic surgeons nationally. Previously, he served as President of the American Society for Aesthetic Plastic Surgery; he is currently a Trustee.

 

Request an appointmentor call us at 404-778-6880.

 

Mastopexy: What to Expect from Breast Lift Surgery

The shape of the breasts can change over time. They may lose elasticity and firmness causing a sagging effect. This can be contributed to a number of factors, including weight gain, pregnancy, breastfeeding, aging, and the effects of gravity. When the breasts descend down the chest wall, we call this ptosis. A mastopexy, or breast lift, is used to raise the breast back to its original position and restore a youthful shape. Below are frequently asked questions about breast lift surgery and what to expect.

What Steps are Involved in a Mastopexy Surgery?

There are four general components to mastopexy surgery. First, we restore the breast or nipple-areolar complex to its normal position, and possibly resize it if needed. Second, if the patient requests it, there can be a volume adjustment. Breasts that are too large can be made smaller, and breasts that are small can be made larger with breast implants. Then, the overall shape of the breasts is restored. Having achieved this, there is generally some excess skin that will need to be removed as the final component of a breast lift.

How Long Does it Take to Perform a Breast Lift?

The length of the operation depends on the specifics involved in the surgery. If it is a straightforward mastopexy, it takes approximately 2 hours. If a breast reduction is performed with the breast lift, it takes approximately 3 hours. And if implants are involved, the time can fluctuate from there. Your plastic surgeon will be able to inform you of the operation length once all components of the surgery are finalized.

Is There Pain After Mastopexy Surgery?

After surgery, expect to be uncomfortable for a few days. You will likely feel pain and soreness around the incisions. For the first week, you may need pain medication. In my practice, patients have not reported very much discomfort after a mastopexy. I have had women state that it feels like they need to breast feed after the procedure. However, if breast implants are done concurrently with a breast lift, it tends to be more uncomfortable.

Will There Be Scars After Breast Lift Surgery?

The biggest drawback to mastopexy are the resulting scars. Fortunately, in most instances, the scarring gradually gets better and better during the recovery so that at the end of the healing process they become very inconspicuous. Women (and their plastic surgeons) want to minimize scars whenever possible, but the procedure that leaves the smallest scar may not always be the best choice for you. One of the keys to getting great results with a breast lift is to match the right scar pattern with your needs. It is important that when a plastic surgeon is interviewed that you see examples of incisions during the course of recovery so that you know what to expect after the operation is undertaken.

Emory Aesthetic Center

The plastic surgeons at the Emory Aesthetic Center are experts in helping you think through all your options for mastopexy. We use the most up-to-date techniques, implants, imaging systems, and adjunct therapies (like scar therapy) to help you achieve the results that you want. We’ll take the time to thoroughly explore your goals and get a deep understanding of your desires. At the same time, we will work hard to make sure you really understand what breast lift options will give you the best results in the long run. To get started, simply schedule a complimentary consultation with one our expert plastic surgeons.

About Dr. Zubowicz

Vincent Zubowicz, MD, assistant professor of Surgery, division of Reconstructive Surgery at Emory University, is a renowned leader in the Atlanta medical community where he has practiced for over 35 years. He is triple board-certified by the National Board of Medical Examiners, the American Board of Surgery, and the American Board of Plastic Surgery.

Dr. Zubowicz is not only a leader in Plastic, Reconstructive, and Maxillofacial Surgery, but also a leader in patient communication. He is one of the Top 50 Contributors on Real Self, the nation’s premier online communication resource for patients, where he serves on the national media committee. As an advocate for open patient communication, Dr. Zubowicz has written over 18,000 individual answers to patients seeking insights on both surgical and non-surgical procedures. Dr. Zubowicz is a prevailing voice of medical expertise for the Atlanta media, most recently appearing on CNN to discuss the selection and safety of free-standing aesthetic surgery centers.

Request an appointmentor call us at 404-778-6880.

