Dr. Hunsaker performs the following breast procedures:
Women may decide to undergo plastic surgery to enlarge or reduce their breasts, to achieve a balance in size or shape of their breasts, or to reconstruct one or both breasts after mastectomy. Men may also seek to reduce breast size. Whatever the motivation, breast surgery is safer and easier now than ever before.
Mastopexy (or Breast Lift) reshapes the breasts and repositions the areolas. This procedure is usually performed on women who have been pregnant multiple times and breastfed their babies, or on bariatric surgery patients who have lost a significant amount of weight. In either case, the deflated look or excess skin in the breast area can be disconcerting to the individual, who may desire aesthetic improvement. When performed on bariatric surgery patients, the procedure is usually combined with breast augmentation (enlargement) to better fill the empty space vacated by the fat loss.
The breast lift operation is performed under general anesthesia or heavy sedation combined with a local anesthetic. The skin below the breast is generally removed to excise excess skin from the area. The nipple is then moved higher up on the breast to better situate it in relation to the new breast positioning. The skin above the breast is pulled around to create a swell and to tighten the remaining area of skin around the glands and fatty tissue of the breast for a more youthful appearance. The areolas can also be resized if necessary. Some doctors may also place small drains to help reduce swelling for the first day or so following surgery; these drains will be removed soon after in a follow-up visit less than three days after surgery.
The full recovery time of this procedure is usually around a month, but patients can generally return to desk jobs within 10 to 14 days. A supportive bra must be worn everyday for the full recovery period to ensure proper healing. Pain medication is prescribed for the week following surgery, as well as antibiotics to reduce the likelihood of infection. Although scarring is likely, most of the scars associated with breast lift surgery are readily hidden by a normal bra. These scars will fade over time to become almost invisible to the naked eye.
Breast reconstruction restores a natural, symmetrical appearance to the bosom, maintains body proportion, allows clothes to fit better, and most important of all, boosts self-confidence for women who have lost one or both breasts to mastectomy or who lack breasts due to a congenital or developmental abnormality. Reconstructive surgeons strive to create a new breast and nipple that resemble the woman’s natural breast as closely as possible in shape, size and position.
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.
There are several ways to reconstruct the breast, both with and without implants. Dr. Hunsaker will work help you in deciding which is best for you.