Breast enhancement is one of the most popular forms of cosmetic surgery, and it can dramatically affect your self-esteem, making you feel better about your whole body. From extremely popular breast augmentation and breast lift procedures to breast reduction and implant revision surgery, Dr. David Horvath, serving Abington, Doylestown, and Huntington Valley, puts his scientific and artistic abilities to work to help patients improve their appearance and increase their self-confidence. As a participant in multiple clinical studies related to breast implants and a veteran of several years at the Cleveland Clinic, where he focused strongly on breast enhancement procedures, Dr. Horvath is uniquely positioned to offer superior results to all his patients.
Overly large breasts can often cause severe back and neck pain, breathing problems, skeletal deformities, bra strap indentations, and extreme self-consciousness. A breast reduction can alleviate many of these symptoms for better comfort and enhanced confidence.
After making an incision from around the nipple to the lower part of the breast, Dr. Horvath will remove excess fat, skin, and glandular tissue. Then he will tighten the surrounding skin and reposition the nipple. Breast reduction is performed under general anesthesia, usually on an outpatient basis.
Patients normally experience some swelling and bruising for about a week after surgery. It is important to avoid strenuous activities, including heavy lifting, for several weeks after breast reduction surgery. Some tenderness is normal until healing is complete and all swelling has faded. After healing, patients enjoy smaller, firmer breasts that are more comfortable. In some cases, breast reduction is considered a medical necessity and may be covered by insurance.
Sometimes, breast implant revision, also known as secondary breast augmentation surgery, becomes necessary when patients experience complications or are simply dissatisfied with the work of another surgeon. Dr. David Horvath has a strong history of expertise with this type of breast surgery, and can help if you are in need of secondary breast surgery.
Women seek breast revision surgery for a variety of reasons, including implant deflation, rippling, hardening or encapsulation of the implant, undesired appearance, or exchange for a larger or smaller implant.
During the procedure, Dr. Horvath will remove the breast implant through the incisions made in the initial implant surgery. He will then correct the breast shape and tighten the skin envelope to reshape the native breast into a youthful and natural breast. If the patient requests smaller breasts, the implant is left out but the shape is corrected. More commonly, a new implant is inserted to adjust breast size or shape before closing the incisions.
Breast revision surgery is typically less complex than the initial implantation procedure, taking about two hours to perform under either local or general anesthesia. There may be some discomfort and pain for a few days following surgery. There will also be some swelling, but it should go down in about a week. Patients can usually get back to their daily routines within one to three weeks after surgery.
Women who have undergone a mastectomy know what a traumatic experience losing one or both breasts can be. Fortunately, cosmetic surgery has advanced tremendously over the last few decades, and reconstructive breast surgery can dramatically improve the look and feel of your bust-line after a mastectomy. Breast reconstruction is a permanent aesthetic enhancement that can restore feminine curves and boost your self-confidence.
Reconstruction can be done immediately, at the time of mastectomy, or can be delayed until after you heal. Dr. Horvath will reconstruct the affected breast based upon the best treatment plan for you. This can include a breast implant-supported reconstruction, or a custom-designed new breast created from your own tissue. Women who have had a mastectomy or other breast deformity have a range of options to restore the symmetry of the breast area, and hopefully, feel more secure about their appearance.
For this breast reconstruction procedure, Dr. Horvath will make a flap in the lower abdominal area and transplant excess skin, fat, and muscle to the breast site. He will then stitch the abdominal area closed. This will leave a horizontal scar, but will also tighten the abdomen, similar to a tummy tuck. A new breast is created from the excess tissue. This is a major surgical procedure, and requires several days of hospitalization. However, the patient should feel more comfortable within two weeks, and be able to get on with her normal routine by the end of six weeks.
The latissimus flap procedure begins with the creation of a flap on the outer back. The latissimus dorsi muscle, along with excess skin and fat, is then rotated forward to the breast site. Then, Dr. Horvath will place a breast implant under the flap and stitch the back and the breast closed. The latissimus flap procedure is considered major surgery, requiring several days of hospitalization. The patient will experience some discomfort during the healing process, with about a six-week recovery period.
This breast reconstruction technique involves placing an expander below the chest muscles. The expander is periodically injected with saline over the course of several weeks, which expands the overlying skin. The expander is then replaced with a breast implant like those used for breast augmentation.
Contact Dr. Horvath for more information about breast reconstruction or to schedule an initial consultation to find out what the best course of action will be for you.
In patients with tubular breasts, the breasts are small and tube-like in shape, making the areola and nipples appear enlarged with very little breast tissue in the lower half of the breast. This causes a high, tight breast crease. Dr. Horvath can usually correct tubular breasts by making small incisions inside the breast that can allow the tight breast tissue to spread into a more pleasing shape. In most cases, Dr. Horvath may also recommend a breast implant to provide the missing fullness in the lower half of the breast. After the procedure, the breast is usually much better proportioned and there are typically no visible scars. In more serious cases of tubular breasts, Dr. Horvath may recommend a breast lift.
Tubular breast correction surgery typically takes about three hours to perform under general anesthesia and sometimes requires two surgeries at three-month intervals. Some swelling and bruising may be present after surgery, but it should fade within two to three weeks, at which point patients should be able to return to their normal routines.
Some studies show that up to 60 percent of men are affected by gynecomastia, a condition in which excessive fat or glandular tissue builds up in the breasts. It can make men feel very self-conscious, but there is a remedy. Dr. Horvath can remove the excess fat and tissue to create a firmer, more masculine chest contour. Treatment may vary depending on the cause of gynecomastia. Dr. Horvath will generally use liposuction to remove the excess, although some patients may warrant a more invasive procedure. Dr. Horvath will go over all of your options to determine the best treatment for you.
Contact the Horvath Plastic & Cosmetic Surgery Center in Abington to learn more about aesthetic breast surgery, including breast reduction and revision surgery. We treat patients from Doylestown, Huntingdon Valley, Jenkintown, Willow Grove, and many other Philadelphia-area communities. Dr. Horvath is a true expert in the field of breast enhancement; trust him to help you improve the contour of your bust.
Horvath Plastic & Cosmetic Surgery Center
David Horvath, M.D.
1245 Highland Avenue
Abington, PA 19001