Project Description

Breast Surgery

Breast Surgery

From boosting self-confidence to alleviating chronic pain, there are a number of reasons breast surgeries are such sought-after procedures among South African women. Not only can they boost your self confidence, but they can also alleviate discomfort and pain caused by oversized breasts.

My approach towards breast surgery in all patients is to create a natural result, as women today desire beautifully shaped breasts that do not look as though they’ve been operated on. In patients requiring breast augmentation surgery, the trend is to use more naturally shaped breast implants that prevent the telltale round “stuck on” appearance of breast augmentation surgery. Many patients today however are completely happy with the size of their breasts and are more concerned about sagging in this area. Patients want to be able to wear revealing clothes without a bra but do not want to look as though they’ve undergone a procedure. This is one of the main reasons why I am seeing an increase in patients requesting a breast lift rather than a breast augmentation.

Breasts sag due to gravity taking it’s toll, breastfeeding can also stretch the breast skin and as we age, our hormones decrease, so too does the volume of the breasts. As the skin loses it’s elasticity, the breasts often lose their shape and firmness and begin to sag. A breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts—at least, for a time, as no surgery can permanently delay the effects of gravity. Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple.

Breast lift surgery has for many years been a life changing procedure for many patients. Recent advances in minimizing the extensive scars of the past have improved results and have encouraged more ladies to seek breast lift surgery. I tend to use the short scar (lollipop) technique in most of my patients, unless the breasts are too large. The resultant short scar gives patients more confidence and allows them to wear more revealing clothes than they could with the longer older inverted T scar.

A short scar breast lift procedure is more than just a change in the scar. It is a change in the philosophy of how a breast lift is performed. Rather than using the skin to hold up the breast, the breast tissue is completely remodeled, creating an internal bra so that the breast sits in a higher position without the help of the skin. The breast tissue that remains is never disconnected from the nipple, which optimizes the possibility of breastfeeding in the future. Sagging breasts with enough volume and without stretch marks and with good elasticity are perfect for lollipop scars.

Some patients may experience sagging of their breasts and would like a slight increase in the volume of the upper pole of the breasts. In the past, plastic surgeons have tried to give the illusion that the breasts are lifted by inserting a larger implant to fill this extra skin and prevent the scars associated with a breast lift. But, I find that most of these patients are disappointed a few years after the surgery as they have traded “small hanging breasts” for “larger hanging breasts”. They are still not able to wear a shoestring top without a bra as the nipple areola complex is still sitting in the same place as before the surgery.

In patients requiring a more natural result without a breast implant, a breast lift can be performed to improve the sagging and the shape and volume can be improved by injecting their own fat into the upper pole of the breast for a natural upper pole fullness. Autogenous fat grafts offer the advantages of preventing the long-term complications associated with the implantation of a breast implant.

Prosthetic breast implants have been the golden standard for decades to improve breast shape. However, many women today are looking for options without the possible complications of an implant and, therefore, are looking at some of the newer more natural techniques to improve the shape and the size of their breasts. A breast lift with or without lipofilling of the upper pole is a safe and predictable procedure resulting in naturally perky breasts.

Size, shape, or elevation: no matter what aspect of your bustline is causing you discomfort or unhappiness, I understand how important a woman’s bustline is to her self-esteem. That’s why I offer an array of breast procedures to help you achieve the shape and size you’ve always desired.

Women in good physical health and whose expectations are realistic will benefit most from breast surgery.

Results will vary from person to person and depend largely on the type of breast procedure you’ve opted for. Women who have a breast reduction should find almost immediate relief from the back pain caused by large, heavy breasts, for instance.

If it’s a breast lift you’ve had done, you’ll notice a more youthful appearance to your bustline, while an augmentation will give you larger, more shapely breasts.

As with any procedure, there are risks involved in a breast surgery. The first step in avoiding any complications is to choose a skilful surgeon who is well versed in cutting-edge tools and techniques that greatly decrease the chances of things going wrong.

It’s important to discuss any concerns during your consultations so that you have a better understanding of the risk factors. Another way to put your mind at ease is to do your own research into your desired procedure so you know what to expect.

breast surgery

The Procedure

I will tailor your breast examination to the kind of surgery you’ve chosen. In most cases, I’ll look at the tissue, skin structure, and skin quality of your chest.

Be open about your expectations, so you can be advised accordingly, and it’s vitally important that you’re honest with me regarding your medical history and whether or not you’re taking any medication. We’ll also discuss the dos and don’ts of your recuperation period.

In some cases, where a more natural option is preferred, I may recommend a fat transplant instead of breast surgery. This procedure involves taking fat from one area of your body, like your hips, cleaning and treating it, and then injecting it into your breasts as a filler.

I offer three breast procedures, namely:

  • Augmentation Ideal for women who want a larger or differently shaped bustline, this is one of the most popular procedures across the world.
  • LiftsThis is a good option if you have sagging breasts. During the procedure, several incisions are made and the breasts are repositioned for a more youthful appearance.
  • ReductionsThis procedure involves the removal of excess skin and breast tissue from over-sized breasts, giving the patient a better proportioned bust size and relief from the discomfort caused by the extra weight.
The recuperation period varies from person to person and is often dictated by the type of breast surgery you had. That said, some of the advice applies across the board. Avoid any strenuous activities like heaving-lifting and high-intensity exercise for the duration of your recovery.

Some patients may be left with permanently hypertrophic scars, but in most instances these fade over time to become less noticeable.

If you need more advice on how best you can recuperate, consult my General Recovery page or contact the practice for assistance.

With more than 18 years of experience in cosmetic surgery, I’m of the foremost plastic surgeons in Cape Town and I’ll be with you every step of the way when it comes to breast enhancement procedures. From the moment you book your first consultation until you’ve made a full recovery, you can rely on me and the team at Renaissance to give you with the best care possible.

Contact us today to find out more about the breast surgery procedures we offer.

Nerina – just to say a MASSIVE thank you to you for the incredible job you did on my boobs- I wasn’t sure what to expect, but am beyond thrilled, you surpassed all my expectations! Many, many thanks to you and your great team!
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