Dr. Harlow Hollis, FRCS (C)
Plastic and Cosmetic Surgery

Who is a Candidate?
Women who desire larger breasts.
Women with a moderate degree of breast sagging and smaller breasts, whose problem can be solved by enlargement.
More than moderate sagging requires a ”lift.”
Women who have one breast that is noticeable smaller than the other.

Intended Results
Larger and more shapely breasts.
A more positive self image.

Procedure Description
The procedure is done on an outpatient basis under general anesthesia.
A small incision is made under the breast and a saline implant is inserted under the breast tissue or under the breast tissue and underlying muscle.

Recuperation and Healing
The patient goes home in an elastic bra. The bra helps hold the breasts in the correct position. Original dressings may substitute for the bra.
Initial discomfort is controlled with oral medication.
Sutures are usually removed in 7 – 12 days, but most sutures are under the skin and are dissolvable – i.e. no sutures to remove.
Light activities can be resumed as tolerated. Aerobic activities can be started in about 3 weeks.
Moving or sliding the implants within the breast pockets during the postoperative period may reduce the frequency of wrinkling.

Other Options
An additional procedure that would enhance the result is a Mastopexy (breast lift) – if the breasts are saggy in addition to being small.

Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Breast Lifts
Who is a candidate?
If you have sagging breasts due to past pregnancies, genetics, or aging.
If the sagging is too great to be treated with an implant alone.
In your nipple-areolar complexes (pigmented areas around nipples) are enlarged.

Intended Results
An elevated, more youthful breast contour.
Nipple-areolar complexes of the desired size and at the correct height.

Procedure Description
The procedure is done on an outpatient basis under sedation and local or general anesthesia.
The design of the incisions can vary but usually include incisions around the nipple-areolar complex and in the crease under the breast.
The insertion of an implant as well, may or may not be advisable.

Recuperation and Healing
The patient goes home in a bra with only light dressings over the incision lines.
The bra is worn as a ‘dressing’ for 2 to 3 weeks.
Initial discomfort is easily controlled with oral medication.
Light activities may be started in 7 to 10 days.

Other Options
Additional procedures which may enhance the result are a small breast reduction or breast enlargement.

Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Chest Enlargement for Men
Who is a candidate?
If you desire a fuller, more muscular chest wall appearance in particular the “pecs” (pectoralis chest muscle).
If you have an asymmetrical chest wall.

Intended Results
An improved muscular appearance to your chest and a more positive self image.

Procedure Description
The procedure is done on an outpatient basis under sedation and local or general anesthesia.
A small incision is made under the breast or in the arm pit (axilla). A firm implant (or implants) is then placed under the chest muscle (pectoralis).

Recuperation and Healing
You will go home with your chest wrapped in an Ace bandage or you will wear a compression garment.
Initial discomfort may be controlled with oral medication.
The sutures will be removed in 7 to 10 days.
You may resume light activities as tolerated and aerobic activities can be started in approximately 3 weeks.

Other Options
An additional procedure that would enhance the result is Liposuction/Liposculpture of the chest, axillary folds or abdomen.

Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.