For breast augmentation, breast reduction, or breast lift surgery near Johnstown and Pittsburgh, contact Aestique® Medical Center today.







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Breast Reduction, Breast Lift, and Other Breast Surgery Offered at Our Practice near Johnstown and Pittsburgh

We offer a full range of breast procedures, including breast enlargement, breast reduction, and breast lift, at our center located near Johnstown and Pittsburgh in Greensburg, Pennsylvania. At Aestique® Medical Center we have our own accredited surgical center, which allows us to offer surgical procedures at a lower price than those involving a hospital, and lets our patients enjoy the privacy and tranquility of our sprawling grounds.

Read more about breast lift, breast reduction and the other types of breast surgery we offer surgery below, or visit our page dedicated to breast augmentation.

Breast Augmentation

Let us enhance your natural curves through the placement of breast implants. At Aestique® Medical Center, we are happy to offer breast augmentation along with a variety of other breast procedures. We have a page devoted to explaining every aspect of the breast enlargement procedure. If you'd like to learn more about breast enhancement, please visit our breast augmentation page.

Breast Lift

Many factors can take their toll on a woman’s breasts — pregnancy, breast feeding, gravity, and aging. Breasts can lose their shape and firmness and begin to sag as the skin loses its elasticity and connective tissue loses its strength.

What is a breast lift?

Breast lift, or mastopexy, is a surgical procedure performed on an outpatient basis. This procedure is performed to elevate and reshape the sagging breasts.

Who is a good candidate for a breast lift?

The best candidates for a breast lift are healthy women who have realistic expectations about the results that breast surgery can accomplish. The best results are usually achieved in women with small, sagging breasts.

Breasts of any size can be lifted, but the results of breast lift may not last as long when performed on large, heavy breasts. Large, heavy breasts may benefit more from another procedure called breast reduction, which reduces the size of breasts while elevating their position.

If you're planning on having more children, it might be a good idea to wait on undergoing a breast lift. Pregnancy is likely to stretch, counteracting the results achieved from this procedure.

Are any there risks involved in breast lift surgery?

As with any surgery, bleeding and infection are always a risk, although these are not a common occurrence. Our surgeons and staff take great care to minimize any complications that may occur. There will be scars on the breasts following surgery with a traditional breast lift, while the newer circumareolar lift leaves no external scarring on the skin. Following the surgeon’s instructions after the procedure will help to minimize the scarring.

How do I plan for breast lift surgery?

During your initial consultation with Dr. Lazzaro or Dr. Antimarino, it is important to discuss your cosmetic expectations frankly. Each patient and surgeon has as a different view of what is considered a desirable size and shape for breasts. After examining your breasts, the doctor will discuss the results he will realistically be able to accomplish with breast lift surgery.

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What happens during a breast lift?

Dr. Lazzaro or Dr. Antimarino will examine your breasts and take some measurements to determine ideal positioning for your breasts. This process usually takes one and a half to two hours, depending on the size of your breasts.

Dr. Lazzaro and Dr. Antimarino use two different techniques to accomplish the desired results. Most often, our surgeons use an anchor-shaped incision that follows the natural contour along the underside of the breast. This incision outlines the area from which the breast skin will be removed. The excess skin is removed, the nipple and areola are repositioned, and surrounding skin is then drawn together to reshape the breast. Sutures are usually placed around the areola, in a vertical line downwards from the nipple area, and along the lower crease of the breast.

Our doctors sometimes perform breast lift using a circumareolar technique, which is especially well-suited to breasts that are smaller and are not severely drooping. Using this method, which is also known as the “doughnut” mastopexy, the surgeon performs the lift through concentric circles drawn and cut around the areola. A ring of skin around the areola is removed, the nipple and areola are lifted upwards; then the skin surrounding the areola is secured into place. This technique requires fewer surgical incisions and results in less scarring compared to the traditional method, which uses an anchor-shaped incision.

What happens after breast lift surgery?

After breast lift surgery, you will be given an elastic bra which provides coverage for taped bandages that have been placed on your breasts. Your breasts will be bruised, swollen, and uncomfortable for a few days following surgery. Any discomfort can be relieved with pain medication prescribed by Dr. Lazzaro and Dr. Antimarino. You will return to our center in about five days after surgery to have your sutures removed. You will be given special instructions to follow during your recovery period.

How long is the recovery after breast lift?

