Many women see Dr. Stanley P. Gulin at Plastic Surgery Associates of Naples-Fort Myers because of the physical discomfort associated with very large breasts. In addition, they would like to enhance the overall appearance of their breasts, which are pendulous and sagging. Many women suffer from breast enlargement starting in their teens and early 20’s, while many will develop breast enlargement following pregnancy or menopause. The breast is usually too large in proportion to the woman’s frame with back, neck, and shoulder pain being caused by the weight of the breast. Women complain of irritation under the breasts as well as indentation in their shoulders from tight bra straps. Most women find physical activity difficult because of the size and weight of the breasts. Occasionally women suffer from a difference in size of the each breasts making it very difficult to fit into a bra.
Many women see Dr. Gulin because they are self-consciousness about the size of their breasts. They are limited in their physical activity as well as the type of clothes that they can wear.
Because of the medical reasons associated with performing breast reduction, this procedure is often covered by a patient’s insurance.
About the Breast Reduction Procedure
Breast reduction is performed by Dr. Gulin in his state of the art on-site fully accredited surgical facility located in Naples, Florida, or at one of the medical centers at which Dr. Gulin maintains surgical privileges. Surgery is performed either under twilight sleep sedation or general anesthesia, depending upon the size of the reduction.
Surgery involves incisions which reduce the size of the skin and breast. Without removing the nipple areolar complex from the breast it is relocated to a higher position on the breasts. In addition, the breast is secured in a higher position onto the chest muscle. This gives a much more youthful appearance to the breast with the breast being sculpted to be in proportion to the patient’s body frame.
Most breast reductions involve incisions around the areola, the midline of the breast, and underneath the breast. These incisions usually go on to heal very well, particularly the incision around the areola and in the midline of the breast. Our on-site permanent makeup artist is able to apply micro-pigmentation to the areolar incision to blend it even more into the surrounding skin.
Because of the type of breast reduction that Dr. Gulin performs at Plastic Surgery Associates of Naples-Ft. Myers, the nipple is left attached to the rest of the breast so that sensation is maintained as well as the ability to breast feed.
After the Breast Reduction Procedure
Most people having breast reductions by Dr. Gulin at Plastic Surgery Associates of Naples-Ft. Myers, return to their usual work approximately one week following surgery. Activity is limited for several weeks. The breasts may have some bruising or swelling, which may last up to one to two weeks. Women go into a comfortable bra the day of surgery.
The final result is a breast that is cosmetically very appealing and of proportionate size. Most women are able to breast feed after the procedure and undertake all forms of physical activity.
Women seeking breast reduction using liposuction see Dr. Stanley P. Gulin at Plastic Surgery Associates of Naples / Fort Myers because of large painful breasts. The large breasts usually are associated with back, neck, and shoulder pain, as well as bra strap indentations. Often there is irritation under the breast where it rubs against the upper abdominal skin. Women are often not able to wear comfortable clothing or partake in physical activity. The breast is pendulous and saggy, and is out of proportion to the body frame.
About the Breast Reduction with Liposuction Procedure
Dr. Gulin performs breast reduction using liposuction alone in his fully accredited on-site surgery facility located in Naples, Florida under twilight sleep sedation or general anesthesia. One-quarter inch size incisions are made around the areola, under the breast, and in the armpit through which a liposuction cannula is introduced. Usually the procedure is performed with ultrasonic tumescent liposuction (Lipo-Selection/Vaser-lipo). The ultrasound assists in separating the fatty breast tissue from the rest of the breast tissue, thus creating less trauma to the breast with less bruising and swelling. In addition, the ultrasound promotes contraction of the skin around the smaller breast mound.
No incisions are present except for very small lipo-selection entry incisions. Breast sensation as well as nipple sensation is retained in addition to the ability to breast feed.
After the Breast Reduction with Liposuction Procedure
The breast remains swollen for approximately two weeks following the procedure. After this the majority of the swelling has subsided. Mild bruising is also present, up to about one week to ten days. A comfortable bra is worn night and day for about two months following the procedure to help elevate the breast to a more youthful position.
The overall result of the breast reduction by Dr. Gulin at Plastic Surgery Associates of Naples - Ft. Myers, is a smaller more proportioned breast. No incisions are present except the very small one-quarter inch liposuction entry incisions. Breast sensation as well as nipple sensation is retained and the ability to breast feed is also retained.
