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Breast Enhancement Procedures

Augment, revise, and rejuvenate your breasts

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Breast Enhancement Procedures

Dr. Goldberg offers the latest and most advanced breast enhancement procedures to augment, revise, and rejuvenate your breasts. If you’re interested in achieving youthful curves and improved breast projection, fullness, shape, and/or symmetry, Dr. Goldberg can help you achieve the stunning results and vitality you desire.

Using her extensive knowledge of breast reconstruction surgery, Dr. Goldberg offers the best options and results for breast enhancement procedures. Dr. Goldberg also offers body contouring procedures, facial plastic surgery, non-surgical treatments, and hand surgeries.

Breast Augmentation

Breast augmentation surgery is a way for women who are dissatisfied with their breast size, shape, or symmetry to achieve their desired breast volume, shapeliness, and projection. Dr. Goldberg uses the subfascial breast augmentation method, which involves a specialized implant placement to improve a woman’s silhouette and, thereby, her self-confidence.

When breast implants were developed in the 1960s, two placement options were used:

    1. Submammary implant placement (above the pectoral muscle)
    2. Subpectoral implant placement (below the pectoral muscle)

However, clinical evidence has shown that these methods tend to have several side effects. Submammary breast augmentation often results in visible rippling of the implants through the breast tissue. Subpectoral breast augmentation can lead to side effects such as animation deformity, double bubble deformity, and displacement of the implant to the armpit.

Thankfully, Dr. Goldberg has broken new ground with the innovative subfascial implant placement. This technique places the implant below the pectoralis major fascia, which is the layer of tissue above the muscle that separates it from the glandular tissue. Subfascial breast augmentation is an essential choice for patients looking to augment their breasts with the most advanced techniques available that can lead to the most natural and aesthetic results.

Benefits of Subfascial Breast Augmentation

  • Natural breast shape
  • Lower rate of capsular contracture
  • No animation deformity with arm movement
  • Preserves breast shape over time
  • Prevents implant ptosis (double bubble deformity)
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Breast Implant Options

Dr. Goldberg offers silicone breast implants that are smooth in texture and round in shape.

Implant Material: Silicone

Modern implants offer the advantage of silicone gel that feels similar to real breast tissue. Silicone implants are also resistant to leakage and will stay in the implant shell if they are ruptured.

Dr. Goldberg does not use saline implants, as they are more prone to rippling and don’t look or feel as natural as silicone implants.

Implant Surface and Shape: Smooth and Round

Smooth implants are the softest feeling implant type and can move naturally in the breast pocket. Round implants have the advantage of making the breast appear full in comparison to form-stable implants. Patients can achieve additional projection with round implants that have a higher profile. Round implants have an even, spherical shape, making them less susceptible to malposition.

Implant Brands: Natrelle®, Mentor®, and Sientra®

Dr. Goldberg offers implants from the leading brands in breast implant production. When you undergo breast augmentation with Dr. Goldberg, you will get the latest in implant gel and shell technology. Allergan (Natrelle®), Mentor®, and Sientra® implants are all available at our location.

Breast Asymmetry Correction

Many women experience moderate to severe breast asymmetry that can be embarrassing and uncomfortable. Treatment for breast asymmetry helps women address imbalances in their breast size, breast shape, and/or nipple-areola complex position.

Dr. Goldberg can restore breast symmetry with breast augmentation, breast reduction, breast lift, nipple reduction or repositioning, or a combination of methods.

Breast Augmentation for Breast Asymmetry

Dr. Goldberg can tailor your breast augmentation techniques to balance the size and shape of your breasts. An implant can be placed only in the naturally smaller breast to augment it to the size of the naturally larger breast. Another method includes placing implants of different sizes into the breasts to increase the size of the smaller breast more than the larger one. Fat grafting can also be used in one or both breasts to balance out their size and shape.

Breast Reduction for Breast Asymmetry

Dr. Goldberg may use breast reduction techniques to remove tissue from the larger breast to make its size and shape similar to the smaller breast. If patients want to reduce the size of both breasts, more tissue can be removed from the larger breast.

Breast Lift for Breast Asymmetry

For patients with sagging breasts or one breast lower than the other, breast lift techniques can improve their breast symmetry. One or both breasts can be lifted and reshaped to make them more perky and symmetrical.

Combining Procedures for Breast Symmetry

A combination of the above breast surgery techniques can be used to improve breast symmetry. This may involve reducing the larger breast while augmenting the smaller one. One breast can be lifted while the other is reduced or augmented, or both can be lifted with a reduction or lift. The nipple-areola complex size, shape, and/or projection can also be adjusted on one or both breasts as needed.

Goldberg Plastic Surgery

Dr. Goldberg can restore your breast
back to its form using your own tissue.

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Breast Augmentation With Fat Grafting

Fat transfer breast augmentation (also known as Brazilian breast augmentation) is an innovative method used as an adjunct to breast implants. Transferring fat to the breasts provides soft tissue coverage of the implants for a more natural look. Additionally, Dr. Goldberg can use fat transfer to restore symmetry to the breasts, improve breast tissue density, and enhance breast tissue thickness. This breast augmentation technique is ideal for women with thin natural breast tissue who want large implants.

The breast implants are placed in the subfascial location. Fat is harvested from the hips and flanks, purified, and then transferred to the upper and lower poles of the breasts. With fat grafting to augment the breasts, patients can enjoy the volume and projection of implants and the natural look and feel of fat.

