Breast Aesthetics

Breast augmentation is a cosmetic procedure performed to increase the size and improve the shape of the breasts. This is typically performed with the use of an implant or through fat grafting. The more advanced design of implants and use of fat grafting allows for a very natural appearance after breast augmentation.

What are the benefits of breast augmentation?

• increased size and improved shape and position of the breasts

• increased confidence and self-esteem in and out of clothing

What to expect before breast augmentation surgery?

A consultation with one of our surgeons to discuss an individualized plan. Your physician will spend time with you, learning your exact desires and using state-of-the-art technology to optimize results in the most natural way possible. Surgery is performed in an outpatient setting.

What to expect after breast augmentation surgery?

After surgery, expect minor pain and discomfort in the chest. The swelling will subside over 2-3 weeks. Light activity is recommended for at least 1-2 weeks. A non-wired bra may need to be used for up to 6 weeks.

The breasts can become enlarged for multiple reasons such as breastfeeding, hereditary, weight gain, or hormonal changes. This can result in symptoms related to the weight of the breast leading to neck and back pain, rashes, or infections. Breast reduction surgery is a procedure performed through multiple methods to reduce the overall size of the breast, raise the nipple to the proper position and improve the overall shape, contour, and symmetry of the breasts. All of this leads to an improvement in symptoms and a more confident patient. In severe cases, insurance may cover the operation to improve the symptoms related to large breasts.

What are the benefits of breast reduction?

• breasts and nipples are repositioned to the proper placement

• decreased areola size and more symmetrical breasts

• improved neck and back pain

• ability to comfortably engage in more lifestyle activities

• increased confidence and self-esteem in and out of clothing

What to expect before breast reduction surgery?

A consultation with one of our surgeons to discuss an individualized plan. Your physician will spend time examining you to determine the exact method necessary to optimize results and improve symptoms in the most natural way possible. Surgery is usually performed in an outpatient setting.

What to expect after breast reduction surgery?

In general, swelling and bruising may be present for 1-3 weeks. Most patients are able to return to work and light activity after 1 week. It will take the breasts 3-6 months to settle into their final position. However, improvement in symptoms will be recognized immediately.

Unfortunately, poor outcomes happen in aesthetic breast surgery. Our group is highly experienced in the most complex breast surgeries performed anywhere on the globe, giving us the tools to fix all problems related to previous breast surgery. Breast revision surgery is any procedure used to correct a poor outcome from previous surgery or injections. This can include a number of breast surgeries including breast reconstruction, nipple, and areolar reconstruction, mastopexy (breast lift), implant augmentation, removal, or exchange. In most cases, a staged approach is used in order to achieve an acceptable outcome.

What are the benefits of breast revision surgery?

• breasts are restored to a natural or desired shape and size

• increased confidence and self-esteem in and out of clothing

What to expect before breast revision surgery?

A consultation with one of our surgeons to discuss your previous surgeries, and determine the issues with your current breasts. Your physician will spend time examining you to determine the exact method necessary to optimize results and improve symptoms in the most natural way possible. In some cases, specific imaging will need to be performed. Surgery is usually performed in an outpatient setting.

What to expect after breast revision surgery?

There are multiple methods to revise breast surgery. Depending on the procedure, recovery can vary widely. Your surgeon will be able to discuss your specific post-operative expectations during your consultation.

There are two types of chest reconstruction procedures that are available for transgender patients—Male to Female (MTF) and Female to Male (FTM).

MTF Breast Augmentation surgery is performed to give the chest more female appearing breasts through augmentation with implant or fat transfer.

What are the benefits of MTF Breast Augmentation surgery?

• increased size and improved shape and position of the breasts

• increased confidence and self-esteem in and out of clothing

What to expect before MTF Breast Augmentation surgery?

A consultation with Dr. Womac to discuss your specific wants and to determine the best procedure to perform based on your anatomy. In most cases, you will require letters from your medical and psychological providers. Hormone therapy is not always required. Some insurance will cover the surgery and Dr. Womac does accept most insurances. In cases where insurance does not cover or is not accepted, we offer the procedure at a reasonable cost.

What to expect after MTF Breast Augmentation surgery?

After surgery, expect minor pain and discomfort in the chest. The swelling will subside over 2-3 weeks. Light activity is recommended for at least 1-2 weeks. A non-wired bra may need to be used for up to 6 weeks.

