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Breast Surgery Overview

Breast Augmentation

Augmentation of the breasts involves placing a silicone or saline-filled implant to enhance breast volume or to correct “deflation” of the breasts after having children or following significant weight loss. The goal for breast augmentation is always to create the most beautiful and Natural result that remains proportional to a woman’s frame.

Learn more about breast augmentation.

Dear Dr. Horton —

Thank you so much for your generous gift and using your incredible talent on my body. I cannot thank you enough for being such a big part of changing my life for the better. I can’t wait to see the final results. Thanks x 1 million!!!


Breast Lift (Mastopexy)

Breast lift (“mastopexy”) surgery reshapes the breasts by rearranging the breast tissue, removing and redraping loose breast skin, and lifting the nipples and areolas to a higher and more aesthetic position. The goal of mastopexy is to create a perkier, lifted, and more youthful breast shape.

Learn more about breast lift (mastopexy) surgery.

Breast Lift with Augmentation

Combination breast augmentation with lift is known as “mastopexy-augmentation” (or breast lift with implants). This procedure both enhances the breast volume and creates a fuller, perkier breast with increased projection and a more youthful shape. The nipples are lifted to a higher position on the breast, excess skin is removed, and an implant fills out the breast for enhanced volume.

Learn more about breast lift with augmentation.

“Mommy Makeover” Breast Rejuvenation

Following pregnancy, permanent changes often occur in the breasts, regardless of breastfeeding or not. Rejuvenation of the breasts is a key component of our “Mommy Makeover” procedure. Most Moms wish to correct breast deflation and droop, restoring their breasts to a fuller, perkier, more youthful shape. Options for breast rejuvenation include breast augmentation, breast lift, combination mastopexy-augmentation and breast reduction.

Learn more about options to rejuvenate the breasts in a “Mommy Makeover”.

Breast Reduction

Breast reduction surgery is designed to relieve symptoms from excessive breast size and weight, known as “symptomatic hypermastia”. Breast reduction is often listed as the number one most satisfying procedure that Plastic Surgery has to offer! After breast reduction, breasts are more proportional to the rest of the body, clothes fit better, and many women are able to become more physically active. By its nature, a breast reduction always includes a lift to make the breasts as beautiful as possible.

Learn more about breast reduction surgery.

Revision Breast Surgery

The goal of revision breast surgery is to reshape or improve the appearance of breasts that have previously undergone surgery. Revision may include removal or replacement of breast implants, capsulectomy to remove contracted scar tissue, conversion of malpositioned submuscular implants to a more natural position on top of the muscle, lifting previously operated on but droopy breasts, or correction of unsightly breast scars. Correction may be for cosmetic purposes or for breast reconstruction after cancer.

Learn more about revision breast surgery procedures.

Breast Reconstruction

Reconstruction of the breasts after breast cancer can involve the use of breast implants or the body’s own tissue (flap reconstruction). Nipple-sparing mastectomy is the technique used most often in our practice. Implant-based breast reconstruction is usually done as a single-stage, using a permanent, postoperatively adjustable breast implant. Flap reconstruction involves microsurgical transplantation of the body’s own tissue from the abdomen (DIEP flap, SIEA flap) or the inner thigh region (TUG flap) to reconstruct the breast, without sacrificing major muscles of the body.

Learn more about breast reconstruction options after breast cancer.

Male Breast Reduction (Gynecomastia Correction)

Gynecomastia is the development of male breast tissue, which can create self-consciousness or embarrassment for a man. Male breast reduction involves removal of excess breast tissue and/or fat from the chest area to create a more smooth and natural contour to the chest.

Learn more about gynecomastia correction (male breast reduction surgery).

Tubular Breast Correction

Tubular (“tuberous”) breasts refer to an unusual tubular shape to the breasts, with a small and elongated breast diameter, breast droop and/or an enlarged areola. Correction of tubular breasts involves breast augmentation and/or mastopexy, which creates a more natural breast shape and enhances the breast volume for better symmetry and enhanced volume to the breasts.

Learn more about options for correction of tubular breasts.

Poland’s Syndrome

Poland’s Syndrome is a rare congenital condition affecting the chest, breast, and occasionally the upper extremity on one side of the body. Correction of Poland’s syndrome can include breast implant reconstruction, specialized pectoral implants, flap reconstruction and other complimentary procedures to create symmetry where it is lacking and reconstruct the chest wall contour.

Learn more about Poland’s syndrome and surgical options for correction.

Nipple Correction Procedures

Nipple correction includes inverted nipple repair and nipple reduction. These procedures correct partially or permanently inverted nipples or reduce the size and projection of excessively large nipples, creating a more natural and aesthetically pleasing result.

Learn more about nipple correction procedures.

Nipple and Areolar Reconstruction

Following breast cancer treatment, the nipple and areola are reconstructed using the body’s own tissue and a medical tattoo to complete the breast reconstruction. Nipple and areolar reconstruction is the “icing on the cake” that acts as the finishing touch and makes the reconstruction appear natural and complete.

Learn more about reconstruction of the nipple and areola after breast cancer.

Dr. Karen M. Horton, M.D. - Plastic Surgery, Physicians & Surgeons - Medical-M.D., San Francisco, CA