Healing from a breast lift is a gradual process. You should avoid lifting anything over your head for about three to four weeks. Taking it easy and following your doctor's instructions will help you to achieve the best outcome. After about one month, you will be able to resume most activities. The scars will be noticeable at first, but will fade as the healing process continues.

Breast lift surgery at Aestique® Medical Center

When you choose to undergo breast lift surgery at our center outside of Pittsburgh, you can enjoy the peace of our beautiful and historic outpatient surgery center, as well as the medical care of highly trained, compassionate surgeons and anesthesiologists. To schedule your breast lift consultation, contact Aestique® Medical Center today.

View our Breast Lift Gallery

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Breast Reduction

Many women have enjoyed newfound comfort and quality of life through breast reduction surgery performed at our center near Johnstown. For women who suffer from physical pain or decreased self-confidence because of unusually large breasts, breast reduction procedure is often the best method to alleviate these problems. During a breast reduction, the surgeon removes excess breast tissue and fat, providing a breast lift while effectively reducing the size and weight of large breasts.

What is breast reduction surgery?

Oversized breasts can cause back and neck pain, skin irritation, skeletal deformities, breathing problems and shoulder indentations from bra straps. A breast reduction provides a breast lift while dramatically altering breast size, relieving physical problems by making your breasts lighter, firmer, smaller, and higher, essentially bringing them in proportion with your body.

During the breast reduction procedure, the surgeon removes fat, glandular tissue, and excess skin. The size of the areolas may be reduced during surgery, depending on your cosmetic goals.

Who is a good candidate for a breast reduction?

Women who feel restricted or uncomfortable as a result of unusually large breasts make ideal candidates for breast reduction surgery. The procedure is mainly performed for women with fully developed breasts, and is usually recommended after age 18. In some cases, breast reduction can be performed to help women younger than 18 if they have serious discomfort. Breast reduction is not recommended for women who want to retain the ability to breast feed.

Are there any risks involved in breast reduction surgery?

Dr. Lazzaro, Dr. Antimarino, and the staff at Aestique® will do everything to make your breast reduction procedure safe and worry-free. However, some common risks in all surgeries include bleeding, infection, or reactions to the anesthesia.

For breast reduction patients in particular, scarring will be permanent. However, the surgeon will make sure that incisions are strategically placed in areas that can be covered by a bra or bathing suit.

How do I plan for breast reduction?

When you come for your initial consultation, you should speak frankly with Dr. Lazzaro and Dr. Antimarino about your expectations for the surgery, especially regarding your desired breast size. Feel free to ask any questions you may have about the procedure, types of anesthesia, and costs. Depending on your insurance policy, your breast reduction may be covered by your insurance carrier.

Dr. Lazzaro and Dr. Antimarino will discuss the variables that go into planning the procedure such as age, the size and shape of your breasts (which will be examined and photographed for both medical and insurance reasons), the condition of your skin, and your general health. Keep in mind that smokers tend to heal more slowly than non-smokers.

You will also discuss placement of the nipple and areola, which are usually lifted to a higher position during the breast lift portion of the procedure, and the fact that scarring will result.

Dr. Lazzaro and Dr. Antimarino will fully inform you on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, and medications. A mammogram and a strict diet may be required before the operation.

What happens during breast reduction surgery?

Breast reduction surgery usually takes two to four hours, and is almost always done under general anesthesia. At Aestique® Medical Center, breast reduction surgery is performed as an outpatient procedure, which allows you to go home the same day of surgery. Drains and external sutures are usually not used. Drains are usually used to drain the surgical area of fluid.

The most common technique used for breast reduction surgery requires an incision around the areola, which then follows the crease beneath the breast. Next, excess glandular tissue, fat, and skin are removed. Lastly, the nipple and areola are repositioned. Throughout the surgery, the nipples remain attached to their blood vessels and nerves to help preserve nipple sensation.

Once the nipples are repositioned, skin from both sides of the breast is drawn around the areola to shape the new, smaller breast. Sometimes, liposuction is used to remove excess fat from the areas along the side of the chest.

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What happens after breast reduction surgery?

You should follow Dr. Lazzaro and Dr. Antimarino's guidelines after your return home and expect to wear a surgical bra for one week. After your first post-operative visit (six or seven days after surgery), your dressings and surgical bra will be removed. You will need to continue to wear a support bra for approximately four weeks after surgery.

You will be prescribed medicine for discomfort, if needed. Most patients are pleasantly surprised at the minimal amount of discomfort they experience after a breast reduction.

