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Breast Procedure | Procedures | Dr Vikas Kakkar


Non Surgical Breast Enlargement

What is breast Lipofilling / fat transfer breast augmentation?

Breast Lipofilling essentially uses liposuction to take fat from other parts of your body and inject it into your breasts.

Who are the ideal candidates for breast lipofilling?

This is a breast augmentation option for women who are looking for a relatively small increase in breast size and would prefer natural results.

What are the risks of breast lipofilling

Necrosis (death) of fat cells
Some part of lipofilling may get absorbed and may need touch-up injections to retain your improved shape.

What is post operative protocol?

You will be given special dressing to support breast and immobilize transferred fat. Any exertional activity is refrained for 6 weeks. Medications in form of antibiotic, analgesic and anti-inflammatory drugs are given as supportive medication

Breast Augmentation

What is breast augmentation (cosmetic breast enlargement) surgery?

The breast are the most attractive and feminine trait of a woman’s personality. In breast augmentation surgery silicon breast implant placed behind the breast and chest wall muscles surgically.

It Increase fullness and projection of your breasts
Improve the balance of your figure
Enhance your self-image and self-confidence

What are the breast implants?

The breast implants are available in many sizes and shapes. All the breast implants are made with Silicone envelope (bag). Many of them contain only Silicone gel. The Saline filled inflatable implant comes empty and after placing it in the body, is filled with saline. There are other double lumen implants that have silicone gel in the inner compartment and saline in the outer.

What extent breast can be enlarged?

Though there are limitations with regards to the extent the breast can be enlarged, most patients’ wishes and desires can be usually fulfilled. It is limited by the amount of skin available.

Is there any side effect of breast augmentation surgery?

As the implants are placed behind the breast tissue and the muscles, there are usually no problems in breast examination after enlargement. Also, there are no problems in breast feeding after this surgery. To-date, there is no recorded evidence of increased risk of breast cancer after silicone implant surgery.

What about Surgical procedure?

This surgery is performed under general anesthesia. The surgery takes approximately 2 to 3 hours. The patient usually goes home the same day or another day.

An incision (cut), approximately two inch long is made just above the lower breast fold. A cavity is created behind the breast area/muscles. A satisfactory size implant is placed in the cavity and wounds are sutured in many layers. A snug dressing is applied and left in place for 5 to 6 days. The stitches are absorbable and no need of stitch removal.

If there is excessive sagging of the breasts, breast tightening with uplift (mastopexy) could be done at the same time as breast enlargement.

What happen after the surgery?

There may be some discomfort during the first few days post-operatively. This will be similar to a muscle pain after strenuous physical activity.

What is Post Operative Protocol?

Wear a support bra for about 6 weeks until the swelling and bruising subsides.
Avoid any straining, bending and lifting for a minimum of four weeks following the surgery. The scars from the incision will disappear over time.
Women often return to non strenuous activity within two to three weeks of surgery and start returning slowly to their normal routine after four weeks of surgery.

Reduction Mammoplasty

What is breast reduction surgery or reduction mammoplasty?

Removal of excess breast fat, glandular tissue and skin to achieve better-shaped and sized breasts in proportion with the rest of body and to alleviate the discomfort associated with large breasts.

What are the indications of reduction mammoplasty?

Large breast can cause both health and emotional problems to some women. The weight of excess breast can impair your active life because of physical discomfort like back or neck pain, shoulder groves, rashes.

Emotional problems like self image issues and embarrassed in social places having large pendulous breasts.

What Pre operative preparation required?

Routine blood investigations
stop smoking well in advance.
Avoid taking aspirin and medicines causing increase bleeding.

What about hospitalization Breast Reduction Surgery?

The surgical procedure requires 3 hrs of surgery and 2-3 days hospitalization.

What is Post Operative Protocol?

Wear a support bra for about 6 weeks until the swelling and bruising subsides.
Avoid any straining, bending and lifting for a minimum of four weeks following the surgery. The scars from the incision fade (not disappear) over time.
Women often return to non strenuous activity within two to three weeks of surgery and start returning slowly to their normal routine after four weeks of surgery.

What can be the complication of breast reduction surgery?

Major complications uncommon,
Minor complications may be like Bleeding, Infection, Poor wound healing, Fatty tissue deep in the skin could die (fat necrosis), unfavorable scarring.
Temporary or permanent changes in nipple or breast sensation
Potential inability to breastfeed
Breast asymmetry
Possibility of revisional surgery

What is the outcome of Breast reduction surgery?

The results of breast reduction surgery will be long-lasting. Scar was formed in such a way that it is concealed in bra.

Your new breast size should help relieve you from the pain and alleviate physical limitations. Your better proportioned figure will likely enhance yourself image and boost your self-confidence.

