Cosmetic & Reconstructive Breast Surgery Options

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My practice, Pioneer Valley Plastic Surgery, provides breast plastic surgery care for women and men ranging from cosmetic to reconstructive procedures. Our caring staff provides outpatient clinic services at our Pioneer Valley Plastic Surgery offices in Longmeadow, MA. We also provide inpatient and outpatient surgical services at three locations in Massachusetts including Baystate Medical Center in Springfield, MA, Mercy Medical Center in Springfield, MA, and Baystate Wing Hospital in Palmer, MA. For details and maps, please refer to our surgical affiliations page.

Patients consult with me regarding breast surgery for many reasons. I perform a variety of aesthetic breast surgery procedures, including breast enhancement or augmentation with breast implants, breast lifts (mastopexy) or combined cases with breast augmentation and breast lift at the same time. I use both saline and silicone implants, including the new anatomic silicone implants from Mentor, Sientra and Allergan.

Other patients seek breast contouring or breast reduction procedures due to back pain or other issues related to having large breasts. I also performs reconstructive breast surgery for breast cancer surgery patients. I do both immediate reconstruction at the time of mastectomy as well as delayed reconstruction options. We would be happy to show you examples of our results on any of these procedures. See before and after photos of breast surgery our team has performed.

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Consultations

When you book a consultation, there is a $100 consultation fee. If you choose to have surgery with Dr. Johnson the $100 will go towards the surgical fee.

Breast surgery considerations

When you choose to consult with a Plastic Surgeon regarding your breast surgery needs, be sure to find a surgeon that is board certified by the American Board of Plastic Surgery.

For women with small or uneven breasts who desire a fuller and firmer appearance, breast augmentation can help. Breast implants are used to achieve a more proportioned look. There are both saline and silicone filled implants available and they come in a variety of different styles and shapes, such as round, anatomic, smooth and textured. Breast lift can raise and reshape sagging breasts.

Large breasts can cause significant physical discomfort such as back, neck, and shoulder pain. Breast reduction will alleviate these symptoms and can help you feel better about your shape and about wearing a variety of clothing styles. Reducing the size of your breasts will also facilitate your ability to be more physically active.

Throughout life, our bodies undergo many changes. The effects of aging, pregnancy, or weight changes can negatively affect the appearance of your breasts. A breast lift, or mastopexy, can lift your breasts and help return them to their youthful shape. This procedure is often combined with a breast augmentation to provide fullness to the upper breast.

For men with enlarged male breasts Gynecomastia surgery removes the excess fat and glandular tissue from your breasts. In severe cases, excess skin may need to be removed also. The true cause of gynecomastia is unknown, but may be a cause of hormonal changes, heredity, disease, or the use of certain drugs.

Some transgender and nonbinary people may choose to have top surgery as part of their gender affirmation process, which can help reduce gender dysphoria and improve well-being.

For transmasculine people, or those who identify with a masculine or nonbinary gender, FtM top surgery may involve removing breast tissue and excess skin, reshaping and repositioning the nipples, and creating a flatter and more masculine chest contour.

For transfeminine people, or those who identify with a feminine or nonbinary gender, MtF top surgery may involve enhancing the size and shape of the breasts with implants or fat grafting, and creating a more feminine chest contour.

Some patients may want to remove breast implants due to complications, cosmetic preferences, or personal changes. Common reasons include contracture due to scar tissue, implant rupture, infection, pain, or dissatisfaction with appearance. Breast implant removal (explant) is a surgical procedure that involves taking out or replacing the implants.

Patients who have had breast cancer surgery may desire breast reconstruction to restore their breasts after mastectomy. Breast reconstruction can help improve self-image, confidence, and quality of life.