Leo R. McCafferty

Breast Augmentation

Breast Augmentation is a procedure designed to enhance small breasts or asymmetric breasts that have not fallen, or have drooped only slightly. Through this procedure, silicone gel or saline implants are placed above or below the chest wall muscle, depending on your anatomy. This gives your breasts a fuller appearance.

Modern breast augmentation is a highly customized procedure, tailored to both your specific body type and desired goals. Choices exist for incision placement, as well as sizes and shapes of implants.

Recognized for his knowledgeable approach to breast augmentation Dr. McCafferty presented the paper "177 Consecutive Primary Breast Augmentations: Reducing Risk for Reoperation" at the American Society for Aesthetic Plastic Surgery's annual meeting in 2006. This paper won the Tiffany Award for best scientific presentation and in 2009 was published in the Aesthetic Surgery Journal, the largest peer reviewed aesthetic journal in the world.

Breast Lift and Reshaping

The breast lift, also called "mastopexy," is a type of enhancement typically used when the breasts have fallen and/or become significantly deflated or asymmetrical.

Through this procedure, the breasts are lifted and reshaped to provide a more youthful and natural appearance. This is done through an incision that typically goes around the pigmented portion of the nipple called the "areola," may extend vertically to the natural crease under the breast, and then may continue horizontally for a short distance. The droop of the breast, called "ptosis," determines the length of the incisions necessary to achieve the desired result.

Combination Breast Lift and Augmentation

Depending on your desired look, you may wish to consider having augmentation and breast lift done as a part of the same procedure. For instance, if the breasts droop but are also small, asymmetrical and somewhat deflated, breast implants may be recommended to accompany the lift, to provide the most natural result.

This combination can be done during one operation, or on occasion is best done separately as staged procedures.

Oncoplastic Breast Reconstruction

Oncoplastic breast reconstruction is a rapidly progressive field combining the expertise of breast oncology surgeons and aesthetic reconstructive plastic surgeons, to achieve complete tumor removal and superior aesthetic breast reconstruction-- often in a single stage. The oncoplastic techniques employ incision patterns traditionally utilized for aesthetic breast lift (mastopexy) or breast reduction surgery to allow complete tumor removal, often with margins greater than would be otherwise possible and yielding a superior aesthetic outcome.

In many circumstances, complete tumor removal can be accomplished with immediate reconstruction and a symmetry procedure performed in the same setting on the other breast, if required. The same techniques can also be employed to immediately reconstruct the breast in a patient requiring mastectomy. This approach allows single-stage reconstruction utilizing a full-size implant, eliminating the need for the expansion process and subsequent surgery for permanent implant placement. Overall, the oncoplastic approach, in many circumstances, gives the option of aesthetically-superior single-stage reconstruction with a single recovery, and a more rapid return to life's everyday activities.

Breast Reduction

Breast Reduction is a surgical procedure that removes excess tissue from the breast, to lift and shape it. This helps reduce weight from the shoulders and the neck.

Breast reduction can be appropriate when:

• Breasts are disproportionate to the rest of a patient's figure, making her look heavier than she is.
• Breasts that have grown and deflated through pregnancy
• Breasts that have grown heavier and dropped with age, putting strain on the joints
• And many other scenarios.

There are a number of different types of breast reduction, so we'll work with you to determine a completely personalized solution.