Understanding Breast Implants

While many still think of breast implants as comically large, fake-looking breasts, they couldn’t be further from the truth. Today, breast enhancement is highly customizable, allowing you to decide the size, shape and projection you want. If you’re considering breast augmentation, understand your breast implant options so you can make the decision that is right for you.

What You Need to Know

Consider choosing a qualified plastic surgeon as your first step, rather than your last. Involving them early in the process can help you understand the process, and get the results you want. Your plastic surgeon will review the aspects of implants with you, explain your options and provide you with the best recommendation to great the results that you want.

Filler Material

Implants can be filled with either silicone gel or saline (salt water). But the vast majority of implants are made with silicone since it has cohesive properties which help your implant look, feel and move more like natural breast tissue.

There was some controversy about the safety of silicone gel implants in the early 1990s. However, after many years of study in thousands of women, silicone gel breast implants have been confirmed safe by the U.S. Food and Drug Administration (FDA). For those who prefer saline implants, recent improvements (adding internal baffles) have made them feel more like silicone implants.

Shell Surface

The shell is the part of the implant that touches your tissue and holds the filler material. It’s made of a silicone polymer (rubber) and can have either a smooth or textured surface. A textured surface can help implants stay in place better and may reduce the risk of capsular contracture (excessive scar tissue). Which type of surface you need depends on your specific body characteristics, where in the body your implant is positioned, and the shape of your implant.

Shape

Implants don’t just come in different sizes. They also come in different shapes — “round” and “teardrop.” Teardrop implants (sometimes called “shaped” implants) can look round from the top view, or they can have a more oval shape. From the side, they have a lower portion that is thicker and projects more, while the upper part is thinner. Because there’s no up or down orientation, round implants can use either a smooth or textured shell. But because a shaped implant has to stay in the same direction (i.e., up is up), it must use a textured shell.

Projection

Whether round or shaped, implants can be made with different projections or profiles, meaning how far your breasts extend forward. Having these options means that your surgeon can help you match the right implant to the width of your breast with the right projection of your breast to give you the best results.

Size

Implant size is one of the most important choices of all. Every woman has a different goal in terms of breast size. Some want a more modest look, while others want a very large increase in size. It’s important to remember, however, that the size of a breast implant should be compatible with your body. A large, wide breast implant in a chest that is small and narrow will not look natural, and over time can stretch the breast tissue or become displaced.

Positioning

While implant positioning within the body isn’t a feature of implants per se, this is an important decision. There are two primary positioning options:

  • Subglandular augmentation — implants are placed on top of the breast (pectoral) muscle but under the breast gland
  • Submuscular or subpectoral — implants are placed under the breast gland and under the pectoral muscle

Each has its advantages and disadvantages. With a subglandular augmentation, recovery may be a bit easier the first couple of days, but the chance of capsular contracture (scarring around the implant) is significantly higher than with subpectoral augmentation.

Emory Aesthetic Center

When taking all of these different factors together, there are many combinations of implant size, shape, fill, texture, projection, and location for a given patient. A well-trained and experienced plastic surgeon can help you confirm your goals and understand your particular anatomy in order to make the best recommendation for you.

Emory Aesthetic Center surgeons are experts in breast enhancement. We’ll help you better understand your options and determine how to get the results you want. Schedule your complimentary consultation today.

Request an appointmentor call us at 404-778-6880.

About Felmont Eaves III, M.D., F.A.C.S.

Felmont F. Eaves III, M.D., F.A.C.S., leads the Emory Aesthetic Center as Medical Director. He is double board-certified by the American Board of Surgery and the American Board of Plastic Surgery.

Dr. Eaves’s leadership is apparent in his impressive accumulation of distinctions. He serves as Director of the American Board of Plastic Surgery, the board that certifies plastic surgeons nationally. Previously, he served as President of the American Society for Aesthetic Plastic Surgery; he is currently a Trustee.

