There are many reasons people choose breast plastic surgery. For example, women’s breasts tend to be uneven in size, not large enough, overly ample, or simply disproportionate to their bodies. Also, the passage of time and life changes such as childbearing or weight loss, change our appearance.

Looking your best tells the world how you feel about yourself. Breast surgery can be about how we look and how we feel about ourselves. Many people really care about their appearance and choose surgery as a way to maintain or improve that look. Breast surgery can:

  • Boost self-esteem and improve how you feel about yourself image
  • Boost self-confidence
  • Refresh you after child birth (mommy makeover)
  • Relieve physical pain from excessive breast tissue

And, breast plastic surgery is not just for women. Due to medication or hormones, some men experience an increase in breast size. Male breast reduction (gynecomastia) can correct the issue and relieve the distress concerning appearance.

Breast surgery is a personal decision and preference. Whether you are getting breast augmentation, a lift, or reduction, what really matters is the size of your breasts should be in proportion with your frame. The goal of breast surgery is to enhance breast shape and proportion.

Breast surgery options include:

  • Augmentation
  • Lifts
  • Reductions
  • Gynecomastia

Breast augmentation procedures increased size and enhance the breast shape using silicone or saline breast implants. Many women choose to have breast augmentation to:

  • Correct breast unevenness
  • Correct breast deformities
  • Restore breast fullness
  • balanced body proportions

Your plastic surgeon can help you determine the right implant type for you.

Breast Implant Choices

Breast implants are different in price, feel, shape, and system requirements. The implants that work best for you will depend on your current breast size, personal preference, and your cosmetic surgeon’s recommendations. Implant considerations include:

  • Filling materials
    • saline
    • silicone gel
    • highly cohesive gel implants (gummy bears)
  • Shape
    • round
    • shaped

Saline and silicone gel implants tend to be round in shape, but gummy bear implant options can be shaped or round. Round implants fill and enhance the top portion the breast, while shaped implants offer a sloping contour. Also, to achieve the best possible symmetry, you may require a different sized implant for each breast.

Incision Options for Breast Augmentation

Women choosing breast implants frequently asked what their scars will look like and if they can be easily or discreetly hidden. Scaring depends on the technique used to place your implants.

One of the following techniques will be used to place your implants:


Inframammary surgery leaves a thin, one to two inch scar that is easily concealed. The advantages include a wider access point, allowing the surgeon to precisely placed larger silicone or gummy bear implants.


Peri-areolar incisions are made around the outer edge of the areola, resulting in minor scarring.


The trans-axillary technique involves implant placement via a small incision in the armpit. This method leaves a small scar under the armpit, but no scarring on the breast

Additional important information for women with breast implants:

  • It’s safe to have mammograms with breast implants.
  • Patients with silicone implants should be screened for ruptures.
  • Pregnancy or weight fluctuation may affect results.
  • Breast tissue change over time, so it’s important to wear bras with adequate support to prevent sagging.

Pregnancy, weight loss, and age can change the form of your breast, but a breast lift can restore proportion and shape to sagging breasts. It is also common for women to have breast implants added the same time to help restore breast fullness.

A plastic surgeon can create an overall better proportioned, natural looking breast contour by:

  • Removing excess stretched skin
  • Reshaping breast tissue
  • Raising the nipple and areola
  • Reducing the areola size
  • Creating a better breast shape

Plastic surgeons use a variety of incision techniques for breast lift surgery; the technique used is based on the patient’s existing breast tissue, the amount of excess skin to be removed, and individual choice. Your cosmetic surgeon will recommend the type of breast lift that will provide the best results with the least scarring possible. Breast lift surgery is typically performed as an outpatient procedure.

Donut lift (peri-areolar)

Donut lift surgery corrects mild sagging with only one scar. Women who have mild sagging are good candidates for peri-areolar lift. It is also useful for reducing areola size and the scar only appears on the edge of the areolar. This procedure is commonly performed in conjunction with breast augmentation.

Lollipop lift – (vertical lift)

This procedure is commonly used to improve moderate sagging and reshape the entire breast with easily concealed scars.

Anchor lift (inverted T)

To repair extensive sagging and reshape the breast, an anchor lift procedure is used. There is some detectable scarring with an anchor lift, but with excellent care, the scars diminish and are unnoticeable under a bikini top.

Breast reduction is a cosmetic procedure that reduces the size and weight of large breasts, creating a profile that is proportional to your body. The surgery involves removing excess breast tissue, fat, and sagging skin.

Many patients choose breast reduction surgery to minimize issues involving:

  • Pain in the neck back or shoulder region
  • Shoulder grooves from bra straps
  • Soreness or pain from exercise
  • Large nipples and enlarged areolas

Plastic surgeons use different surgical procedures for breast reduction. The technique used depends on the patient’s breast anatomy, as well as the type and amount of tissue to be removed. Breast reduction surgery is typically performed as an outpatient procedure.

Liposuction – works best for women whose breast size is largely due to excess fatty tissue with little or no sagging to correct and have good skin elasticity.

The benefits of liposuction for breast reduction are:

  • The procedure is faster and less invasive.
  • The scars are undetectable.
  • It produces long lasting results.

Vertical or inverted-T breast reductions – procedures are long-lasting and work best with women with:

  • Sagging or asymmetrical breasts
  • Stretch skin
  • Large amounts of tissue to remove

Lollipop reduction (vertical reduction) – removes excess fat, skin, and breast tissue. The surgeon then reshapes and lifts the breast. This technique works best for women who have noticeable sagging or only require a moderate reduction in breast size. Vertical breast reduction leaves a small amount of scarring below the nipple and can be easily concealed.

Anchor reduction (inverted-T) – requires three incisions but allows for maximum tissue removal and reshaping. This method works best if a patient requires a significant reduction, has considerable sagging, or for correcting uneven breasts. Scarring is similar to a vertical reduction but includes another scar beneath the breast. The scars can be discreetly concealed under clothing or bikini top.

Some men develop enlarged breasts, known as gynecomastia, for a variety of reasons including:

  • Genetics
  • Use of medications
  • Hormone imbalance
  • Overactive thyroid
  • Renal issues

Losing weight reduces the appearance of male breast for some men, but the most effective treatment for gynecomastia with long lasting results is male breast reduction surgery.

Gynecomastia can occur at any age, and male breast reduction is performed safely and successfully on both teenagers and adults men. This surgical procedure removes excess fat and glandular tissue. The procedure offers immediate improvement with minimal scarring and is typically performed as an outpatient procedure.

Male breast reduction results are intended to be permanent, however weight gain, steroid use, medical conditions, or drugs affecting testosterone levels could result in a recurrence of gynecomastia.