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Who Is a Candidate?

A woman’s breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from:

  • Pregnancy
  • Breastfeeding
  • Weight fluctuations
  • Aging
  • Gravity
  • Heredity

A breast enlargement-lift is an extremely effective procedure for reversing the effects of pregnancy and aging on the breasts. Patients who have undergone this procedure are generally thrilled with the improvements because they have regained the youthful look and feel of their breasts.

For more information about our breast enlargement and lift procedures, please contact us online or call us at We look forward to helping you look your best.


Prior to surgery, we will have you:

  • Take certain medications or adjust your current medications
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
  • Stop smoking well in advance of surgery
  • Depending on your age get a baseline mammogram before surgery to help detect any future changes in your breast tissue

During a preoperative appointment, usually 1-2 weeks before surgery, we will:

  • Get lab testing or a medical evaluation
  • Tell you what to do on the night before and morning of surgery
  • Discuss the use of anesthesia during your procedure
  • Explain post-operative care and follow-up, and what help you will need after the procedure


The decision to have breast surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. In general, the overall risks are small this type of surgery. However, it is common to require additional procedures to manage problems that may arise.

Pain from this surgery varies depending on the position of the implant. If the implant is placed below the muscle, pain is much more significant. The chest feels extremely tight and constricted for approximately 48 hours. Patients are given pain pills to alleviate the discomfort. We have not found the temporary, indwelling pain pumps to be very effective, therefore we do not routinely use them.

We will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

The risks include:

  • Scarring
  • Bleeding (hematoma)
  • Infection
  • Fluid accumulation
  • Capsular contracture, which is the formation of firm scar tissue around the implant
  • Implant leakage or rupture
  • Wrinkling of the skin over the implant
  • Asymmetry
  • Breast contour and shape irregularities
  • Recurrent settling or drooping of the breasts
  • Changes in nipple or breast sensation, may be temporary or permanent
  • Pain, which may persist
  • Skin discoloration, permanent pigmentation changes, swelling and bruising
  • Allergies to tape, suture materials and glues, blood products, topical preparations
  • Fatty tissue deep in the skin could die (fat necrosis)
  • Excessive firmness of the breast
  • Potential partial or total loss of nipple and areola
  • Possibility of revisional surgery
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Anesthesia risks

Even when complications occur, they do not impair breast health. Careful review of scientific research conducted by independent groups such as the Institute of Medicine has found no proven link between breast implants and autoimmune or other systemic diseases.

You should also know that:

  • Breast lift surgery can interfere with diagnostic procedures
  • Breast and nipple piercing can cause an infection
  • Breast lift surgery does not normally interfere with pregnancy, but if you are planning to have a baby, your breast skin may stretch and offset the results of your surgery and you may have more difficulty breastfeeding after this operation.

Breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of your lifetime.


A quote will be provided to you after your consult with Dr. Alexander. Cost is always a consideration in elective surgery. We offer patient financing plans, so be sure to ask.

Costs include:

  • Surgeon’s fee
  • Implant cost
  • Operating room and supplies
  • Prescriptions for medication
  • Medical tests
  • Anesthesia fees


Anesthesia—General: The patient is asleep, requiring that the airway be protected, either by a standard breathing tube, or by a laryngeal mask (LMA), an inflatable mask that goes in the back of the throat but doesn’t go down the trachea. Through the airway, an anesthesiologist gives gases to put the patient asleep. Drugs may also be given through the IV.

Anesthesia—Local: The surgical area is numbed up with an injection, but the patient is awake. Sometimes a patient will be given an oral medication, like Valium, to help with relaxation.

Anesthesia— Sedation (Twilight): The patient is made sleepy with medications given through an IV. The level of sedation can be adjusted, from barely sleepy to very sleepy. Sometimes sedation is given by the surgeon, but most of the time it is administered by an M.D. anesthesiologist.

Areola: Pigmented skin surrounding the nipple.

Breast Implants: Medical devices placed in your body to enhance an existing breast size or to reconstruct your breast. Breast implants fall into two categories: saline breast implants and silicone breast implants.

Breast Lift: Also known as mastopexy; surgery to lift the breasts.

Capsular Contracture: A complication of breast implant surgery, which occurs when the capsule of thin scar tissue that normally forms around the implant tightens and squeezes the implant making the breast become firm.

Excision: To remove skin.

Hypertrophic Scar: A hyperactive, usually temporary scarring process that makes a scar raised and red, sometimes called a “baby keloid.” This problem is more common in patients with pigmented complexion and more common on the chest, trunk, and shoulders.

Mammogram: An x-ray vision of the breast

Mastopexy: Surgery to lift the breasts.

MRI: Magnetic Resonance Imaging: a painless test to view tissue similar to a CT scan.

Saline Implants: Breast implants filled with salt water.

Silicone Implants: Breast implants filled with an elastic gel.

Submammary or Subglandular Placement: Breast implants placed directly behind the breast tissue, over the pectoral muscle.

Submuscular or Subpectoral Placement: Breast implants placed under the pectoral muscle, which is located between the breast tissue and chest wall.

Ultrasound: A diagnostic procedure that projects high frequency sound waves into the body and records the echoes as pictures.


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