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FTM Top surgery is a surgical procedure to make the chest look more masculine. This is performed in multiple ways, but the most common is a double incision mastectomy with free nipple grafts. Some patients elect to not undergo free nipple grafts. Other techniques include keyhole incision and liposuction.

What are the benefits of FTM Top surgery?

• the removal of unwanted female-appearing breasts resulting in a more masculine chest

• eliminates binding

• increased confidence and self-esteem in and out of clothing

What to expect before FTM Top surgery?

A consultation with Dr. Womac to discuss your specific wants and to determine the best procedure to perform based on your anatomy. In most cases, you will require letters from your medical and psychological providers. Hormone therapy is not always required. Most insurance will cover the surgery and Dr. Womac does accept most insurances. In cases where insurance is not accepted, we offer the procedure at a reasonable cost.

What to expect after FTM Top surgery?

After Top surgery, expect some bruising for 1-4 weeks. At least 1 week off of work is recommended. During week one, there will be drains to care for. After week one, drains are removed and nipple graft care is started. At 3 weeks, scar care is initiated. Compression is recommended for 3-4 weeks. Full recovery and return to all activities is expected in 4-6 weeks.

Gynecomastia is enlarged breasts in men. This can be due to a number of causes but the most common is residual tissue left from puberty. The surgery performed is dependent on the amount of excess breast tissue and can be done through minimal incisions or multiple incisions. Liposuction is also performed in most cases. In most cases, insurance will cover this procedure.

What are the benefits of gynecomastia surgery?

• more masculine chest with the proper contour and shape

• increased confidence and self-esteem in and out of clothing

What to expect before gynecomastia surgery?

A consultation with one of our surgeons to discuss an individualized plan. Your physician will spend time examining you to determine the exact method necessary to optimize results in the most natural way possible. Surgery is performed in an outpatient setting.

What to expect after gynecomastia surgery?

Recovery will depend on the method of surgery, but in most cases, patients can return to work after 1 week and to full activity at 6 weeks. Compression garments will be necessary during this time. Scar care will be important and started at 2-3 weeks.

Over time, breast implants and their appearance can change. Sometimes implants rupture, get encapsulated, migrate, or flip. All of these issues can lead the patient to want their implants removed or replaced. We perform either procedure depending on the patient's wishes, with the goal to restore the breast to a more youthful and natural appearance. Other indications include breast implant illness and textured implant removal to reduce concerns of a rare, related lymphoma.

What are the benefits of implant exchange or removal surgery?

• improved, more youthful breast appearance

• increased confidence and self-esteem in and out of clothing

• improved symptoms related to breast implant syndrome

• eliminate any risk of lymphoma related to textured implants

What to expect before implant exchange or removal surgery?

A consultation with one of our surgeons to discuss an individualized plan. Your physician will spend time understanding your concerns, and examining you to determine the exact method necessary to optimize results and improve symptoms in the most natural way. Surgery is usually performed in an outpatient setting.

What to expect after implant exchange or removal surgery?

Depending on the procedure, recovery will be similar to primary breast augmentation. In more complicated cases, the use of drains may be necessary. Your surgeon will be able to discuss your specific post-operative expectations during your consultation.

Whether it’s aging, breastfeeding, hereditary, weight loss, or hormonal changes, the breasts can become volume-depleted and saggy over time. Breast lift surgery is a cosmetic procedure performed through multiple methods to raise the nipple and the saggy breasts to the proper position and improve the firmness, contour, and symmetry of the breasts. Sometimes, augmentation with an implant or fat grafting may be necessary if the patient desires.

What are the benefits of breast lift surgery?

• repositioning of the breasts and nipples to the proper placement

• decreased areola size

• more symmetrical position

• more youthful and natural appearance

• increased confidence and self-esteem in and out of clothing

What to expect before breast lift surgery?

A consultation with one of our surgeons to discuss an individualized plan. Your physician will spend time examining you to determine the exact method necessary to optimize results in the most natural way possible. Surgery is performed in an outpatient setting.

What to expect after breast lift surgery?

Depending on the method used for breast lift, recovery and expectations may differ. In general, swelling and bruising may be present for 1-3 weeks. Most patients are able to return to work and light activity after 1 week. It will take the breasts 3-6 months to settle into their final position.