 

Choosing a Cosmetic Surgery Center

View of Emory Aesthetic Center Building EntranceWhy Choose Emory Aesthetic Center? If you’ve been thinking about cosmetic surgery, you probably have a lot of questions like “Why choose Emory Aesthetic Center.” “How do I find the right doctor for me?” “How do I know it will be safe?” “What kind of procedure do I need?” Then, like most people, you’ll likely turn to the internet for answers. But is the information accurate? Who and what can you believe?

Emory Healthcare: A Name You Can Trust

Emory Healthcare is the region’s most comprehensive academic healthcare system. It’s home to highly-regarded doctors who conduct innovative research and are ranked among the top for patient care. But is Emory the right place for cosmetic surgery? Absolutely. With an aesthetic center dedicated solely to surgical and nonsurgical cosmetic procedures, how could you go wrong?

Specialized Cosmetic Surgery Team

Cosmetic surgery is what we do. When you choose Emory Aesthetic Center you get a cosmetic surgery team filled with innovators in the field. Many of our expert surgeons teach nationally and internationally and have served as leaders in regional, national and international societies. Collectively, our team has also published hundreds of contributions in journals and books about how to perform cosmetic procedures — safely.

In addition to top-notch surgeons, our entire staff — including anesthesiologists, nurse anesthetists, nurses, technicians and more — works together to provide the best care in a center that meets the highest standards of credentialing.

Wide-Array of Surgical and Nonsurgical Cosmetic Procedures

How can you know if the procedure being recommended is the best choice for you? There’s a saying, “If the only tool you have is a hammer, the whole world looks like a nail.” That’s the problem with going to a center that has limited offerings. You will only be offered the choices they are able to provide.

Body contouring is an excellent example of why it’s important to go to a center that can offer a variety of procedures. Let’s say you want to improve the look of your abdominal area. There are several surgical and nonsurgical options for different situations:

  • Coolsculpting® can reduce small amounts of localized fat deposits, without surgery.
  • Liposuction may be needed if there is a higher percentage of fat to be removed.
  • Abdominoplasty (tummy tuck) is needed to remove significant excess skin from the tummy.
  • A body lift may be needed to tighten and firm the abdomen, thighs, and buttocks of a patient who has lost a significant amount of weight.
  • Or a combination of the procedures above may be required to give the best results.

At Emory Aesthetic Center, we’re continually studying, teaching and publishing about cosmetic procedures, so we’re always on top of the newest developments. We offer the entire spectrum of surgical and nonsurgical cosmetic procedures, including cosmetic surgery, skin care, facial rejuvenation and body contouring. Our familiarity with the full-variety of techniques available enables us to guide you toward the procedure that fits you best.

Luxurious Atmosphere

At Emory Aesthetic Center, you’ll get the best of both worlds — clinical excellence and a luxurious experience. You won’t feel like you’re in a hospital. Our center is quiet and elegant and stands remote from the main campus. Our entire staff is focused on ensuring you have a great experience. Whether you’re here for a skin treatment in our Spa or surgical treatment in the operating room, we’re ready to give you the experience of a lifetime.

Request an appointmentor call us at 404-778-6880.


Choose Emory Aesthetic Center

Emory Aesthetic Center is the right choice for your cosmetic procedure. But don’t take our word for it, schedule your complimentary consultation and experience the Emory difference today.

Factors to Consider Before Breast Lift Surgery

breast lift blog postPregnancy, breastfeeding, aging and weight fluctuations commonly take a toll on a woman’s breasts. If you’re noticing yours are sagging or not as full as they once were, it may be time to consider a breast lift (mastopexy). Breast lifts can produce dramatic results with a relatively short recovery.

If you’re serious about it, the first and most important thing on your to-do list should be finding a skilled and experienced cosmetic surgeon. The right surgeon will listen as you describe your desired outcome and talk through all the options. Remember your body is unique—there is no one-size-fits-all procedure. Here are two important factors to consider with your surgeon:

1. What will the scars look like?

Of course, women (and their plastic surgeons) want to minimize scars whenever possible, but the procedure that leaves the smallest scar may not be the best choice for you. One of the keys to getting great results with a breast lift is to match the right scar pattern with your needs.

