Breast Augmentation Surgery Metairie, Louisiana

Breast

Breast Procedures

Cosmetic breast surgery is Dr. Treece’s particular area of expertise. Whether you’re thinking about a breast lift, reduction, or augmentation, Dr. Treece offers a range of procedures that can help you achieve your ideal breast appearance. Dr. Treece prioritizes achieving natural results that complement your body type and frame. Her goal is to enhance your individual beauty, avoiding extreme or unnatural changes. Dr. Treece strongly believes in empowering patients to make the best choices for themselves through education and knowledge. During her fellowship at Louisiana State University, Dr. Treece specialized in breast reconstruction with some of the field’s leading experts leading her to publish her groundbreaking and innovative technique for Breast Reconstruction: The DIEP Flap. Dr. Treece brings this exclusive experience to her patients today.

Augmentation

Breast augmentation can enhance your appearance and help build your self-confidence and self-esteem.

Breast Reduction

Women with very large, heavy, sagging breasts tend to have neck, back and shoulder pain and skin irritation underneath the breasts.

Mastopexy

Passing time, pregnancy, nursing, gravity, and weight fluctuation can all have adverse affects on the breasts.

Nipple & Areolar Revision/Reduction

We need to determine if you feel your nipples are too big (someone say pencil erasers?),

Revision & Reconstruction

Under the best of circumstances, even when everything goes perfectly, breast surgery can result in poor healing and poor scarring with poor results. Augmentations can always develop contractures.

Augmentation

Breast augmentation can enhance your appearance and help build your self-confidence and self-esteem. Breast augmentation may also be a solution to uneven, asymmetrical or misshapen breasts.

The best candidates for breast augmentation are:

Women who are looking for a more balanced figure or are bothered by the feeling that their breasts are too small.
Women who have small breasts or loss of volume following pregnancy, breast-feeding, or weight loss.
One breast is noticeably smaller than the other or anatomical conditions exist.

SILICONE OR SALINE?

This question is best answered in our consultation appointment where I let you “feel” the difference and answer your specific questions. The best place for internet information is Allergan’s site. I have no financial connections to Allergan, but it’s a good site for correct information as there is MUCH incorrect information on the web about implants.

As you can see by my photos, implants may sit closer or farther apart based on you anatomy and look more “natural” or “obvious” based on your tissue coverage, chosen implant size and the look you desire to achieve. Almost all my patients say they want a “full C”. I have no idea what that means and, discussing further, neither do they! Yes, it’s a starting point, but as everyone who has ever shopped for bras well knows, bras are like jeans…even in the same store and the same brand; it can take hours to get the right fit! Another pitfall is asking for the same size as your friend or sister. Unless you are identical twins, her implant size will look differently on you because of basic anatomical differences. In terms of anatomy, we will discuss whether you are a routine, uncomplicated augmentation or whether you have additional concerns to address such as asymmetry (breasts with different volumes and/or shapes) or a specific condition, such as tubular breast deformity or Polands Syndrome. I know you are now thinking “wow, this just got complicated!” and it IS. This is where my experience enters the equation: better to address all possibilities ahead of time so that we both get a happy outcome.

MY EXPERIENCE

I’ve been performing augmentation since 1996, and I’ve tried the computer generated software to predict implant size, but I find the best way to give you an example of how you will look is the manner in which we “fit” you for the implants at our consultation. You can see in the mirror and choose how you want to LOOK. After you choose this look, we will then discuss your anatomy and how it will affect your outcome. Then whatever bra size you fit into, and you will fit into different sizes depending on the cut and the brand of the bra, so be it. It’s about how you look and feel—not a random letter in the alphabet. In fact, it turns out that a “full C” means a lot of different implant sizes in the view of my patients!

Incisions can be placed in several different locations and the scars can be minimal. I almost always place the implants BEHIND the muscle because of multiple reasons. We will discuss all of this in depth, as well as your pre-operative and post-operative instructions and all the risks at your consultation appointment. Costs can vary so we really need to examine you to provide an estimate.

Breast Reduction

Women with very large, heavy, sagging breasts tend to have neck, back and shoulder pain and skin irritation underneath the breasts. My patients find that breast reduction surgery greatly benefits every aspect of their lives. They not only generally have relief from their symptoms, but the ability to exercise, and wear more stylish clothing; all of which contribute to the psychological benefit. Of all the surgeries I perform, breast reduction ranks among the highest in patient satisfaction. In a perfect world, breast reduction is performed after the breasts are fully developed. However, I have performed it on relatively young patients. As breast growth may continue into the 20’s, these patients and their parents must understand that their breasts may still be growing and therefore they may well need future reduction. This being understood, I have witnessed the psychological benefits and physical well-being to far outweigh the possibility of having a second reduction. Important to consider is the fact that breast reduction may interfere with breast feeding.

