Breast Augmentation

Breast augmentation, or augmentation mammaplasty, is a surgical procedure that can improve the contour of the breasts to give them a fuller and more youthful appearance. Breast augmentation is also helpful for treating breast asymmetries and restoring volume to breasts after the natural effects of aging, pregnancy, and breast-feeding. This is done with the help of saline or silicone implants

How long will the procedure take?

Breast augmentation is a procedure done under general anesthesia. It can take one to two hours and is done on an outpatient basis.

Where will the incisions be?

The incision is usually made at the base of the breast, along the breast fold. This scar heals nicely and is hardly noticeable even in a swimsuit. The breast implant is placed under the chest muscle, called the pectoralis major muscle. This gives a natural augmented look to the breasts.

What will recovery be like?

During the procedure, long-acting pain medication is placed throughout the breast area to decrease postoperative pain. You will go home in a surgical bra that we place after the surgery to let the area heal properly. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery.

What type of breast implant should I choose?

There are two types of breast implants, saline and silicone. Saline implants are filled with a salt-water solution. Should they rupture, the salt water will be absorbed in your body and the leak would be detected. Silicone implants, also called gel implants, are filled with a cohesive gel material, which will not collapse if there is a rupture or leak. Dr. Aboutanos will discuss the risks and benefits of each implant type and help you decide which is the best choice for you.


At her practice, Dr. Aboutanos primarily offers breast implants manufactured by Allergan, Mentor, and IDEAL. Dr. Aboutanos is confident in the durability, safety, and natural-look of these implants and is happy to walk you through your options. Together, you can determine which is the best fit for you.

What is capsular contracture?

In some cases, the capsule of natural scar tissue that forms around the breast implant can thicken and tighten. This is called capsular contracture and can occur at any time after breast augmentation, including years later. Learn more about this complication and how it can be treated »

Breast Lift

A breast lift, or mastopexy, is a surgical procedure that can improve the contour of the breasts to give them a fuller and more youthful appearance. Mastopexy lifts the breasts to a higher position on the chest by removing excess skin. It is a procedure that corrects breast ptosis, which is a natural change the breasts go through with aging, after breast feeding, or weight loss. This procedure can be combined with a breast augmentation using saline or silicone implants during the same surgical setting or at a later date.

How long will the procedure take?

Mastopexy is a procedure done under general anesthesia. It can take two to three hours and is done on an outpatient basis.

Where will the incisions be?

The incisions are usually around the areolas and down the center of the breast. If more skin needs to be removed, then there can be an additional incision made across the base. Typically, this scar can be hidden under your bathing suit or bra. An enlarged areola will be reduced to match a higher, more youthful breast.

What will recovery be like?

Typically, the immediate recovery is about one to two weeks. This can vary from person-to-person depending on the size of your lift. A follow-up appointment will be scheduled for you about one to two weeks after to check on the incisions. You should be able to shower about two to three days after the procedure. You can transition to a soft bra without an underwire two weeks after the surgery.

Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You'll need to walk and keep your legs moving after surgery to avoid complications.

You'll be given a prescription for pain medication and an antibiotic. Most of your sutures will be dissolvable and scar care will be discussed with you at the appropriate time. Dr. Aboutanos and her staff will review all of these instructions with you. A full recovery can take about six weeks. Dr. Aboutanos will be there every step of the way to ensure the best results.

What else should I know about a breast lift?

You will go home with a surgical bra that we place after your surgery to let the area heal properly. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery.

Breast Reduction

Breast reduction surgery, also called reduction mammaplasty, is a procedure performed to reduce breast volume and size. The benefit of reducing breast size is to decrease the weight placed on your neck, shoulders, and back. It can also help with your posture and to help you fit better in your clothing. A routine mammogram may need to be obtained before the procedure.

How long will the procedure take?

A breast reduction is a procedure done under general anesthesia. It can take about three to four hours and is done on an outpatient basis.

Where will the incisions be?

The incisions are usually around the areolas, down the center of the breast, and across the base. This is called an "anchor" or "inverted T" incision. Most of the time, this scar can be hidden under your bathing suit or bra. An enlarged areola will be reduced to match the smaller breast.

What will recovery be like?

Typically, the immediate recovery is about two weeks. This can vary from person-to-person depending on the size of your reduction. A follow-up appointment will be scheduled for you one day later for drain removal. You should be able to shower about two to three days after the procedure. You can transition to a soft bra without an underwire two weeks after the surgery.

Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You'll need to walk and keep your legs moving after surgery to avoid complications.

You'll be given a prescription for pain medication and an antibiotic. Most of your sutures will be dissolvable and scar care will be discussed with you at the appropriate time. Dr. Aboutanos and her staff will review all of these instructions with you. A full recovery can take about six weeks. Dr. Aboutanos will be there every step of the way to ensure the best results.

What else should I know about breast reduction?

Usually, one drain per breast is left to collect any excess fluid overnight. You'll get detailed instructions on how to care for these drains. You will go home with a surgical bra that we place after your surgery to let the area heal properly. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery.

Breast Implant Revision/Removal

Breast implant revision is a procedure performed to correct the positioning of existing breast implants or remove existing scars, called capsular contracture, from around the breast implants. In some cases, the breast implants need to be removed or exchanged for newer ones.

How long will the procedure take?

Breast implant revision or removal is a procedure done under general anesthesia. It can take about one to two hours and is done on an outpatient basis.

Where will the incisions be?

The incision will typically be made through the pre-existing breast incisions; however, there are some cases where a new incision must be made at the base of the breast (inframammary fold). These incisions are typically well-hidden and heal nicely.

What will recovery be like?

Typically, the immediate recovery is about one to two weeks. This can vary from person-to-person depending on the extent of the revision. A follow-up appointment will be scheduled for you approximately ten to 14 days later. You should be able to shower about two to three days after the procedure. You can transition to a soft bra without an underwire two weeks after the surgery.


Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You will need to walk and keep your legs moving after surgery to avoid complications.


You will be given a prescription for pain medications and an antibiotic. Most of your sutures will be dissolvable and scar care will be discussed with you at the appropriate time. Dr. Aboutanos and her staff will review all of these instructions with you. Dr. Aboutanos will be there every step of the way to ensure the best results.

What else should I know about breast implant revision/removal?

If desired, new breast implants can be replaced at the same surgical visit. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery.

Inverted Nipple Correction

Nipple inversion is usually caused by shortening of the breast ducts and fibrous tissue connected to the nipple, resulting in the inward appearance of the nipple toward the breast tissue. There are various grades of inverted nipple severity. Correction of inverted nipples can be performed by cutting the thick bands and ducts that pull the nipple downward.

How long will the procedure take?

Correction of inverted nipples is a surgery that requires general anesthesia. It can take one to two hours and is done on an outpatient basis.

Where will the incisions be?

The incisions are typically hidden along the edge of the areola and at the base of the nipple. Incisions around the nipple can heal nicely and are hardly visible.

What will recovery be like?

During the procedure, a long-acting pain medicine will be used to decrease postoperative pain. You will go home with a special dressing and surgical bra to avoid putting pressure on the incisions of the nipple. You will need a responsible adult to drive you home and stay with you for 24 hours.

Dr. Aboutanos will discuss the risks and benefits of nipple inversion surgery and help determine if surgical correction is right for you. If you are interested in seeking surgical correction for inverted nipples in Richmond, VA please call 355-3410 for consultation with Dr. Aboutanos.