Benefits of Fat Transfer Breast Augmentation

  • Reduced rate of revision
  • Reduced implant visibility
  • Natural breast appearance
  • Larger implant options for naturally small-breasted women
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Breast Augmentation Revision

Although breast implants last for years, most breast augmentation patients will need a subsequent breast surgery at some point in their lifetime. Breast augmentation revision surgery is essential for patients who experience complications. Women may also consider breast revision to exchange their implants for larger or smaller ones if they are not happy with the results from their initial breast augmentation.

Dr. Goldberg offers the latest technology and cutting-edge techniques using her expertise in breast reconstruction to give you the best breast revision results.

Breast Revision Surgery Can Correct the Following:

  • Complications
    • Capsular contracture (hardening of scar tissue around the implant)
    • Implant rupture, deflation, or leakage
    • Wrinkling or rippling of implants
    • Implant displacement (shifting)
    • Contour abnormalities
    • Infection
  • Breast asymmetry
  • Dissatisfactory results
    • Breast size too large or small
    • Unanticipated breast shape
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Breast Lift

Breast lift surgery (mastopexy) is a technique that rejuvenates the breasts by removing excess skin and reshaping the breast tissue. Whether due to aging, pregnancy, or breastfeeding, most women notice a deflation of the upper breast poles, sagging of the breasts (breast ptosis), and downward-pointing nipples over time.

Dr. Goldberg offers a short-scar breast lift by tightening and lifting the breast tissue to fill out the upper pole and removing excess skin to achieve a more youthful and natural breast shape.

Benefits of Breast Lift Surgery

  • Restores lifted, perkier breasts
  • Improves breast firmness
  • Improves breast shape
  • Corrects nipple position
  • Reduces areola size
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Breast Implant Removal

Dr. Goldberg can perform breast implant removal surgery for women who no longer want their implants after breast augmentation or breast reconstruction. This procedure is often combined with a breast lift or fat grafting to restore firmness and shape to the breasts.

When possible, incisions for breast implant removal are made in the same location used for your initial augmentation surgery to minimize additional scarring on the body. If capsular contracture has occurred, the breast capsule tissue may require partial or total removal (capsulectomy). If implant rupture has occurred, Dr. Goldberg will investigate the breast pocket for leakage and remove any silicone material.

Reasons for Breast Implant Removal:

  • Capsular contracture
  • Implant malposition
  • Implant rupture
  • Implant deformity
  • Outdated implants
  • Chronic implant-related complications (even after breast augmentation revision)
  • Desire for a more natural appearance without implants
  • Dissatisfaction with size, shape, and feel of breast implants
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Breast Reduction

Breast reduction surgery (reduction mammaplasty) eliminates excess breast tissue to create more proportional and shapely breasts. Women inquiring about breast reduction often endure physical and emotional discomfort due to their large breast size. The size and weight of their breasts may interfere with activities and cause back and neck pain, chafing, rashes, and shoulder grooving from bra straps. Some women also experience unwanted attention and develop a negative body image, anxiety, and self-esteem issues because of their overly large breasts.

Breast reduction involves removing excess skin, fat, and glandular tissue to reduce a patient’s breast size and weight. This also makes the breasts firmer and less susceptible to sagging. If the patient is unhappy with the size of her areolae, they can also be reduced. The result is smaller, firmer, and, most importantly, lighter breasts that are more proportionate and aesthetically pleasing to the patient’s body shape.

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Tuberous Breast Correction

Many women suffer from a congenital condition referred to as tuberous breasts (tubular breasts). These breasts generally have constricted tissue at the base that causes them to be misshapen. Tubular breasts may also develop elongated skin and often have dense herniated tissues exerting pressure on the areolae. Women with tuberous breasts often have a great deal of anxiety and self-esteem issues if the condition is left untreated.

Correcting tuberous breasts involves accessing the tightened internal tissues through inconspicuous incisions. Through this process, Dr. Goldberg can create a rounder lower breast and lower inframammary fold so the breasts hang more naturally. Tuberous breast correction can also create more space for implants or fat injections if desired to further enhance the breasts’ shape, size, and position.

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Supernumerary Nipples & Breasts

Supernumerary nipples and breasts are additional nipples and breast tissues that form on the body. Supernumerary nipples and breasts are congenital conditions and often develop during the embryonic stages. Both men and women can experience supernumerary tissue, which can be found on the chest or outside its usual location, such as anywhere from the armpits to the abdomen. Excess breast tissue that forms on the chest can vary in size and shape, creating physical or psychological discomfort.

Suction lipectomy or direct excision can remove supernumerary nipples and breast tissue. When the excess tissue is neighboring normal breast tissue and has a similar texture, suction lipectomy is preferable to direct excision. Dr. Goldberg can use a combination of direct excision and suction lipectomy to address more complex issues.

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Congenital Breast Deformity

Breast deformities can be present at birth (congenital) but often become noticeable as a female’s breast tissue develops during adolescence. Congenital breast deformities can cause the breasts to be asymmetrical or unshapely, which can lead to self-esteem issues and emotional discomfort.

Dr. Goldberg offers several surgical techniques to correct congenital breast deformities. Some of the most common congenital breast deformities cause the breasts to be underdeveloped, misshapen, asymmetrical, or disproportionate to a woman’s body. A combination of breast surgery techniques can be used to create a more natural, balanced breast appearance.

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