You may be a good candidate for Breast Reduction if you have any of the following problems:

Neck, back and shoulder pain
Shoulder notching, furrowing form you bra strap
Heavy, sagging breasts
Breast that are too large for your body size
Irritation and rashes beneath your breasts
Difficulty with exercise and physical activities due to large heavy breasts
One breast that is larger than the other creating a significant asymmetry
Psychological embarrassment by the perceived negative attention directed at your enlarged breasts

During Breast Reduction surgery, fatty tissue and breast glandular tissue along with the excess skin are removed. By removing these elements, the breasts can be tightened and lifted making them lighter, smaller and, often, firmer. Breast reduction is performed under general anesthesia and usually takes 2 to 4 hours to complete.

The scar is in an “anchor” shape. The scars seen in my photos are anywhere from 6 weeks to a year after the surgery. As you can see, the scars greatly fade over a year’s time.

One of the best “side effects” after Breast Reduction is how my patients appear much thinner due to the fact that their breasts were hiding their waistline, but most of the time it’s due to their newfound love of their bodies. Look at the photos here and note that sometimes it appears the after photos are not the same person! Over and over again, I see my ladies loving the fact that they can now actually exercise. This, and the fact they are so tickled about their new fashion options, leads to an overall healthier lifestyle. Sometimes I see them back at their one year follow-up and barely recognize them. They love this-and so do I!

MASTOPEXY

Passing time, pregnancy, nursing, gravity, and weight fluctuation can all have adverse affects on the breasts. These factors cause the breasts to lose their elasticity, firmness and shape. Mastopexy, or breast lift, helps correct breast laxity and sagging with a combination of removing excess skin and fat, reshaping and re-positioning the breast tissue, and tightening the skin to elevate the breast and nipple.

The best candidates for a mastopexy are healthy women with a stable weight. Weight gain or loss and further pregnancy will, of course, change the outcome. Future aging will change the breasts as well. I wish I could cure gravity- for a lot of reasons! In general, lifting the breasts will make them smaller, even if I only remove skin and not the actual breast tissue. If desired, an implant can be placed to add firmness and upper pole fullness.

The incisions are usually in the “anchor” fashion. The standard mastopexy is about 3 hours. You can return to average work rather quickly but strenuous labor and exercise requires about 6 weeks.

There are many factors to consider: lifestyle, incisions, implant or no implant…What you will require will be discussed in our initial consultation and examination, in addition to possible risks and complications. Pricing is based on the anesthesia time required, so I must see you in consultation to provide an accurate quotation of costs.

Nipple & Areolar Revision/Reduction

We need to determine if you feel your nipples are too big (someone say pencil erasers?), or if it’s a matter of your nipples and/or areolas as a whole? Regardless, these issues can result from pregnancy and breastfeeding, or perhaps it’s just what happened when puberty hit!

Great news! There is such a thing as nipple reduction. It’s a minor surgery that can be performed in the office or the operating room as is appropriate for the patient. Healing can take up to several weeks during which time strenuous activities are limited. There is also a surgery to reduce the size or circumference of the areola. In general, the excess areola skin is excised and the skin edges are re-opposed to the edges of the now smaller areola. Nipple reduction, areola reduction, or a combination of both are all options. We will examine you, listen to your concerns, and formulate our best plan.

Revision & Reconstruction

AUGMENTATION, REDUCTION & MASTOPEXY

Under the best of circumstances, even when everything goes perfectly, breast surgery can result in poor healing and poor scarring with poor results. Augmentations can always develop contractures. It is always best to address poor outcomes with the original surgeon because, as surgeons, we are often most critical with our own work and willing to listen to your concerns. If this fails, see several surgeons with the most experience to see what can be done about your specific concerns. There can almost always be a solution to poor outcomes. This being stated, there is no way to cover all these solutions. Instead see our photo gallery which addresses specific problems and the solutions I have offered.

RECONSTRUCTION

Perhaps enough went wrong that the solution requires reconstruction. Perhaps you have lost a breast (or both) due to cancer, or you have agenesis of one breast (Polands Syndrome). Reconstruction may require a tissue expander or may be done in the same setting as mastectomy. I only do implant reconstruction, but tissue reconstruction may be your best option. If so, we will gladly refer you to a nearby expert in tissue flaps with whom we have seen great results. There are many options to consider such as the nipple, implant size, etc. All of this will be discussed at your consultation including possible coverage by insurance. Insurance coverage cannot be assessed until AFTER your consultation as we do not know what codes to submit to insurance and thereby request coverage.