Page 22 - Indulge August/September 2016
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ferently and every manufacturer makes
them differently. You may be a 36C in
one bra and 34D in another.”

GREAT CLEAVAGE CONFUSION
When it comes to confusion, cleav-

age is right up there with cup size, Iyer
says. “It is important to understand
before surgery that increasing breast
size is not what creates cleavage. Cleav-
age is a function of the shape and width
of your chest and how close your breasts
are together. If cleavage is important to
you, be sure to talk about it with your
surgeon beforehand.”

A CANDID CONVERSATION BREAST LIFT
ABOUT BREAST SURGERY Women unhappy with sagging

22 | INDULGE • AUGUST/SEPTEMBER 2016 Breast surgery is a deeply per- loss. They are having surgery to feel as breasts regularly choose to have a breast
sonal decision; one with reasons good about themselves on the outside lift. “Frequently, a modest implant is
that can range from feelings of self- as they do on the inside.” used in conjunction with the lift to
consciousness about underdeveloped restore fullness in the upper part of the
breasts to feelings of embarrassment HOW TO PICK YOUR IMPLANT SIZE breast … during a lift, also known as
about sagging or large breasts. Some Iyer says implant size is based on mastopexy, the breast is lifted by remov-
women with heavy breast tissue experi- ing excess skin and restructuring tissue.
ence back, shoulder and neck pain, and the amount of fluid or gel in the implant. In some women a delicate incision
look to reduction for relief. Implants are available as small as 125 around the areola is all that is needed,
cc and can go up from there. He says in most, who have a larger amount of
Men can be candidates for breast most patients generally choose implants excess skin, the incision will need to be
surgery, too. Gynecomastia — enlarge- somewhere in the 300 cc to 400 cc extended,” Iyer says.
ment of male breasts — is a common range, but the size depends on body
but rarely talked about condition. It shape and the look you are trying to REDUCTION SURGERY
affects an estimated 40 percent to 60 achieve. A woman who is 5 feet tall and “The goal of this operation is to
percent of men. petite will typically need a much smaller
implant than a woman who is 5 foot 9 reduce the breasts to a size more in
If you’re considering breast sur- inches tall with broad shoulders and proportion with a woman’s body. Once
gery, Dr. Manny Iyer of Iyer Plastic wide hips. Implant sizers can be used to the desired size is reached, a lift is given
Surgery says there are a few things to visualize the end result before surgery. as well. Different techniques are used
keep in mind. depending on the size of the breasts and
THINK PROPORTION, individual patient needs,” he says.
“Breast enlargement, or augmenta- FORGET CUP SIZE
tion mammaplasty, is a cosmetic surgery GYNECOMASTIA
procedure in which saline or silicone “The most common comment we In men with enlarged breasts, a
gel breast implants are used to increase hear from women is “I would like to be
breast size,” he says. “The women who a C-cup,” Iyer says. “We translate that surgery called reduction mammaplasty
come into our office tell us that they to mean, ‘She wants her breasts to look reduces size, flattening and enhanc-
want to stop being self-conscious about like they fit her body.’ This is because ing chest contours. “In severe cases
their underdeveloped breasts; to regain cup size is a personal, subjective of gynecomastia, the weight of excess
their pre-pregnancy bust line, or restore measurement. Everyone wears bras dif- tissue may cause the breasts to stretch
breast shape after significant weight the areola,” Iyer says. “In these cases
the position and size of the areola can
be surgically improved.” Liposuction is
used to remove fat, then glandular tis-
sue is surgically removed. “In extreme
cases excess skin is also removed,
resulting in a chest that is flatter, firmer
and better contoured,” he says.
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