Breast augmentation offer many options in terms of size and type of implant as well as incisions (scars). Approaches include periareolar (around nipple), inframammary (in the crease under the breast), axillary (through armpit) and transumbilical (through belly button). Implant types include silicone and saline as well as different sizes and shapes. The impant itself can be placed under the breast tissue (subglandular) or below the pectoral muscle (subpectoral). It can be performed under local or general anesthesia. Recently, fat transferred from other parts of the body has become increasingly popular method of breast augmentation. Fat transfer offers the use of your own fat which avoids risk of infection, rejection and allergy. Fat transfer offers limited increase in size, usually a cup. Desire for larger breasts requires an implant. Sagging breasts (ptosis) will require a breast lift(mastopexy), which is another procedure. Sometimes breast augmentation itself will produce a slight amount of lifting.
Breast reduction is available for both men and women. Gynecomastia is defined as the visible or palpable development of breast tissue in boys or men. Usually through an incision by the nipple, breast tissue can be removed. Men who have a large amount of fat in their breasts (pseudogynecomastia), will benefit from liposuction.