Breast
augmentation is a very popular procedure for women and among the most
commonly performed cosmetic surgery procedures. Most often, a
saline-filled implant is placed under the breast tissue or beneath the
chest wall muscle. After surgery, breasts will appear fuller and
more shapely in contour. Incision scars can be placed in the
armpit, around the areola, or under the breast.
Dr.
Medalie typically performs breast augmentation as an outpatient
procedure. The average cost including anesthesia, facility and
implants is $4900.
For more of Dr. Medalie's patient photos,
please visit his web
site.
For
more information about Breast Augmentation, please visit the American
Society of Plastic Surgery site,
by clicking on this link,
or Looking Your
Best, by clicking
on this link.
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Over
time, the effects of gravity along with the loss of the skin's natural
elasticity begins to have an effect on the appearance of a woman's
breasts. These factors, combined with pregnancies and nursing will
often cause the breasts to lose their youthful shape and firmness.
A
breastlift, or mastopexy, is a surgical procedure to raise and reshape
sagging breasts. The procedure can also reduce the size of the
areola (the darker skin surrounding the nipple). Breast implants
inserted in conjunction with a mastopexy procedure can increase both
firmness and size.
Dr.
Medalie typically performs breast lift as an outpatient procedure.
The average cost including anesthesia and facility fee is $4700.
For more of Dr. Medalie's patient photos,
please visit his web
site.
For
more information about Breast Lift, please visit the American
Society of Plastic Surgery site,
by clicking on this link.
Large,
pendulous breasts may cause a woman to potentially experience various
medical problems caused by the excessive weight of the breast tissue.
Problems with posture, skeletal deformities, back and neck pain, skin
irritations and nerve irritations of the fingers are common with this
condition. Bra straps often leave indentations in the shoulder
area. Many women, especially teenage girls, are very
self-conscious if they have unusually large breasts. With breast
reduction surgery, women of all ages are able to have breasts that are
better shaped and in proportion.
Breast
reduction (reduction mammoplasty) removes fat, glandular tissue, and
excessive skin, resulting in smaller, lighter and firmer breasts that
are better-shaped in proportion to rest of the body.
For
more information about Breast Reduction, please visit the American
Society of Plastic Surgery site,
by clicking on this
link.
For more of Dr. Medalie's patient photos,
please visit his web
site.
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Reconstruction
of the breast after a mastectomy due to cancer or other disease is quite
possible with today's surgical procedures. It is now a Federal law
that after Breast Cancer surgery, all insurance companies are required
to cover Breast Reconstruction as well as opposite side breast symmetry
procedures. Using the
newest medical techniques, a plastic surgeon is often able to create a
breast that is similar in form and appearance to that of the natural
breast. A consultation will provide you with information on the
many available options for post-mastectomy breast reconstruction.
For
more information about Breast Reconstruction, please visit the American
Society of Plastic Surgery site,
by clicking on this
link.
For more of Dr. Medalie's patient photos,
please visit his web
site.
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Dr.
Medalie is a specialist in the surgical treatment of gynecomastia or
male breast enlargement. Although rarely discussed, male breast
enlargement is a common condition. There is no specific cause for
gynecomastia, although there has been some correlation with various
medical conditions or drugs (anabolic steroids, some heart medications,
marijuana, etc.).
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.
If excess glandular tissue is the primary cause of the breast
enlargement, it typically requires sharp excision. The excision may be
performed alone or in conjunction with liposuction. Dr. Medalie prefers
ultrasonic liposuction because it has greater efficacy in the dense
fibrous tissue under the nipple. In a typical procedure, an incision is
made at the skin -areola junction in the 4-8 o'clock position. Working
through the incision, Dr. Medalie removes the excess glandular and fatty
tissue from beneath and around the nipple. The remaining excess tissue
is contoured via liposuction to blend smoothly with the rest of the
chest wall. Major reductions that involve the removal of a significant
amount of tissue and skin may require larger incisions that result in
more conspicuous scars. When liposuction is used to remove excess fat,
the cannula is usually inserted through the existing incisions or in an
inconspicuous location under the arm.
Dr.
Medalie typically performs male breast reduction as an outpatient
procedure. The average cost including anesthesia and faciltiy fee
is $3500-$4500 (depending on the extent of the procedure).
For
more information about Male Breast Reduction, please visit the American
Society of Plastic Surgery site,
by clicking on this link.
Due
to the private nature of these surgeries, Dr. Medalie has chosen to
limit the extent of the discussion on his web site. Please contact him
for more information which can be e-mailed to you. He would also be more
than happy to provide a free online evaluation of photos e-mailed to
him.
Dr. Medalie adheres to the same guidelines and principles of the Harry
Benjamin International Gender Dysphoria Association. Prior to any
surgical procedure, the prospective patients must fulfill the criteria
established by the Benjamin Society and have letters of referral from a
therapist (psychiatrist, psychologist or psychiatric social worker) who
has had a long-term relationship with the patient.
FtM Chest Surgery
The procedure is based on the following: size and shape of breast and
nipple-areola complex, elasticity of skin and patient's needs and
preferences.
In general, patients who have smaller breasts can have the entire
surgery performed with ultrasonic liposuction alone or in combination
with surgical removal through an incision at the skin-areola junction.
It is also possible to remove larger breasts using this technique, if
the skin of the breast is thicker, more elastic, and not damaged or
stretched out. In these patients with good skin tone, the excess skin
and the areola will shrink by a fair degree. If the skin does not shrink
enough, it may be necessary to have a secondary procedure to remove the
excess skin by making a complete incision around the areola and then
closing the defect with a "purse-string" suture. The advantage
of a multi-stage procedure is that it also enables me to perfectly size
the nipple and areola. If the patient is willing to return for an
additional procedure, I think this is an excellent approach that
minimizes scarring.
In those patients with a large amount of breast tissue with excessive
skin of poor quality and droop, I usually recommend an elliptical skin
excision mastectomy with removal of the excess skin and breast tissue in
the crease of the pectoralis muscles. The nipples are removed during the
excision and replaced as skin grafts. The advantage of this procedure is
that it provides me with absolute control of the chest contour and
nipple/areola size. The disadvantages are the large scars across the
chest and the loss of nipple sensation.
Breast removal can be performed on an outpatient basis for approximately
$3500-5000 (depending upon the extent of the surgery and duration of the
procedure).
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MtF Chest Surgery
In those male patients who desire female breasts the first treatment
that can be of benefit is the female hormone, estrogen. The results are extremely
variable, but almost all patients have some growth of breast tissues.
The more definitive and predictable way to achieve female breasts is
through implant surgery. This surgery is no different for genetically
male patients than genetically female patients. I encourage readers to
see my breast augmentation section as well as examine the information at
the American Society of Plastic Surgery at www.plasticsurgery.org.
Breast augmentation can be performed on an outpatient basis for
approximately $4900 (implants included).
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