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Women may decide to undergo plastic surgery to enlarge or reduce their breasts, to achieve a balance in size or shape for their breasts, or to reconstruct one or both breasts after mastectomy. Whatever the motivation, breast surgery is safer and easier now than ever before. Please review the list of services we provide to help you make an informed decision and achieve the most satisfying results.
The most frequently performed cosmetic surgery procedure in the U.S.; breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy or surgery. The procedure may be combined with others such as a breast lift for more satisfying results.
Several types and styles of implants are available. Choices available are round, anatomic, smooth, textured, and saline or silicone implants. Saline implants are silicone shells filled with saline (salt water). Silicone implants are silicone shells filled with a silicone gel that has a more natural feel and texture. Currently silicone gel implants are restricted by the F.D.A. and require qualified patients to be enrolled into a study protocol for long term monitoring. Dr. Wages is an authorized investigator of silicone implants and enrolls qualified patients in this ongoing study. Implants are placed behind each breast, underneath either breast tissue or the chest wall muscle. The procedure lasts one to two hours and is typically performed with general anesthesia. After surgery the patient’s bust line may be increased by one or more cup sizes.

A breast lift, or mastopexy, is performed to return youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy, loss of the skin’s natural elasticity or simply the effects of gravity. The procedure can also reduce the areola size (the dark skin surrounding the nipple), and it can be combined with breast augmentation for added volume and firmness. Breasts of any size can be lifted, but results last longest when they are originally small and sagging. Mastopexy may be performed in a hospital, an outpatient surgery center or a surgeon's office-based facility. It is usually done under general anesthesia, and lasts from one to three hours.

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 performed immediately following mastectomy, so that the patient wakes with a new breast mound. Alternatively, reconstruction may begin years after mastectomy. There are several ways to reconstruct the breast, both with and without implants; Dr. Wages has extensive experience in using autologus (your body’s own tissues) reconstruction techniques and will work together with you in deciding which the best is for you.

Large breasts may cause physical and mental discomfort and can even harm the women who have them -- the size and weight of large breasts can result in self-consciousness, improper posture, pain in the back and neck, indentations from bra straps, skin rashes, breathing problems and skeletal deformities. Breast reduction surgery is usually done to provide physical relief from these symptoms. Performed under general anesthesia, the two- to three -hour procedure removes fat and glandular tissue and trims resultant excess skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body.

Although rarely discussed, enlarged male breasts are a common condition. Gynecomastia affects approximately 40 to 60 percent of men. There is no known cause for gynecomastia, although there has been some correlation with various drugs or medical conditions.
Men who feel self-conscious about their appearance are helped with breast-reduction surgery. The procedure removes fat and/or glandular tissue from the breasts and in extreme cases removes excess skin, resulting in a contoured chest that is flatter and firmer.
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