OUR BREAST SERVICES
Breast augmentation is a common aesthetic request and may be achieved using fat grafting, or breast implants.
Breast augmentation with implants is most commonly performed using incisions at the inframammary crease, although implant insertion through incisions in the axilla or around the areola are possible. There is a wide variety of implant shapes, implant filler material , projection, height, and surface texture. An in-depth discussion between the patient and the surgeon will reconcile the patient’s expectations and the surgeon’s professional recommendations.
Breast augmentation with one’s own autologous fat is an increasingly popular procedure in the recent years. This involves liposuction of the fat using specific techniques and equipment, processing of this fat, and then injecting it beneath the breast. The fat is usually harvested from the love handles (flanks), the abdomen and thighs through small 5-mm incisions, and grafted into the breast using 5-mm incisions. Over the next 2 to 3 months, new blood vessels will grow into this fat and causing it to be permanently incorporated into the tissue. Combining both abdominal liposuction and breast fat grafting may result in significant improvement in the overall body contour and silhouette.
Following implant or fat graft augmentation, it is recommended to perform screening mammography in accordance with the usual breast screening guidelines.
BREAST REDUCTION AND BREAST LIFT
Patients with macromastia are often symptomatic with back and shoulder pain, bra strap grooving, and fungal infection of the skin fold beneath the breast. Finding good-fitting undergarments and clothing may sometimes be difficult.
Breast reduction and breast lift are often performed at the same time. This usually involves a combination of open surgery and liposuction. Depending on the patient’s individual anatomical characteristics, the scar may be placed in the areolar region, or a vertical scar, a J- or L-shaped scar, or an inverted T-scar.
Following breast reduction, majority of patients experience symptom improvement or relief. Patients tend to find this to be a highly-satisfying procedure. In cases where > 250 g of breast gland is removed per side, it may be possible to utilize Medisave for the procedure. Following breast reduction, it is recommended to perform screening mammography in accordance with the usual breast screening guidelines. Dr Yeo has accumulated a good body experience in this area, arising from prior work in massive-weight loss patients during his years in public service.
Gynecomastia is the pathological enlargement of the male breast, and often, the fat surrounding the breast gland. This may occur at the time of puberty, or as a result of various medications, chronic liver disease, various hormone secreting tumors, or male breast cancer. Gynecomastia may result in social embarrassment especially when swimming or wearing form-fitting clothing.
Surgery for gynecomastia is usually simple and involves making a small incision to perform liposuction to remove the excess fat, and then removing the breast gland through the same incision. In a minority of cases of gynecomastia, wearing a postoperative chest compression garment may be required for about 2 weeks.
Patients tend to find this to be a gratifying procedure, and utilization of Medisave for this surgery is possible.