Types of scar patterns

There are several surgical techniques used during breast lifts that leave different scaring patterns. Some include:

“Donut” (periareolar) lift – This procedure is effective for women who have very mild drooping or who want to reduce the size of their areolas (the pigmented area surrounding the nipple). It yields the smallest scar that runs around the perimeter of the areola.

“Lollipop” (vertical) lift – This is probably the most common breast lift procedure because it addresses moderate drooping and provides more extensive reshaping. The scaring goes around the perimeter of the areola and then straight down from the bottom of the areola to the fold underneath the breast (inframammary fold)—resulting in a lollipop-shaped scar.

“Anchor” (inverted T) lift – With this procedure, the scar goes around the areola, then from the bottom of the areola to the fold underneath the breast (the inframammary fold), and finally along the fold of the breast. The anchor technique is most effective for women with significant drooping and whose breasts have slid down on the chest wall. Most commonly, women who have had multiple pregnancies (with breast feeding), who have lost a significant amount of weight, or who are having a breast reduction require this technique. Although it yields the most scarring, scars can often be placed in areas that can be hidden by bras or bikini tops.

Be careful about pushing your plastic surgeon toward a technique based solely on scar patterns though. Some techniques may not adequately address the issues you’re having. Also, remember that surgeons will always work to place scars in the least noticeable positions possible, like under skin folds.

2. Do I need implants?

Determining if you need breast implants, a lift or both, is often a point of controversy and confusion—but it’s important to think it through. One easy way to narrow down your choice of procedure is to take the size test.

The size test

You need to separate the concept of size and lift, which isn’t always easy. To help, try manually lifting your breasts in front of a mirror. How you feel about the size of your breasts when they’re lifted will guide you toward which procedure is right for you.

Just a lift – If you’re happy with the size of your breasts, or if you wish they were just slightly bigger, a breast lift is probably the right choice for you. Small implants will give you very little (if any) benefit, yet you’ll still incur the cost and potential future surgeries that can come with breast augmentation. Should you decide after your lift that you still want to add volume, you can always have an augmentation down the road. But most women are satisfied with the results of a lift alone.

Just implants – If your breasts are too small or relatively deflated (need volume) but the nipples aren’t too low, breast implants might do the trick. While it’s true that implants will give a slight lift, they will not make up for more significant drooping. Sometimes, women make the mistake of getting bigger implants to avoid getting a lift. Unfortunately, this usually results in the heavy implants sagging and the woman feeling her breasts are too large for her comfort. Often in this instance, a woman will opt to remove or replace the implants and must undergo a more extensive (and complicated) breast lift than she originally needed.

Both – Combining breast implants and a breast lift can give wonderful results. Women who wear “A-” or “B-” cup bra sizes, and who have extra loose skin but not a lot of tissue to droop, do especially well with the combined procedure. Women who have larger breasts can also get implants; however, over time, fuller breasts may “fall off” of the implant, requiring additional surgery.

Emory Aesthetic Center

If you’re considering a breast lift or implants, schedule a complimentary consultation with one of the expert cosmetic surgeons at the Emory Aesthetic Center to discuss your options.

Request an appointmentor call 404-778-6880.

Breast Implants or a Lift: Which is Right for Me?

It’s not uncommon for women to feel dissatisfied with their breasts. Whether your breasts didn’t develop as you’d hoped or you’re unhappy with changes from aging, pregnancy or weight loss, there are many options for helping you achieve a breast size and shape you can enjoy.

First, Pinpoint the Real Issue

Zeroing in on which aspect bothers you — your breast volume or position — will help you choose the best procedure(s) to get the results you want. And, it’s not always as straightforward as it sounds. For example, you can’t assume you need to add volume if your breasts don’t project like they used to, even after extreme weight loss. A breast lift could very well give you the look you want.

So how do you pinpoint the real issue? I make this simple suggestion to all my patients to help determine if they’re truly unhappy with the size of their breasts:

Lift your breasts up or wear your favorite bra in front of a mirror and ask yourself, “Do I like the size of my breasts now with this additional support?”

