If you re considering breast augmentation or revision of a previous treatment…

…Then you ll want to hear what Dr. Dennis Hurwitz of the Hurwitz Center for Plastic Surgery has to share about an exciting new tool that let s you preview how you will look after your procedure and have realistic expectations and the best chance of achieving your desired results.

He ll also show you the easiest way you can gain free access to this powerful tool for looking your best ever.

Welcome to The HD Lipo Podcast Episode 15.

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Check out our latest episodes from Dr. Hurwitz’s #1 best selling book:

• The 3 Biggest Plastic Surgery Mistakes (and how to avoid them)


• How To Reduce Your Waistline With Oblique Flankplasty


• New Facelift Procedures For The Most Natural Results


• How To Improve Your Nose Chin and Cheeks


• Fat Grafting vs Implants Comparing the Benefits


• HD Body Sculpting for Athletes


• The Baby Boomer Makeover (featuring HD Lipo)

Episode Transcript

Best Types of Breast Augmentation Techniques

When people think of plastic surgery, one of the first things they think of is breast augmentation. Although it is not the single most common procedure performed, it is certainly one of them, making up more than 30 percent of all cosmetic surgeries. Augmentation is an umbrella term, however, and is comprised of several different procedures.

Breast Lifts

The first procedure I d like to discuss is a breast lift, formally referred to as a mastopexy. Women often request this procedure when their breasts lose their shape and sag over time. A common cause of this is pregnancy and/or breastfeeding. While bras can provide the necessary support for an active lifestyle, women may wish to have more aesthetically pleasing results for intimate situations.

The procedure itself involves moving the nipple up a little higher and reshaping the breast behind it so that it s a rounder, higher structure that also usually ends up being a little firmer. Although the nipple is moved up, it remains attached to the underlying breast gland so it maintains its sensitivity, its tightening capabilities, and its functionality. This is important for several reasons, but one of them is that the breast retains its functionality so a woman may resume breastfeeding at another time if so desired.

There will be some scars on the breast, and this should be considered before undertaking the procedure. However, these are usually well hidden under the brassiere and, depending on the situation, may be limited to a circle around the nipple or areolar complex. If I need to remove more skin, the scar may end up looking like a lollipop. In the most extreme cases where a lot of skin must be removed, there will be an inverted T scar underneath the breast. Minimizing scarring and emphasizing the final aesthetic appearance are all reasons to go with an experienced plastic surgeon.

Breast Reduction

A common cause for sagging is an oversized breast, so a significant subset of mastopexies involve not only the removal of skin but also of excess fat and breast gland. This procedure is known as a breast reduction.

Most of the breast reductions I perform are not only for improvement of appearance but also to resolve medical indications. Because the breasts are so heavy and hang so low in these cases, pulling them up with a bra causes back strain, creates shoulder grooves from the bra straps, generates neck pain and even causes headaches. The breasts themselves may become painful. This limits physical activity and very active forms of exercise, such as running, are not uncommonly prohibited. While aesthetics are often a contributing concern, clients usually seek me out because they want to be relieved of these painful symptoms. The good news here is that, in most instances, if we remove enough tissue, medical insurance will cover most of the expenses.

Because this is a subset of mastopexies, the process and scarring that a client will face are similar to what I ve described above. Reductions are another type of surgery for which I highly recommend you pursue an experienced surgeon. Bridging the gap between a client s expectations, what s medically and physically feasible along with an aesthetically pleasing and symmetrical final result is a delicate balance.

Breast Implants

While mastopexies primarily focus on decreasing the size of the breast as it is reshaped, the other side of the coin is reshaping the breast by increasing its size. The most well-known procedures in this arena involve artificial implants. But, before we get into that, I d like to spend a moment discussing fat grafting. As I ve mentioned numerous times, I approach the body as a whole unit rather than isolated parts and procedures. Fat grafting allows me to transfer fat which has been liposuctioned from other areas of the body and, after being properly processed, reinject it into the breast. This can often preclude smaller implant augmentations and is a useful technique to address contour irregularities which are often a side effect of lumpectomies, for example.

Fat grafting allows me to finetune the shape of the breast and create small increases, but to augment a breast by two or three cup sizes this technique is rarely used. In these situations, the straightforward approach is to use a silicone implant.

The first thing you should understand about implants is that there are different types, divided into two major subsets: smooth-walled and textured. All implants, however, use a silicone elastomer as an outer coating. This is why artificial implants are almost universally referred to as silicone implants regardless of the material used to fill them.

Smooth-walled implants are the most common type and come in three basic forms, depending on the fill material. The first fill material is silicone gel, which is the m