Dr. Kadz specialized in the latest breast enhancement techniques resulting in minimized scarring and natural results.


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Breast Augmentation

Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy or surgery.

Recovery
Dr. Kadz employs the latest surgical techniques resulting in minimal or no scarring and faster post-operative recovery time. Recovery after a breast implant surgery varies by individual, but patients are usually able to return home immediately following their breast implant procedure. A return to light or normal activity is possible as soon as you feel ready, usually within a day or two of surgery. Some patients experience soreness and stiffness for the first days to weeks following surgery. A support bra may be recommended for the first week or two. Any swelling or bruising should subside shortly, and the final results of the breast implants will appear around four to six months after the surgery. The surgery itself takes approximately one to two hours.

Breast Implant Size
The size of the breast implants used depends upon multiple factors, including an individual’s desired amount of cleavage, proportion of the patient, and breast implant shape. Dr. Kadz utilizes and individualized approach in determining the size needed for your case and the type of implant needed to attain your goals. Implants come in a variety of volumes (cc) and, generally, the larger you want your cup size, the larger the breast implant considered. Another determining factor is the patient’s current breast tissue. A breast implant that is too large for your tissue can result in excessive stretching of the skin and result in the need for corrective surgeries. In addition, the implant edges may be apparent or visible postoperatively.

Breast Implant Types
There are two accepted and available breast implant fillers: saline and silicone. Both fillers have been FDA approved to be safe fillers for breast implants. Dr. Kadz is a Silicone Certified provider and can help you choose the perfect solution for your individual needs. Saline fillers consist of isotonic watery saline solution (has the same concentration as the normal cells of the body and the blood) and present no health risk to the patient even when ruptured. Chances of rupture are very low, however if ruptured, saline implants will need to be manually removed with surgery.

Silicone implants consist of silicone gel, and have become the filler of choice for many patients as these implants generally have a more natural feel and are softer. Today’s silicone gel breast implants are made differently than they were in the 1970s and 1980s. Initially, silicone gel breast implants had thick shells and thick silicone gel fills. In the 1970’s manufacturers began to use thinner shells, which were more likely to rupture. Today, silicone implants are made with multiple layers of silicone elastomer surrounding the implant. This reduces the amount of gel bleed but can make the implants feel and look somewhat firmer, but much softer than saline. If ruptured, some gel bleed may occur and will need to be manually removed with surgery. Again, as with saline implants risk of implant rupture is very low. Unlike saline breast implants, silicone gel breast implants are pre-filled and are ordered in the requested size. Silicone implants cannot be placed endoscopically through a navel incision. Additionally, silicone implants are more expensive than saline.

Implant Shape
In addition to size, you will also be able to determine if you want to reshape your breast. Some implants give the breast a more rounded appearance, while others create a breast shaped like a “tear drop”, known as an anatomical implant. The best implant for you depends on your body frame, how much breast tissue you currently have and your goals. In most cases patients and doctors choose round implants.

Implant Profile
The profile is the forward projection of the implant from the chest wall. For the most part, breast implants come in three profiles: moderate, midrange, and high. For a woman with a narrow frame, a moderate or low profile implant that might result in a desired size, may be too wide and carry the implant too far to the cleavage and underarm. By using a high profile implant, this patient can get the larger implant she desires. By the same token, a wide framed patient may find that in order to adequately cover the natural diameter of the breast size, the desired implant would have far too much projection. A low or moderate profile might work better. Dr. Kadz can explain the best choice for your body frame during the initial complimentary consultation. In most cases a moderate profile is recommended for patients with wider breasts who want more cleavage and less protrusion, and High profile for those patients with petite body frames and narrow breast width who want more frontal protrusion and less extension to the sides.

Incisions & Procedures

The implant placement refers to where the implant is positioned..under the Pectoralis Major (chest) muscle or over it, which places the implant only underneath the breast tissue. In almost all cases Dr. Kadz places the implants under the muscle. The breasts feels much softer and look more natural due to a layer of “buffer” (the muscle) covering the implant. Other significant benefits include: the long run opposing force of the muscle against the implant keeps the implant from stretching out the breast skin and a significantly less chance of capsular contracture (less chance implants get hard). Sub-muscular placement creates more tenderness for a short period of time post-surgery, but is worth it.