If so, you’ll probably be happy with the results of a breast lift. But if you feel your breasts are too small even when lifted, you’ll likely want implants.

Now, Choose the Right Procedure For You

 Determining which type of procedure will achieve the best results, implants or a lift, can be confusing. But now that you’ve narrowed the issue down to size or position, you can make a better decision about which procedure you want.

Breast implants add volume and may give a subtle lift, but not enough to combat significant drooping.

If you’re happy with your size, but want a ‘perkier’ look, a breast lift can be the answer.

A Dual Procedure

If you’re unhappy with your size and have a significant amount of drooping, you’ll likely want a dual procedure — breast implants and a breast lift at the same time — to get the shape you desire. Since two things are happening at once during this dual procedure, it does require some surgical finesse. So, it’s important to have an experienced and skilled cosmetic surgeon. In my experience, women with smaller breasts tend to have better and more predictable results from the dual implant and lift procedure than women whose breasts are larger. With larger breasts, there’s an increased possibility the lifted breast tissue may droop from the implant over time.

A Staged Approach

If you’ve chosen to get implants, but aren’t sure if you want a lift too, you might consider a staged approach. With this strategy, you get your implants first and see if you like your results. If you’re satisfied, you saved yourself from an unnecessary procedure. If you’re not satisfied, you can choose to get a breast lift later. The drawback is if you decide you need the lift after all, you’ll have to endure two surgeries and two recovery periods instead of one.

A Word of Caution

Some women (and the occasional cosmetic surgeon) will push for very large implants to get more of a lifting or filling effect to the breasts without having a breast lift. I’ve seen many women over the years with overly augmented breasts who still feel their breasts aren’t as perky as they’d like. These women then need both a breast lift and a downsizing or removal of their implants to get to their desired look.

Emory Aesthetic Center

Emory Aesthetic Center has years of experience helping women achieve their ideal breast size and shape. As part of Emory, we are one of Atlanta’s most trusted names in health care. If you’re considering a breast enhancement procedure, but just aren’t sure which procedure is right for you, come see us for a complimentary consultation. Make an appointment using the request an appointment button below or call 404-778-6880 to schedule your personal consultation.

Augmentation, Reduction or Lift? – Your Breast Surgery Questions Answered

breast-aug-emailHave you been contemplating breast surgery? Whether you are considering breast augmentation (enhancement), breast reduction or breast lift surgery, it is important to understand the full extent of the procedure.

During our live chat on Thursday, November 17th, hosted by Emory Aesthetic Center’s plastic surgeon, Dr. Felmont Eaves, we answered questions about the different types of breast surgery options available. Dr. Eaves discussed what to expect during surgery and the recovery process. He also gave advice on choosing the right plastic surgeon to obtain the natural looking results you desire.

The response was so great that we had a few questions we were not able to answer during the chat so we will answer them below for your reference. A full list of questions and answers can be found on our chat transcript. You can also visit emoryaesthetic.org for a full list of services and treatments offered by the Emory Aesthetic Center.

Question: Do you typically do a reduction and a lift at the same time?

Dr. Eaves: Yes, a breast reduction always includes a breast lift, but you can lift without reducing if a reduction is not needed.

Question: If I get breast implants now, will I likely need a lift down the road?

Dr. Eaves: You may or may not. Many women with breast implants never need a lift, although it might be that after a decade or two that the extra size could contribute to the breast becoming more droopy. A lot of it will be related to how much breast tissue and the elasticity of the breast skin at the time of augmentation. It is certainly something to discuss at the time of consultation.

Question: Hi Dr. Eaves, I am set for a consultation in a few weeks, but am not sure which option to have – a breast lift (BL) or breast reduction (BR). My breast size is a 34F and I am a medium body frame with small bulge on the lateral aspect of my breast. Not sure if I can live with the post scarring from the breast reduction. Do you think for the best cosmetic look I would be a good candidate for periareolar BR or would a BL be better?

