Breast implants and breast lifts
Duke plastic surgeons use advanced techniques to improve symmetry, and enhance the shape, size and volume of your breasts, which may have changed following pregnancy, breast-feeding, weight loss, the passage of time, and gravity. Breast implants and breast augmentation can enhance your self-image and self-confidence. Scarring is minimal and healing is relatively quick. If your breasts are too small for your liking, asymmetrical, or sagging, our plastic surgeons help you achieve the results you want.
Nationally renowned breast surgeons
Are you considering breast augmentation? Our plastic surgeons work closely with you to determine which procedure is best for you. A breast lift (mastopexy) re-contours your breast shape, and is typically recommended for drooping or sagging breasts. If you are considering breast implants (mammoplasty), our plastic surgeons will determine which technique best suits your needs in a way that minimizes scarring, hastens recovery time, and does not interfere with routine breast imaging such as mammography. Sometimes breast lifts are combined with breast implants to achieve the right look. Our treatment recommendations ensure you experience the outcome you seek.
Choose Duke for your breast augmentation because we offer:
- Respected surgeons. Our plastic surgeons share their experience by teaching advanced breast surgical techniques to doctors across the country and around the world. Our combined skill and leadership means you work with some of the most knowledgeable and experienced breast surgeons in the U.S.
- Size and shape matters. We work closely with you to understand your breast anatomy, skin elasticity and body type before recommending whether a breast lift, silicone or saline implants will give you the look you desire.
- Personalized treatment recommendation. After an extensive consultation and careful evaluation, we recommend which implant, which approach and where to place your implant, are right for you.
- Augmentation with reconstruction. If you are seeking breast augmentation along with breast reconstruction following mastectomy, we are one of the only centers in North Carolina to offer the full range of implant and tissue-based breast reconstruction surgery options, including techniques that use your own tissue, nipple-sparing mastectomy, nipple reconstruction, breast reduction and breast lifts. Learn more about your breast reconstruction options at Duke.
During surgery, excess skin is removed, the remaining skin is tightened, and the breast mound is reshaped. The nipple is then repositioned higher on the chest wall. This is typically an outpatient procedure performed under general anesthesia.
Implants are medical devices with silicone shells. Saline implants are filled sterile salt water, while silicone implants are filled with an elastic gel. Your surgeon will make an incision either under your breasts, your arms, or around your nipple to insert the implant. It will be placed either under your chest muscle or directly behind your breast tissue and over your chest muscle. These decisions are dependent on your breast anatomy, body and skin type, and how much enlargement you want. The incision is closed with sutures or surgical tape. This is typically an outpatient procedure performed under general anesthesia.
We discuss your reasons for pursuing cosmetic breast surgery, desired outcome and expected results. We conduct a thorough medical history, including your family history, general health status, previous operations, and any medications you may be taking. We examine your breasts and take measurements of their size, shape, the placement of your nipples and areolas. Photographs will be taken for your medical record. Finally, we recommend a course of treatment that meets your needs. We discuss the potential risks and complications, and your post-operation recovery.
Pre-surgical testing requires several blood tests to test your liver and kidney function, and to determine if you have any infection, blood disorder, or anemia, that may have gone previously undetected.
High-quality, digital X-ray images may be recommended to detect any underlying breast abnormalities that can not be felt in women who have no signs or symptoms of the disease.