Many women see Dr. Stanley P. Gulin at Plastic Surgery Associates of Naples - Fort Myers because of their concern over the loss of the youthful shape and firmness of their breasts. These changes result from the loss of skin elasticity often following pregnancy, breast feeding, weight changes, and aging. Many women, even at an early age, find that their breasts are sagging and do not have the cosmetic appearance that they desire. In addition, clothes that are form fitting are difficult to wear.
Often women see Dr. Gulin not only to have their breasts lifted but at the same time to have a breast augmentation (enlargement) so that the breasts are firmer and more shapely as well as larger.
About the Breast Lift Procedure
Surgery is performed by Dr. Gulin in his fully accredited in-office surgery facility located in Naples, Florida. Surgery is usually performed under twilight sleep sedation anesthesia.
Surgery involves tightening of the skin overlying the breast. Excess skin is removed and the nipple-areolar position is raised. Incisions depend upon the amount of excess breast tissue. Often an incision only around the areola is needed. Occasionally an additional incision in the midline of the breast is necessary. Both of these incisions heal very well and after a few months are difficult to see. The incision around the nipple-areolar complex can also be blended into the skin by our in-office micro-pigmentation specialist.
If desired, the breast can also be enlarged using a submuscular implant. The implant can either be an FDA approved silicone gel filled implant or a postoperatively adjustable saline implant (Spectrum implant by Mentor Corporation). This implant allows the size of the breast to be increased following the surgery for a period up to six months.
After the Breast Lift Procedure
Most patients return to usual activity in about one week following their surgery. Full exercise is resumed in about three weeks following surgery. There is mild bruising to the breast, which resolves in about two weeks. Nipple sensation is usually retained as well as the ability to breast feed. A bra is worn night and day for about two months.
Following your breast lift (mastopexy) by Dr. Gulin at Plastic Surgery Associates of Naples - Ft. Myers, the breast has a much more youthful shape. The nipple is elevated into its proper position. Clothing is much easier to wear because the breast basically has the same shape in or out of a bra. If an implant has been added the breast is not only more shapely without sagging but also larger. If a postoperatively adjustable saline implant has been used the size of the breast can be adjusted for several months following surgery.
Women see Dr. Stanley P. Gulin at Plastic Surgery Associates of Naples/Fort Myers for nipple-areolar correction for various reasons. Many women find that the nipple on the breast is of excessive length or height or may actually droop. On some women, particularly after breast feeding, the nipple may not stand out but may be inverted. Women find that the inverted nipple is disfiguring and often embarrassing.
Dr. Gulin sees a number of women for correction of areolar problems. These problems may stem either from previous surgery or from the state of the breast as it grows. The areola may be of excessive size, particularly in patients who have either sagging or enlarged breasts. In a number of women the areola may not be flat but protrudes or puffs out. Usually the areola is also excessively enlarged as well as protruding above the breast surface.
About the Procedure
Surgery is performed under twilight sleep sedation anesthesia in the fully accredited on-site surgery facility, directed by Dr. Gulin, located in Naples, Florida.
Surgery of the nipple alone involves small incisions around the base of the nipple. These incisions are used to either correct the inverted nipple or the enlarged or drooping nipple.
Corrections of areolar cosmetic disfigurements are performed through an incision around the areola. Usually this incision heals extremely well and can even be improved upon by our on-site micro-pigmentation specialist. For the enlarged protruding areola, excessive areolar skin is removed and the tissue underneath the areola tightened so that the areola lies flat on the surface of the breast.
In the case of irregular or enlarged areola or asymmetric areola, various amounts of skin are removed from the surface of the areola in order to produce a circular areola, which matches the other side. If needed, the remaining breast is reshaped and lifted using a breast lift (mastopexy).
After the Procedure
Most people return to work in one to two days following their nipple-areolar correction. Full physical activity is resumed in about two weeks following the procedure. Mild bruising may result. A support bra is worn night and day for several weeks.
Following your procedure the nipple-areolar has a much more cosmetic appearance. The inverted nipple now stands out from the breast while the sagging or excessively enlarged nipple is in proportion to the rest of the breast. Nipple sensation is retained.
Following areolar corrections the areolar size is more in proportion to the rest of the breast. The puffy areola that previously was apparent, even under clothes, now lies flat on the breast. The incisions are minimal and usually resolve almost completely with time.