Everyone is different. And every body is different—including breast size and shape. Whether you are looking for breast reduction or augmentation, lift or reconstruction, WellSpan Plastic and Reconstructive Surgery works with you to help reach your personal goals to achieve your desired breast appearance. Our professional team will meet with you in an environmental respectful of your needs and take the time to carefully discuss your personal expectations and desired results.
Our breast procedures are individually designed to help you achieve your own ideal shape and size of your breasts. Using the latest surgical techniques, our procedures include reconstructive surgery for women looking to recover from the impacts of pregnancy, enhancement of naturally smaller breasts and reduction of larger breasts causing discomfort. In addition, we lovingly work with breast cancer survivors to help rebuild the shape and look of their breasts.
Everyone is different. WellSpan Plastic and Reconstructive Surgery works with you to provide the highest quality care for natural-looking results that are uniquely you.
How We Can Help
- Breast Reconstruction
- Breast Reconstruction with Implant
- Transverse Rectus Abdominis Myocutaneous (TRAM) Flap
- Deep Inferior Epigastric Perforator (DIEP) Flap
Breast augmentation, or augmentation mammoplasty, is one of the most common plastic surgery procedures performed today. Over time, factors such as age, genetics, pregnancy, weight changes, and gravity can cause the size and shape of the breast to change. Women who are dissatisfied with the size of their breasts or have experienced changes in breast appearance can achieve fuller, shapelier breasts with breast augmentation. During this process, breast implants are placed inside a pocket behind existing breast tissue. Breast augmentation can increase or balance breast size, restore breast volume, or restore the breast shape after partial or total loss. It is important to realize that breast augmentation cannot correct significantly sagging or drooping breasts. In these instances, a breast lift is often necessary, which may be performed in conjunction with this procedure.
At WellSpan Plastic and Reconstructive Surgery we use both saline and silicone implants.
Learn more about Breast Augmentation with Saline Implants (video)
Learn more about Breast Augmentation with Silicone Implants (video)
Breast Implant Removal
The goal of breast implant removal surgery is to remove breast implants from breast augmentation or breast reconstruction patients. During these procedures, the surgeon may also remove silicone material from implant leaks and the breast capsule, which is the scar tissue that formes after the placement of a breast implant.
Often, the scar tissue that forms after the placement of an implant is soft and does not need to be removed, but it may harden, causing pain and discomfort. This is often a reason to have the implants and scar tissue removed.
Breast implants are not lifelong devices and it is important to have them exchanged or removed approximately every 10-15 years. This decision is typically based on the individual and the patient's needs and desires.
In some cases, the outside shell of the implant breaks down causing silicone to leak and the scar tissue around the implant to harden. It is important to understand that your implants should be removed for this reason.
Changes to the breasts can be dissatisfying and make a woman feel as if she is losing her femininity and youthfulness. Over time, factors such as age, genetics, pregnancy and breast feeding, and weight and hormonal fluctuations can change the appearance of the breasts. Breasts that were once firm and shapely may begin to sag giving them a loose or heavy appearance. A breast lift, or mastopexy, can help restore a firmer, shapelier breast, which will improve body contours and give the breasts a perky, youthful appearance.
Learn more about Breast Lift (video)
Breasts that are excessively large in proportion to body size are a frequent cause of back and neck pain as well as shoulder irritation from bra straps. Additionally, sleep and participation in certain activities may be affected, and the likelihood of rashes and infections in the folds underneath the breasts increases. Fortunately, an operation known as breast reduction or reduction mammoplasty, achieves good results in alleviating these problems. A reduction removes extra breast tissue, reshapes the breasts, and lifts them to a more upright and youthful position; additionally, uneven breasts can be made more even. Although an improved appearance is often a benefit of the operation, breast reduction is reconstructive in nature, and the goal of this procedure is to alleviate symptoms.
Learn more about Breast Reduction (video)
Male Breast Reduction (Gynecomastia)
Overdevelopment of male breasts is a condition known as gynecomastia. Gynecomastia can affect men of all ages and most commonly is the result of genetics, hormonal changes, certain drugs or medications, and weight gain. Gynecomastia affects approximately one out of two men at some time in their lives. This condition is characterized by excess breast fat and glandular tissue and can be present in one (unilateral) or both (bilateral) breasts. Gynecomastia can cause emotional distress and selfconsciousness and many men refrain from certain activities in order to hide their condition. While losing weight may reduce the size of male breasts, because of the presence of excess glandular tissue, weight loss alone will rarely result in satisfactory breast reduction. Gynecomastia surgery or reduction mammoplasty is an effective and long-lasting way to reduce breast size, repair nipple and areola abnormalities, and improve chest contours.
Learn more about Male Breast Reduction (video)
Women who have lost one or both breasts to cancer may desire to have their breasts reconstructed. Reconstruction may be done at the same time as the breast is removed via mastectomy (immediate reconstruction) or at a later time (delayed reconstruction), and is often covered by insurance. A variety of reconstruction options exist and can restore breasts to near normal shape, size, and appearance. Some options involve using a flap of your own tissue, called an autologous flap, which is taken from your abdomen, back, buttocks, or other area to reconstruct your missing breast. Other options involve using a breast implant, which is an elastic silicone sac filled with sterile saline solution or silicone gel. Sometimes autologous flaps and implants are used together. The type of reconstruction you choose will depend on your body type, lifestyle factors, procedure risks and benefits, and personal preferences. Your plastic surgeon will help you decide which procedure is best for you.
Almost one half of the patients who decide to undergo breast reconstruction choose the implant procedure. Breast implants are used for both reconstruction and breast augmentation procedures. The main advantage of the implant reconstruction is the relative ease of the operation and rapid recovery. There is no need for surgery on other body parts which may be required when an autologous method is selected (TRAM, DIEP Flap). The breast implants have been shown to be very safe medical devices, however, they have a limited life expectancy. Patients with an implant reconstruction may require further procedures in years to come to exchange the implant or perform other adjustments.
Transverse Rectus Abdominis Myocutaneous (TRAM) flap is the most common autologous procedure for breast reconstruction. Autologous means using the patient’s own tissue for reconstruction. This avoids the use of prosthetic (implant) material. The main advantage of this procedure is that the lower abdominal tissue is used for the breast reconstruction and not an implant. The “new” breast has a more natural feel and look compared to am implant redconstruction. The abdomen is closed by pulling the remaining skin tight which creates a flat and more attractive abdomen similar to a tummy tuck procedure.
The main disadvantage of a traditional TRAM procedure is that one or both rectus muscles (six-pack muscles) have to be sacrificed. Therefore the abdominal wall will be weaker. This has been the main reason why DIEP and muscle sparing free TRAM flap procedures have been developed and have gained in popularity over the recent years.
Deep Inferior Epigastric Perforator (DIEP) flap is a modification of the classic TRAM flap. DIEP flap utilizes the skin and fatty tissue from the lower abdomen to recreate a new breast mound. The blood vessels responsible for perfusion of this tissue are freed from within the rectus muscle (the six-pack muscle) in front of the abdomen without sacrificing the muscle. These vessels are reconnected to recipient vessels on the chest to re-establish blood supply to the tissue. Microsurgical techniques are used to reconnect the vessels. The donor site on the abdomen is closed similar to a tummy tuck procedure. Dr. Soltanian routinely performs DIEP flap reconstructions. He was the first surgeon in the region to perform this procedure.
Learn more about Breast Reconstruction (video)
The Women's Health and Cancer Rights Act of 1998 (WHCRA) is a federal law that provides protections to patients who choose to have breast reconstruction in connection with a mastectomy. Learn More.
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