The appearance of a woman's nipples is key to the overall look of her breasts, and many women undergo nipple restructuring procedures either as a part of or related to breast augmentation surgery, a breast reduction or a breast lift.

Some women are dissatisfied with the size of their nipples in relation to their breasts. A variety of studies have set out to determine the ideal size of the areola and nipple in relation to the rest of the breast, but in actuality, the correctness of nipple size is determined by what a woman feels comfortable with. Dr. Bottger offers women the option of having large nipples reduced in size through nipple reduction surgery.

The surgical techniques used to reduce nipple size include removal of only the top portion of the nipple, which is then sutured with small incisions. Another nipple reduction technique removes a cylinder of skin from around the nipple, then inserts the nipple into the breast tissue and closes the skin with sutures.

Nipple sensation generally remains normal following a nipple reduction, and breast feeding capability is not impacted.

If you live in the Philadelphia, Pennsylvania area and would like to learn more about nipple reduction techniques, please contact the office of Dr. David Bottger at 610.520.1929 today to schedule an appointment.

Women’s right and left breasts are often different in size and shape. Usually, a woman can notice these differences herself, but they are not very apparent to others. If the size difference becomes apparent suddenly, women must first explore whether or not a growth of some kind in one breast may be causing it to appear larger than the other. A visit to the doctor is essential to rule out any breast masses that might be causing the size differential.

If a breast mass or cyst is ruled out, the rule-of thumb to determine the severity of the differential is that most breast size differences are under a bra cup size and as such are not in need of surgical correction. However, if you believe your breasts vary more than one cup size in volume, you may wish to have a consultation with experienced cosmetic surgeon Dr. David Bottger. He can help you evaluate the need for corrective surgery.

The factors that influence breast appearance are size, breast shape and breast and nipple position when a women is in an upright position. Surgery to correct breast asymmetry may mean that one or both breasts are surgically treated; correction could involve breast reduction of one or both breasts, or augmentation of one breast in deficient areas and reduction in size of the other. Sometimes breast sagging can be treated while Dr. Bottger corrects the size difference.

If you live in the Philadelphia, Pennsylvania area and would like to learn more about surgery to correct breast asymmetry, please contact the office of Dr. David Bottger at 610.520.1929 today to schedule an appointment.

Procedures to augment the breast are designed to enhance the shape and size of the female breast. If breasts sag, a procedure called a breast lift can be utilized in concert with a breast augmentation to achieve optimal results.

Typically breast augmentation surgery is performed in one of two ways. When initiating breast augmentation surgery, Dr. Bottger makes a small incision in a concealed area and a saline or silicone gel implant is positioned behind the breast. Depending on the patient and Dr. Bottger’s decision after consultation, the implant may either be inserted above or below the muscle. The time it takes for a patient to resume normal activities after breast implant surgery is dependent upon the type of procedure utilized.

Dr. Bottger helps his patients make informed choices on the many factors to consider surrounding the breast enlargement procedure, including:

• Size
• Contour
• Type of placement
• Incision type
• Silicone or saline implants

A patient’s body type and personal goals influence these decisions—as can Dr. Bottger’s recommendations based on his years of professional experience. Dr. Bottger can also make you aware of what to expect from breast augmentation surgery, including recovery period, risks and more.

If you live in the Philadelphia, Pennsylvania area and would like to learn more about breast augmentation, please contact the office of Dr. David Bottger at 610.520.1929 today to schedule an appointment.

Women today can choose from different implant types when they elect to undergo breast augmentation surgery. Typically that choice involves silicone versus saline implants.

Advantages of Saline Implants
Saline implants have some advantages over silicone/gel implants. One advantage is that a smaller incision is required for saline implant placement; thus, more incision options present themselves. Since saline implants are filled when they are placed, any asymmetry of the breasts can be addressed at the time of placement by raising or lowering the amount of fluid in the implant.

Disadvantages of Saline Implants today
Some of saline implants’ disadvantages can involve a much more firm feel and an appearance that can sometimes seem less natural. Also, rippling that is apparent to the eye and by touch can sometimes occur with saline implants and be quite considerable. The problem is very unlikely to develop with silicone/gel implants. Thin patients are more likely to experience this effect.

If you live in the Philadelphia, Pennsylvania area and would like to explore which implant type would best meet your needs, please contact the office of Dr. David Bottger at 610.520.1929 today to schedule an appointment.