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Dr. Chelsea Anne Harris, MD, MS is a pediatric plastic surgeon in Salt Lake City, UT specializing in pediatric plastic surgery, facial plastic surgery and wound care. She graduated from University of Vermont College of Medicine. Dr. Chelsea Anne Harris, MD, MS is affiliated with University of Utah Health and UNIVERSITY OF UTAH ADULT SERVICES.
Breast Reconstruction
Breast reconstruction is surgery to restore the appearance of the breast, usually after a mastectomy. The choice of how to proceed after the removal of a breast is a deeply personal one, with some women opting to wear a prosthetic form in a bra, and others choosing to embrace their new breastless form as a reminder of their strength and survival. Those options are perfectly acceptable, but many women feel most comfortable with their missing breast tissue surgically replaced. Breast reconstruction can be part of a patient's return to normal after experiencing breast cancer.
There are a few different methods used to create the round shape of the breast on the chest. A flap of fat, skin, and muscle can be taken from the side, abdomen or buttock and implanted on the chest to create a breast from the patient's own tissue. Alternatively, the skin over the chest may be gradually stretched to allow for the placement of an implant. Stretching of the skin is done using expanders, which are similar to breast implants, except they increase in size when saltwater solution is injected into them. Many women also choose to combine the flap procedure with implant placement to achieve their desired result. Once the new breast shape is formed, a nipple can be created and even tattooed to match the other side.
Reconstruction may be done in a single surgery or broken up into multiple procedures:
Breast reconstruction is not perfect. The two breasts may not always look exactly identical, although they will be close. There may be small scars, and a loss of sensation in the reconstructed breast. A reconstructed breast will not produce milk, so patients may have trouble breastfeeding. Still, reconstruction is a great option for women who want that part of their appearance back.
Cosmetic Breast Surgery
When a woman is dissatisfied with the appearance of her breasts, she may consider cosmetic breast surgery. Lack of tissue, sagging due to breastfeeding, and deformities present at birth are some of the most common reasons why women may choose to surgically enhance their breasts. Breast augmentation and breast lift are the most frequently performed cosmetic procedures on the breast.
In breast augmentation, enlargement of the breast is accomplished using either implants or the patient's own fat. Implants are clear shells that may be filled with saltwater solution or silicone. They come in varying sizes and shapes. There are different approaches to placing the implant as well. Incision locations can be:
The patient and surgeon will discuss the patient's needs, preferences, and limitations to determine the type of implant and incision to use.
Using one's own fat for breast enlargement starts with a procedure called liposuction, which is the removal of excess fat from other parts of the body. After the fat is collected, it is rid of impurities and then injected into the breast. This option suits those who do not wish to have foreign materials placed inside their bodies.
Deformities such as tubular breasts may also be corrected using breast augmentation. Tubular breasts are characterized by small, droopy breasts and a narrow base. Aside from placement of an implant, the surgeon cuts the breast tissue to release the tightness and make the base wider.
Breast implants are not lifelong devices. They may rupture or may develop capsular contracture, which is the hardening of scar tissue around the implant. If these complications occur, another surgery may be required to replace or remove the implants.
While a breast augmentation enlarges the breast, a breast lift, also called mastopexy, raises the breast by repositioning the nipple and removing excess skin. Breast lifts can be done using three techniques. If there is only a small amount of sagging, removal of excess skin around the outline of the areola may accomplish the desired result. This technique is called a doughnut lift. If the nipples are just at or slightly below the level of the breast fold, a surgeon may recommend a lollipop lift. This type of lift involves a doughnut lift and a vertical incision from the bottom edge of the areola to the crease. If there is a lot of excess skin, a surgeon may recommend an anchor lift. This technique is similar to the lollipop lift, but it also involves a crescent-shaped incision along the breast fold to be able to remove more excess skin. Sometimes loss of breast volume accompanies sagging. If this is the case, an augmentation can be performed in combination with the lift procedure.
Because nerves around the nipple are cut during surgery and need time to heal, temporary loss of sensation in this area is common after having a breast lift. Sensation is usually regained after several weeks to a few months. Although uncommon, loss of sensation may also be permanent, especially if a significant amount of tissue around the nipple was removed.
Both breast augmentation and breast lift are typically done in an outpatient facility and do not require a hospital stay. Following surgery, patients should apply a cold compress over their breasts for the first 24 hours and keep their upper body elevated -- even during sleep -- for the first few days. Patients are also given a special type of bra to wear while recovering. Using cold compresses, staying elevated, and wearing the special bra help to minimize swelling and pain. Strenuous activities like running and working out should be avoided for four to six weeks, but light exercise may be started about one week after a breast augmentation procedure.
Dr. Chelsea Anne Harris, MD, MS graduated from University of Vermont College of Medicine. She completed residency at University of Maryland Affiliated Hospitals. She is certified by the American Board of Surgery and has a state license in Utah.
Medical School: University of Vermont College of Medicine
Residency: University of Maryland Affiliated Hospitals
Board Certification: American Board of Surgery
Licensed In: Utah
Dr. Chelsea Anne Harris, MD, MS is associated with these hospitals and organizations:
Dr. Chelsea Anne Harris, MD, MS has an exceptional overall rating with an average of 5.0 out of 5 stars based on 53 ratings. We collect ratings and reviews of Dr. Chelsea Anne Harris, MD, MS from all over the web to help you find the right in Salt Lake City, UT.
Dr. Chelsea Harris is a facial plastic surgery, wound care, and pediatric plastic surgery specialist in Salt Lake City, UT. Patients rated her highly, giving her an average of 5.0 stars (out of 5). Dr. Harris has a special interest in cosmetic breast surgery, transgender issues, and laser treatment. She is affiliated with the University of Utah Health. Before completing her residency at a hospital affiliated with the University of Maryland, Dr. Harris attended medical school at the University of Vermont College of Medicine.
