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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 than ever before. We offer a range of breast surgery procedures to fit your needs.



Breast
Augmentation (Breast Enlargement)

   
atlanta breast augmentation  

Breast augmentation can enhance your appearance, improve your self-confidence, and broaden your ability to wear different clothing fashions by changing the shape and size of your breasts to better match your body style. Also, breast augmentation is used to rebalance a voluptuous figure, correct lost volume resulting from age or pregnancies, and balance asymmetrical breasts.

Many women have made the choice to create the shape they have always dreamed of through breast augmentation. Premier Image Cosmetic & Laser Surgery boasts their ability to perform breast procedures that combine modern surgical techniques with classical aesthetics to enhance the natural contours and motion of a woman's breasts. Breast augmentation is a very popular procedure for women and among the most commonly performed cosmetic surgery procedures.

While there is no one ideal for how a woman's breasts should look; we believe there is an ideal breast form and size for every woman. Dr. Mark Klein of Premier Cosmetic & Laser Surgery works closely with each patient to create a plan that specifically matches her desires and image of her breast's ideal shape to her body's form. To ensure good communication, Dr. Klein requests the patient bring in pictures of how they would like their breast to look to complete the consultation process.

The breast implant is inserted under the crease in the breast, around the nipple or through the armpit. The implant can be placed under the breast tissue or beneath the chest wall muscle. After surgery, breasts will appear "fuller" and more shapely in contour. Incision scars will fade or disappear over time.

Breast implant options can be confusing however, you can narrow the field considerably by choosing one of two types: cohesive silicone gel or saline (or salt water) filled.

Breast Implants
Click Pictures for Larger View
 



  • Saline verses Silicone Gel-With Silicone Gel implants the fill does not shift and therefore rippling, shell collapse and folds do not seem to occur, even in long term follow up.  Shell breakage is rare, however even if you peeled of the shell of the implant, the cohesive gel will maintain its shape and not leak.

  • Shape-Breast implants come in a variety of shapes, surface textures and sizes.  Depending on the desired shape you desire, you may choose a round or anatomical/contoured breast implant shape.  The contoured breast implants do seem to maintain their shape depending on placement and patient physiology.  Since the length is greater than the width, it may be unsuitable for women under 5’5”. With that said it is important to consider the forces of gravity when choosing anatomical/contoured breast implants.  For example, the “Tear Drop” breast implant has an oval appearance from the front.  When viewed from the side, it is larger at the bottom and appears flat at the top Most of the volume in contoured implants is in the lower portion of the implant giving a bottom-out look. 

  • Round implants are the most popular choice and when viewed from the front takes on the same form as the anatomical implant.  It is a misconception that round implants produce a “fake” or overly round appearance. The new memory gel is available is moderate, moderate-high, and high profile styles.

  • Feel-Textured surface implants were designed to reduce the chance of capsular contracture (hardening of the breast), however clinical information from studies of women with breast implants show no difference in likelihood with textured compared to smooth surfaced breast implants.  Cohesive Silicone Gel Breast Implants have been used for ten years in Europe and experience has been that capsular contracture seems to occur less often with these implants.

  • Size Matters-During consultation, evaluation of your existing tissue determines if you have enough to cover the breast implant.  If you desire a breast implant size too large for your tissue, you need to be aware that implant edges may be visible post-operatively and you may increase risk of surgical complications.  Also, excessively large breast implant may speed up the effects of gravity and result in earlier droop or sag.


Premier Image Cosmetic & Laser Surgery offers the latest in breast aesthetic technologies.  We offer many sizes and shapes in breast implants, giving Premier Board Certified Surgeons the opportunity to help you choose the look that’s right for you. 

Contact us for more information on Breast Augmentation

 



Breast
Lift (Mastopexy)

atlanta breast liftWouldn’t it be nice to go braless under today's tank tops and strapped dresses again, then you might consider a breast lift.  A breast lift is a procedure that returns sagging breasts (breast ptosis) to their perky, more youthful position.  The breast tend to elongate and lose their youthful contour with aging, loss of skin elasticity and gravity or are a result from pregnancy, breastfeeding, weight changes, or hereditary factors.

A breast lift, also known as Mastopexy is a surgical procedure that lifts and firms the breasts by removing excess skin then lifting and tightening of the underlying breast tissue to reshape and improve breast contour and firmness.  Sutures are layered deep within the breast tissue to provide support for the new breast shape.

Breast lift surgery doesn’t significantly change the size of your breasts or always increase the volume of the upper part of your breast (cleavage).  Dr. Klein’s artistic touch and years of experience in specializing in breast lift surgery provide patients with more options in size and shape of the breasts.   His more advanced techniques have resulted in smaller external incisions, improved breast shape and greater patient satisfaction.  With Klein’s minimal incision mastopexy, also called “Short Scar technique”, most of the sutures are placed beneath the skin and are absorbed by your body; any external incision is camouflaged in the natural breast contours.

