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As of March, 2016 Dr. Bharti joins Hunstad Kortesis Plastic Surgery + MedSpa in Charlotte, NC. New and existing patients are welcome to call 704-659-9000 to set up consultations with Dr. Bharti's new office.

Viewing entries tagged Breast Lift

Enhance Your Figure with a Breast Augmentation and Breast Lift

Enhance Your Figure with a Breast Augmentation and Breast Lift

If you’ve lost your feminine silhouette after pregnancy or because of weight fluctuation, you may be a good candidate for a breast enhancement procedure. Many patients with sagging breasts, small breasts, or asymmetrical breasts come to us for a breast augmentation or breast lift surgery to enhance their appearance and restore their curves. We will customize your procedure to help you achieve your ideal silhouette, and review different options to determine what type of breast implants or breast lift technique will be the right fit for you.

Restore Your Feminine Silhouette with a Breast Lift

Restore Your Feminine Silhouette with a Breast Lift

Many women who have lost their figure after pregnancy, yo-yo dieting, or the aging process are concerned about the look and shape of their breasts. If you have considered a breast procedure, but are satisfied with the current size of your breasts, a breast lift may be the right option for you. Dr. Bharti may recommend a breast lift to reposition the breasts and create a more feminine silhouette. We can remove excess tissue and tighten the skin to create a lifted appearance and without the need for breast implants.

Tags: Breast Lift

Case of The Week: Mommy Makeover

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What is a Mommy Makeover?

A mommy makeover represents the surgical rejuvenation of a woman’s body following the tremendous changes that can occur following the process of childbirth and childrearing.  Multiple plastic surgery procedures are available that restore and improve post-pregnancy bodies.  Procedures are typically combined in a single setting to improve the appearance of your breasts as well as your abdomen.  A mommy makeover can dramatically improve how you look and feel, and may actually be easier to fit into your schedule and budget than you may think.

Breasts can be given a more youthful volume and rejuvenated appearance by using an implant made from either saline or silicone.  Women who have had children and those that nurse will often have breasts that have dropped and have a sagging appearance that may need a breast lift (aka mastopexy) which can be performed alone or combined with an augmentation with an implant to give you added volume and fullness that has been lost in your upper breast. 

Your abdomen is rejuvenated with an abdominoplasty (aka tummy tuck).  There are many variations of an abdominoplasty. A patient may elect to get anything from a mini short scar abdominoplasty to a circumferential abdominoplasty that lifts your buttocks and tightens your abdomen at the same time.  The core concept for an abdominoplasty revolves around removing excess fat and skin that is present in your lower abdomen.  Often the majority of stretch marks of your lower abdomen can be removed as well.  Your abdominal muscles are also tightened to help give your waist more definition and regain your hourglass figure. Liposuction is often used in conjunction with an abdominoplasty to contour your flanks. 
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Labiaplasty is becoming a popular surgical procedure for mommy makeovers.  The procedure is performed for functional and aesthetic reasons.  It involves the removal of excess tissue of the labia minora.  Patients report decreased discomfort with exercise, decrease discomfort with intercourse, and an overall improved aesthetic appearance both in and out of tight fitting clothing.  

These changes of aging and pregnancy do not necessarily affect all women the same, and there can be different levels of severity of the changes.  Each woman is unique in her needs and desires.  A patient contemplating a mommy makeover should begin the process by searching for a plastic surgeon that offers these procedures.  She should not be afraid to get more than one opinion.  She should feel educated by her surgeon, and take an active role in the decision making process.  Clear communication and understanding between the patient and her plastic surgeon is an absolute to get an ideal result.   Prior to a mommy makeover you should be done having children.  In addition, you should be close to your goal weight and stable at your weight for 3-6 months.  Prior to the surgery there should be a plan made to ensure that you will have the support to recover at home during the immediate post operative period.  It takes between 4-6 weeks before you can perform aggressive aerobic activities and weightlifting.  You should be up and walking within the first day after surgery.  It is very important to walk after your surgery, but you will not be able to lift heavy objects or participate in rigorous activity while you heal.  Moms, this means that you will potentially need some help with your kids if they are young and need to be picked up often or chased around! 

I always tell my patients that to make a good result a great result requires patient effort.  This is especially the case for any body contouring procedure.  After the recovery period an aggressive aerobic and fitness program along with a healthy balanced diet will only further your transformation and make you look even better. 
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Case Presentation: 
The before after pictures in this article are of a 50 year old 157lb 5 foot 5 inch female who wanted to improve the appearance of her tummy and breasts.  She did not want to have increased breast size and therefore did not wish to have breast implants placed.  After multiple preoperative planning visits she had a simultaneous abdominoplasty (tummy tuck) and bilateral mastopexy (breast lift). 

She was taken to the operating room at the hospital as an outpatient.  The first part of the procedure was the tummy tuck.  This was performed under general anesthesia.  During this procedure Dr. Bharti removed the excess skin and fat from the lower abdomen (pannus).  He also tightened her ab muscles (rectus abdominus muscles) using permanent plication sutures.  This serves the purpose of narrowing the waste and getting rid of her abdominal bulge.  Once he finished these portions of the procedure he then flexed her bed to be able to perform closure of the incisions using all absorbable sutures.  Liposuction was then performed of her flanks to further improve her contour.  She had temporary drains that were left in position to remove excess fluid in the immediate healing period. 
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After the tummy tuck was complete, Dr. Bharti performed the breast lift procedure.  Using the marks that he made before surgery, Dr. Bharti repositioned the breast and nipple areolar complex on the chest wall to a more youthful position and removed excess skin.  All absorbable sutures were used in this portion of the procedure as well.  She was then admitted overnight to observe her and make sure her pain was controlled.   Dr. Bharti saw her the night of surgery, and the following morning prior to her discharge home. 