Incisions and Scarring

Dr. Kadz utilizes the latest techniques resulting in minimal or little scarring. The most common incisions include an inframammary incision (near the crease under the breast), an axillary incision (in the underarm area), or a periareolar incision placed at the edge of the areola (the pigmented skin surrounding the nipple). Incision patterns vary based on the type of implant, degree of enlargement desired, patient anatomy, and patient preference.

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Breast Reduction

Women with very large, burdensome breasts may experience a variety of medical problems caused by the excessive weight from back and neck pain and skeletal deformities. Bra straps may leave indentation in their shoulders. Those will unusually large breasts may feel self-conscious and introverted. Breast reduction helps alleviate these problems by removing fat and glandular tissue and trims resultant excess skin to produce smaller and rejuvenated breasts that are in a healthier proportion to the rest of the body.

Also know as reduction mammaplasty, breast reduction surgery removes fat, glandular tissue, and skin from the breasts. As such, breasts will be smaller, lighter and firmer; areola may be reduced in size. The goal is to provide breasts in proportion with the rest of the patients’ body.

Your insurance provider might cover the expenses of breast reduction. Insurance providers stipulate that be medically necessary, not cosmetic.

Incisions & Procedures

Individual factors, such as breast size, shape, and weight will determine the specific technique selected to reduce the size of the breasts and approach. The most common method of reducing the breasts involves three incisions: around the areola, vertically from the bottom edge of the areola to the crease underneath the beast, and following the natural curve of the breast crease. After excess breast tissue, fat and skin are removed the nipple and areola are moved to a higher position, providing a youthful, “perky,” and rejuvenated look. The areola, which in large breasts usually has been stretched, is also reduced in size. Liposuction may be used to improve the contour under the arm. Dr. Kadz makes every effort to make scars as inconspicuous as possible. It is important to remember that breast reduction results in some scarring which will eventually fade to thin white lines. Fortunately, the scars can usually be placed so that they are covered by low cut tops.

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Breast Lift


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After

A woman’s breasts often change over time, losing their youthful shape and firmness. Loss of skin elasticity, gravity and other factors such as weight loss, pregnancy and breast–feeding ultimately affect the shape and firmness of your breasts. Patients who are generally satisfied with the size of their breasts can have a breast lift to raise and firm them, resulting in a more youthful contour. Some patients may be unhappy that they have lost a significant amount of breast volume over time. In such cases, implants inserted can increase breast size after the shape and position of the breasts are enhanced.

In general, a breast lift raises and firms the breast by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Sometimes the areola has become enlarged over time. A Breast lift will give you the option of reducing the areola diameter. The volume of the breast may also be restored by introduction of a breast implant.

Are you a good candidate for a breast lift? Generally, if your breasts lack substance or firmness and/or the nipples and areolas point downward, especially if they are positioned below the breast crease you are a candidate for a breast lift.

Breast Lift Techniques and Incisions

Breast lift procedures vary in technique depending on how much skin needs to be removed. The common techniques include: CRESENT- a small amount of skin is removed above the areola; DONUT – the skin is removed from around the entire areola (these types of breast lifts are used for minimal repairs). LOLLYPOP- skin is removed from around the entire areola and then, additional skin is removed through an incision that extends vertically from below the areola to underneath the breast. INVERTED T- the skin is removed from around the entire areola and with additional skin being removed via a lollypop incision line and, then more skin is taken off through a horizontal incision line that is directly underneath the breast. In some instances, it may be possible to avoid the horizontal incision beneath the breast. Sometimes a technique may be used that avoids this horizontal incision as well as the vertical incision that runs from the bottom edge of the areola to the breast crease. Dr. Kadz’ has extensive experience performing breast lifts and can review the necessary information to make the right decision for your case.
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