However, over time your breasts can change due to aging, weight fluctuations, hormonal factors, pregnancy and gravity.


Gynecomastia is a common disorder of the endocrine system in which there is a non-cancerous increase in the size of Male Breast Tissue Most adolescent boys, up to 70%, have some breast development during puberty. Newborn and adolescent males often experience temporary gynecomastia due to the influence of maternal hormones and hormonal changes during puberty, respectively.

The development of gynecomastia is usually associated with benign pubertal changes; in adolescent boys, the condition is often a source of psychological distress. However, 75% of pubertal gynecomastia cases resolve within two years of onset without treatment. In rare cases, gynecomastia has been known to occur in association with certain disease states. Gynecomastia may be seen in individuals with Klinefelter syndrome or certain cancers, with disorders involving the endocrine system or metabolic dysfunction, with the use of certain medications, or in older males due to a natural decline in testosterone production.

Breast Reconstruction

Breast reconstruction is the rebuilding of a breast, usually in women. It involves using autologous tissue or prosthetic material to construct a natural-looking breast. Often this includes the reformation of a natural-looking areola and nipple. This procedure involves the use of implants or tissue taken from other parts of the woman's body.

Generally, the aesthetic appearance is acceptable to the woman, but the reconstructed area is commonly completely numb afterwards, which results in loss of sexual function as well as the ability to perceive pain caused by burns and other injuries.

Nipple Surgery

Nipple surgery removes problems associated with enlarged, asymmetrical, protruding or inverted nipples and can be seen in both men and women.
The nipple is made of two parts: the nipple and the areola. The nipple is the projected part and the areola is the dark pigmented skin that surrounds the nipple.

Inverted Nipple Correction - Inverted nipples is the most common nipple correction surgery. Inverted nipples are the result of an imbalance in muscle traction, where the strength of the outward muscle is weaker than the inward, which can be longer or have a stronger pull, causing the nipple to remain retracted.

There are 3 grades of Nipple Inversion, depending on its severity:
1. Grade 1 is whereby the nipple is inverted under the areola but can be manipulated to protrude, however reverts to its inverted state after a few minutes. Grade 1 usually does not require corrective surgery unless it is affecting your confidence and self esteem. Breastfeeding is usually possible.
2. Grade 2 is whereby the nipple is inverted under the areola however can only be forcefully manipulated to temporarily protrude. Breastfeeding may be possible and correction involves surgery on the milk ducts.
3. Grade 3 is whereby, even with vigorous stimulation, the nipple remains inverted. Here, the nipple remains buried in the areola and surgery is required to rebalance the muscle pull.

Nipple Tattooing has its origins as a medical procedure for breast reconstruction after a mastectomy. Generally, it is increasingly commonly used as a cosmetic procedure which began being reported on in early 2013 used to enlarge, darken and define the nipples and areola. Nipple tattooing has its origins as a medical procedure for breast reconstruction after a mastectomy.[3] It is increasingly commonly used as a cosmetic procedure,[4] which began being reported on in early 2013,[1] used to enlarge, darken and define the nipples and areola,

Nipple Reconstruction
The nipple may be reconstructed from the surrounding skin at the site desired for nipple placement. The surgeon makes small incisions and then elevates the tissue into position, forming and shaping it into a living tissue projection that mimics the natural nipple. Older techniques, which used donor tissue from the genital region or elsewhere, have become less favored over time. Whether or not you have your nipple rebuilt

Accessary Breast Surgery

Accessory breast tissue, also called hypermastia, is extra breast tissue and is a common developmental phenomenon. It occurs in 2-6% of the general population and can occur in men or women. Accessory breast tissue surgery entails the removal of the excess tissue by a surgeon in order to restore the naturally smooth contours of the body.
There are various steps in surgery like-
The first step is to have a private consultation with NYC plastic surgeon Doctor can help you to decide if this surgery is for you. The surgery is elective if the tissue is not causing you any physical difficulties, but you may feel that you want to remove the excess tissue for purely cosmetic reasons.

Once you’ve made the decision to proceed, you’ll find that accessory breast tissue surgery is a relatively quick and routine procedure.
Years ago, excess tissue was removed through a fairly arduous surgery. Under general anesthesia, the surgeon would make a lengthy incision and remove breast tissue, fat tissue, and excess skin. Scarring was common place.

Now accessory breast tissue removal can removed by liposuction with a minimal incision. The liposuction also enables to feather the underlying fat tissue for maximum contouring effect. If an extra nipple or areola needs removal, it will remove. Any extra skin will be removed with a fusiform excision, a technique that leaves little to no trace.



  • 564, B-Block, Ranjit Avenue, Amritsar
  • +91 98151-31355, 0183-2500955
  • clinickakkar@gmail.com