Dr. Eaves: In thinking through your individual circumstance, it is important to remember that a reduction always comes with a lift – that is just part of it. If a patient needs a lift, that lift can be done alone with no change in breast size, or the breasts can be reduced (a little or a lot, depending on what is needed), or the breast can even be augmented. The one thing is that – in general – a periareolar reduction or mastopexy is often ill-advised, unless the deformity is absolutely minimal. Although it sounds great to have a smaller scar, in reality that periareolar scar often looks very abnormal if trying to do any significant lifting or reduction, so that both the scar and breast shape will be poor. Be cautious – except in very limited circumstances, a peri-areolar only approach can be problematic.

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Augmentation, Reduction or Lift – Join Our Breast Surgery Live Chat

Join us for a live chat on November 17th as we discuss different types of breast surgery options and answer questions about what to expect from surgery.Have you been contemplating breast surgery? Whether you are considering breast augmentation (enhancement), breast reduction or breast lift surgery, it is important to understand the full extent of the procedure. Join us for a live chat with Emory Aesthetic Center plastic surgeon, Dr. Felmont Eaves, on Thursday, November 17, 2016 at 12:00 p.m. EST as he discusses these different types of breast surgery options and answers all of your questions about what to expect, the surgery and recovery. He will also give you advice on choosing the right plastic surgeon to obtain the natural looking results you desire.

If you have been wondering if a breast surgery procedure is right for you, you won’t want to miss this chat.

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About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

Mommy Makeover: When Is the Right Time?

A mommy makeover can reshape your body to help you look more like yourself again. But when is the right time to do it?The “mommy makeover” is on the rise. Women want to reclaim their bodies from the changes brought on by pregnancy and breastfeeding. But a common question is “when is the right time to do it?”

What Is a Mommy Makeover?

A mommy makeover is a procedure, or combination of procedures, that help reshape a woman’s form after pregnancy. Each woman’s needs and goals are unique, but mommy makeovers typically involve any combination of the following:

  • Tummy tuck
  • Liposuction of the tummy or other areas such as the back, thighs or arms
  • Breast procedure:
    • Breast augmentation with implants to add volume
    • Breast lift to address low-hanging (sagging) breasts
    • Combination of both breast lift and augmentation to lift breasts and add fullness

When Is the Time Right for a Mommy Makeover?

While you may be in a hurry to reclaim your pre-pregnancy body, there are several factors to consider before scheduling your procedure(s).

Is My Body Ready?

It’s important to give your body time to return to “normal” following pregnancy. It’s best to wait until the stretched tissue returns to its typical state and until you’ve lost your pregnancy weight. Not only is surgery safer when you’re at a good weight, but the results are also better.

What If I’m Breastfeeding?

Breastfeeding is a factor to consider, especially when a breast procedure is part of your plan. You shouldn’t have elective breast surgery until your baby is fully weaned and your milk has completely dried up. Most surgeons prefer to wait at least three months after you stop breastfeeding, regardless of the procedure you’re considering.

How Much Time Will I Need to Recover?

As a mom, you have lots of responsibilities — caring for your family being only one of them. So you’ll want to consider when you’ll have the time and support you need before scheduling your procedure(s). Most women need a few weeks to recover.

Can I Have Another Baby After I Get a Mommy Makeover?

Results of your mommy makeover will be compromised by a pregnancy. So, you shouldn’t consider getting procedures done if you’re planning to have another child.

That being said, life is complex. Sometimes circumstances change. Typically, you can safely have another baby after you have a mommy makeover. However, you may wish to have some additional surgical procedures done following the pregnancy to address the new changes to your body.

Another thing to consider is that depending on the type of breast surgery you had, you may or may not be able to breastfeed.

Are You Ready to Consider a Mommy Makeover?

The board-certified plastic surgeonsat Emory Aesthetic Center  can help you determine the right timing and combination of procedures for your mommy makeover.

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or call us at 404-778-6880 to schedule a consultation