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Topic: Aesthetic Surgery of the Breast

An overview of aesthetic surgery of the breast

Umar Daraz Khan

Aesthetic Plastic Surgeon, Reshape House, West Mallling, ME19 6QR, UK.
Address for correspondence: Mr. Umar Daraz Khan, Aesthetic Plastic Surgeon, Reshape House, 2-4 High Street, West Mallling, ME19 6QR, UK.
E-mail: Mrumarkhan@aol.com

Aesthetic surgery for the breast is one of the common using autologous fat grafting in selected cases. Advancement
procedure performed by an aesthetic plastic surgeon in imaging techniques has enable to provide better breast
today. The surgery is frequently performed for aesthetic screening that can delineate suspicious breast lesions
as well reconstructive reasons. Breast itself is a uniquely following use of breast implants or autologous fat grafting.
important part of the female body and as such embodies
in itself anatomical, physiological and aesthetic role. A Augmentation mammoplasty alone using breast implants is
proportionately developed breast is an important feminine the leading aesthetic procedure for breast remodelling. Safety
feature, a sign for fertility and sexuality. It is not surprising of the implants paired with a high patient satisfaction has
that breasts are extremely important for women’s self- made this procedure very suitable and desirable in selected
confidence especially when their role in society has cases. Autologous fat grafting is becoming an increasingly
expanded immensely. used alternative for augmentation mammoplasty. The choice
is especially useful for correction of breast asymmetries and
Aesthetic surgery for breast is not new and has been for moderate size bilateral enhancement in selected cases.
practiced for many years for reduction, enhancement The use of autologous fat grafting is increasingly used for
and mastopexy. However, the introduction of implants by revision surgeries in aesthetic and reconstructive breast
Cronin and Gerow in 1962, has given a new dimension to procedures alike.
breast remodelling. Surgery for breast reduction, breast
reconstruction, mastopexy and augmentation comprises the Simultaneous mastopexy with augmentation is becoming
most common procedure performed today. Use of implant more popular and staged procedure is broadly limited to
alone has increased exponentially in the second half of selected cases. An abundant literature is available citing the
last century and breast augmentation for reshaping and efficacy of the combined procedure with acceptable revision
remodelling alone has overtaken almost any other aesthetic rate. A variety of shape, size, profiles and filler materials are
procedure, including breast reduction, mastopexy and available with a choice of formed or expander prosthesis.
reconstruction. The safety of implants and choice of shape Combination of desired implant along with choices for
and volume has given a range of choices and predictability implant pockets, flap orientation for nipple elevation and
to patients for aesthetic and reconstructive reasons. selection of skin marking for envelope reduction has enabled
surgeons to tailor make each surgery for each individual.
A variety of procedures are available for patients with
inadequate breast development, breast hypertrophy, The use of synthetic mesh has shown more promising
developmentally ptotic breasts, involution secondary to results in breast reconstructive, primary or secondary
pregnancy, weight or age related changes or to correct augmentation mammoplasty and augmentation mastopexy.
breast asymmetry. Breast implants either alone or in Breast implant capsule flaps are more frequently used and
combination has given versatility and predictability for various techniques have been described for its use in primary
a desirable breast shape, volume or positioning. Small
volumetric enhancement or asymmetries can be corrected This is an open access article distributed under the terms of the Creative Commons
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How to cite this article: Khan UD. An overview of the aesthetic
DOI: surgery of the breast. Plast Aesthet Res 2016;3:1-2.
10.20517/2347-9264.2015.116
Received: 30-10-2015; Accepted: 05-11-2015
© 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc. 1