Often the areola becomes enlarged in patients with heavier breasts.  While repositioning the areola, Dr. Klein will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.

Typically, a breast lift takes about two hours depending on what type of lift you are having and how much correction is needed. 

Are you a candidate for Breast Lift Surgery?

  • Breasts are pendulous, with adequate breast tissue
  • Nipples and areolas point downward

Dr. Klein’s approach is to individualize treatment to your specific circumstances and goals and to help you achieve the appearance you desire with the least invasive procedure available, thus creating a mutually rewarding experience.

Breast Lifts do not reduce or increase the mass of the breast. If this is your goal, you may choose either a Breast Reduction or Breast Augmentation.  

Many patients may desire both a breast lift with breast augmentation, often referred to as “BAM” (Breast Augmentation with Mastopexy), to lift and increase their breast size.  If the breasts are small and have lost volume a “BAM” procedure incorporates breast implants inserted along with breast lift (Mastopexy) can increase both firmness and their size.  For more information about breast implants click here.

atlanta breast augmentation

Many patients choose to incorporate a breast reduction also referred to as Mammaplasty with their Breast Lifting or Mastopexy procedure.  This will reduce the size and heaviness of the breast.  Depending on the weight of the breast and physical problems that are associated with the size and heaviness, insurance companies will often provide coverage for the breast reduction portion of the

African American, breast reduction, atlanta

The final results of your breast lift will appear over the next few months as breast shape and position continue to settle.  The small incision lines will continue to fade over time.

Results should be long lasting, although breast shape is affected by weight gain, pregnancy and they continue to change with aging and gravity. Maintaining good health and stable weight will help you retain your new look longer.

Dr. Klein also performs Combined Breast Augmentation and Mastoplexy.

Contact us for more information on Breast Lift

 



Breast Reduction

atlanta breast reduction  

Women with very large, heavy, disproportionate breast often experience chronic back and neck pain combined with rashes and “Candidas” under the breasts and even breathing difficulties.  Unusually, large breast can make teenagers and women feel self conscience about their appearance which can lead to discomfort in social and business settings.

“Neck and shoulder pain from the heavy breast and deep grooves from the bra straps are common complaints from my patients”, said Dr. Marc Klein.  “The physical burden of large, heavy breasts continues to worsen because the patient is unable to exercise due to pain and mobility difficulties.”

Patients who undergo breast reduction surgery frequently are seeking relief from these physical symptoms caused by the excessive weight of large breasts.  Breast reduction can usually solve these problems as well as improve the size and shape of your breasts. 

“Following breast reduction, your breasts will be more proportional to the rest of your body, clothes will fit better and you will feel more confident about your appearance,” Dr. Klein said.

A diagnosis of “macromastia” is often made, provided documentation of these problems and physical evidence (measurements, weight or cc’s of tissue and photographs) have been kept.  Insurance frequently covers “breast reduction” surgery when the procedure is considered “medically necessary”.

There are several techniques and variations to the design of the incisions for breast reduction.  The size and shape of your breasts, as well as the desired amount of reduction are factors that Dr. Klein will consider in determining the best technique for you. 

The most common method of breast reduction involves three incisions.  The first is made around the areola, another runs vertically from the bottom edge of the areola to the crease underneath the breast and the third follows the natural curve of the crease. In some cases, it may be possible to avoid the vertical incision that runs from the bottom edge of the areola to the breast crease or the horizontal incision underneath the breast.

atlanta breast reduction

After removal of the excess breast tissue, the nipple and areola are repositioned.  Often, the areola is too large due to the stretching that occurs with large breasts and is reduced in size.  The breast is reshaped and liposuction may be used to improve the contour and remove accumulated fatty tissue under the arms.

atlanta breast reduction


Usually, the nipples and areolas remain attached to the underlying tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by using this method.

Contact us for more information on Breast Reduction






Breast Reconstruction

atlanta breast reconstructionModern surgical technology makes it possible to construct a natural-looking breast after mastectomy (breast removal) for cancer or other diseases. The procedure is commonly begun and sometimes completed 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; your surgeon(s) should work together with you in deciding which is the best for you. Breast reconstruction has not been proven to affect the recurrence of cancer or other diseases, chemotherapy or radiation treatment.

Contact us for more information on Breast Reconstruction

 




Nipple
Correction

Lets you change flat, depressed or protruding nipples that make you self-conscious. Nipple correction is usually intended to correct nipples that either rest flat against the breast, or are inverted, being pulled inwards toward the back of the breast.

Contact us for more information on Nipple Correction





Gynecomastia
(Male Breast Reduction)

Although rarely discussed, enlarged male breasts is 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.

To see more procedures for men, please click Surgery For Men .

Contact us for more information on Male Breast Reduction

 

 

 


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Dr. William Silver, MD, Dr. Louis DeJoseph, MD, and Dr. Marc Klein, MD, serving Atlanta and the surrounding area.


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