Breast Surgery — Augmentation, Lift, Reduction & Reconstruction

Comprehensive breast surgery by Dr. Cat Huang-Begovic including breast augmentation with silicone or saline implants, breast augmentation with fat transfer, breast lift (mastopexy), combined augmentation-mastopexy, breast reduction (reduction mammoplasty), breast reconstruction, breast implant removal, revision breast surgery, and tuberous breast correction. All incision and implant placement decisions are made at consultation based on the patient's anatomy and goals.

Breast surgery at Dr. Cat Plastic Surgery spans the full reconstructive and aesthetic spectrum, with Dr. Huang-Begovic offering individualised procedures rather than a one-size approach. Breast augmentation with silicone or saline implants is the most requested procedure: silicone gel implants are valued for their natural feel and are the dominant choice in the Beverly Hills market; saline-filled implants require a smaller incision as they are inserted empty and filled after placement, and allow minor post-operative volume adjustment. Implant placement is discussed at consultation — submuscular (beneath the pectoralis major muscle) placement reduces visible rippling in thinner patients and produces a more natural upper-pole appearance; subglandular (above the muscle) placement preserves pectoral function and provides immediate, prominent fullness. Incision options include the inframammary (breast fold), periareolar (lower nipple edge), and transaxillary (armpit) approaches. Breast augmentation with fat transfer — the 'natural augmentation' option — harvests the patient's own fat via liposuction from the abdomen or flanks and injects refined grafts into the breast for a modest, entirely natural volume increase without implants, typically achieving one cup-size enhancement. Breast lift (mastopexy) addresses ptosis (drooping) caused by pregnancy, breastfeeding, or weight changes, surgically repositioning the nipple-areolar complex to a higher, more youthful position and excising excess breast skin to restore a firmer, more projecting breast shape; incision pattern (periareolar, vertical, or inverted-T) depends on the degree of ptosis. Augmentation-mastopexy combines implant placement with simultaneous lift in patients who seek both volume and elevation — a technically more complex procedure than either alone. Breast reduction (reduction mammoplasty) reduces breast volume and lifts the nipple for patients with symptomatic macromastia (neck, back, and shoulder pain; skin rashes; activity limitation). Breast implant removal with or without capsulectomy addresses implant-related concerns. Revision breast surgery corrects results from prior augmentation, lift, or reduction performed elsewhere. Tuberous breast correction addresses the congenital tuberous or constricted breast deformity.