While recovering she had to wear compression at all times on her abdomen and her breasts for a period of 6 weeks using an abdominal binder and surgical bra.  She walked the night of surgery, but avoided any aggressive aerobic activity or heavy weight lifting for 4 weeks.  In addition, for the first 2 weeks she had to walk around in a flexed position and she slept in a beach chair position.  

She was seen for follow up at a number of visits after the surgery including: 1 week, 1 month, 3 months, and 6 months follow up.  She has healed very well and she is thrilled with her result.  We are very proud of her!

What is the Mommy Makeover?

It is essential that you as a mother take care of your family but also take care of yourself.  As a mother you must recognize that your perceived self worth is integral to the strength of your family. It is not self-centered or vain to take care of your self.  It is not wrong to feel beautiful, sexy, and confident.  A positive self-image will not only benefit you, but it can improve your interactions with loved ones, colleagues, and friends. A mommy makeover can dramatically improve how you look and feel, and may actually be easier to fit into your schedule and budget than you may think.

It is very important to understand that plastic surgery is a personal choice and should be done for your self, and not to fulfill someone else’s desires or to try to fit an ideal image. 

A mommy makeover represents the surgical rejuvenation of a woman’s body following the tremendous changes that can occur following the process of childbirth and childrearing.  Multiple plastic surgery procedures are available that restore and improve post-pregnancy bodies.  Procedures are typically combined in a single setting to improve the appearance of your breasts as well as your abdomen. 

Breasts can be given a more youthful volume and rejuvenated appearance by using an implant made from either saline or silicone.  Women who have had children and those that nurse will often have reasts that have dropped and have a sagging appearance that may need a breast lift (aka mastopexy) which can be performed alone or combined with an augmentation with an implant to give you added volume and fullness that has been lost in your upper breast.  This will help give you cleavage in your clothes that you may have lost. 

Your abdomen is rejuvenated with an abdominoplasty (aka tummy tuck).  There are many variations of an abdominoplasty. A patient may elect to get anything from a mini short scar abdominoplasty to a circumferential abdominoplasty that lifts your buttocks and tightens your abdomen at the same time.  The core concept for an abdominoplasty revolves around removing excess fat and skin that is present in your lower abdomen.  Often the majority of stretch marks on your lower abdomen can be removed as well.  Your abdominal muscles are also tightened to help give your waist more definition and regain your hourglass figure. Liposuction is often used in conjunction with an abdominoplasty to contour your flanks. 

Some patients will also elect to have surgery on their vagina. A labiaplasty cane be done to remove excess tissue of the labia minora and improve the aesthetic appearance of the outside of your vagina. 

These changes of aging and pregnancy do not necessarily affect all women the same, and there can be different levels of severity of the changes.  Each woman is unique in her needs and desires.  A patient contemplating a mommy makeover should begin the process by searching for a plastic surgeon that offers these procedures.  She should not be afraid to get more than one opinion.  She should feel educated by her surgeon, and take an active role in the decision making process.  Clear communication and understanding between the patient and her plastic surgeon is an absolute to get an ideal result.   Prior to a mommy makeover you should be done having children.  In addition, you should be close to your goal weight and stable at your weight for 3-6 months.  Prior to the surgery there should be a plan made to ensure that you will have the support to recover at home during the immediate post operative period.  It takes between 4-6 weeks before you can perform aggressive aerobic activities and weightlifting.  You should be up and walking within the first day after surgery.  It is very important to walk after your surgery, but you will not be able to lift heavy objects or participate in rigorous activity while you heal.  Moms, this means that you will potentially need some help with you kids if they are young and need to be picked up often or chased around! 

I always tell my patients that to make a good result a great result requires patient effort.  This is especially the case for any body contouring procedure.  After the recovery period an aggressive aerobic and fitness program along with a healthy balanced diet will only further your transformation and make you look even better. 

To all the mothers that read this article, I say thank you for being the amazing women you are.  You owe it to yourself to feel and look your best! 


Cosmetic Breast Surgery – What Procedure is Right For You?

Breasts are unique structures.  They can be very large, they can be very small, they can have a saggy appearance, or they can have a combination of loss of volume and sagging.  Many procedures are available to make your breasts look rejuvenated.

If small breast size is your main concern, then breast augmentation with implants can be a great option for you.  Saline or silicone implants can be used.  Silicone implants weigh less and have a more natural appearance.  Saline implants are cheaper, but can have a more un-natural feel and can have more rippling.  Implants can be placed with many incision approaches such as under the breast, around the areola, and through the axilla. 

If you have sagging breasts and loss of volume at the top of your breasts then you may need a breast lift (mastopexy).  This procedure is often done in combination with a breast augmentation with an implant to give you the volume at the top of your breast.  These procedures can be done simultaneously or in a staged fashion.  The implant gives you the volume you are lacking, and the lift moves your nipple to a natural position and gives you back a rejuvenated breast shape. 

If your breasts are too big, then a breast reduction is a good option for you.  Breast reductions remove excess breast volume and give you more youthful aesthetic breasts. Multiple techniques are available to perform breast reductions.  Reductions can sometimes be covered by your insurance policy if your large breasts cause you: neck pain, upper back pain, mid back pain, shoulder pain, grooving from your bra straps, infections under your breasts, breast pain, and embarrassment.   You should first see your primary care doctor or a back specialist to see if they feel that your large breasts cause these symptoms.  In addition, you sometimes have to demonstrate that trials of pain medications (NSAIDS) have been used to no avail.  Often insurance companies will want to see if weight loss will change the symptoms as well.  

For further information, make a complimentary consultation with Dr. Bharti to learn about your options in greater detail.