Moisturizing lotions may be used as needed on the breast skin, as long as the suture area is initially kept dry.

You can expect your first menstruation after surgery to cause the breasts to swell, which may result in some pain. Random, shooting pains, as well as a loss of feeling in the breasts, is common within the first few months. For some, the loss of feeling can last more than a year, but it is rarely permanent.

How long is recovery from breast reduction?

Although bruising and swelling subsides within a few weeks of surgery, it usually takes six months to a year for your breasts to settle comfortably into their new shape, and for you to adjust to your new image. Breast shape will vary with hormonal shifts, weight changes, and pregnancy.

Dr. Lazzaro and Dr. Antimarino will give you detailed instructions for resuming your normal activities after breast reduction surgery. You should avoid strenuous lifting for three or four weeks, though stretching, bending and swimming are good exercises as long as you wear a good support bra.

You can return to work and social activities in about two weeks, but you should expect to feel less energetic than normal. You should avoid sex for a week or more, because arousal can cause your incisions to swell. For six weeks after surgery, gentle contact with the breasts is best. For months, your scars may remain lumpy and red, though they will eventually fade.

As you become more comfortable with your new image, you will no longer feel the strain of physical discomfort and you can live a more positive and healthy life thanks to the caring staff at Aestique® Medical Center.

Breast Reduction Surgery at Aestique® Medical Center

Choosing to undergo breast reduction surgery can be difficult decision. At Aestique® Medical Center located near Johnstown and Pittsburgh in Greensburg, Pennsylvania, we combine privacy with state-of-the-art surgical techniques and the expertise of highly trained, compassionate surgeons. Contact Aestique® Medical Center today to schedule your breast reduction consultation.

View our Breast Reduction Gallery

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Breast Reconstruction

Many women who have endured the unsettling loss of a breast due to cancer have re-gained the natural shape of their bust line through breast reconstruction surgery. For breast reconstruction patients, regaining their whole, feminine body often rebuilds self-confidence and self-image, improving quality of life.

What is breast reconstruction?

Breast reconstruction replaces a breast removed during a mastectomy by using an implant, or the patient's own tissue. In both types of breast reduction procedures, a woman can regain her feminine curves and self-image.

Who is a good candidate for breast reconstruction surgery?

Breast reconstruction can be performed on most mastectomy patients either immediately at the time of mastectomy or as a delayed procedure. Immediate reconstruction may benefit the patient psychologically.

Are there any risks involved in breast reconstruction surgery?

Breast reconstruction, like all surgery, carries with it the typical risks of bleeding, infection, and problems with anesthesia. These complications are rare. Specific risks involving breast implants are capsular contracture ­— or the tightening of the scar tissue around the implant. This condition makes the breast feel hard, but can be easily treated by removing the scar tissue that has formed and replacing the implant.

Though breast reconstruction has no known relationship to the recurrence of cancer, periodic mammograms are advised. The patient should be certain to visit a medical facility that can reliably x-ray an implant-reconstructed breast.

How do I plan for breast reconstruction surgery?

Because many candidates for reconstructive surgery are cancer patients, you can begin to discuss your options for breast reconstruction as soon as you are diagnosed. It is best for your breast surgeon and the doctors at Aestique® Medical Center to work together. Some patients are candidates to have the mastectomy and reconstruction performed on an outpatient basis at our surgical center.

At Aestique® we offer a full range of breast reconstruction options. This allows us to customize a plan that is appropriate to your age, health, anatomy, tissue quality, and cosmetic goals. In your initial consultations, you should be frank with the surgeon about your expectations and ask any questions as you discuss your options and medical history. During your consultation, you will also discuss insurance coverage for your procedure.

What happens during breast reconstruction surgery?

Reconstructive surgery usually occurs in two stages: the creation of the new breast, and creation of the nipple. General anesthesia is almost always used in the first stage. Follow-up procedures may only require local anesthesia. It is preferable to wait at least two months between these stages to allow the newly created breast mound to settle in position.

There are two major types of reconstructive surgery: skin expansion and flap reconstruction.

Skin Expansion

Skin expansion is the most common technique used for breast reconstruction. During the surgery, an implant or implant expander is inserted beneath the skin and chest muscle and is gradually filled with saline over several weeks, or months, through a valve beneath the skin. When the skin has stretched to the desired size, the valve is then removed using local anesthesia. At this time, the nipple and areola reconstruction can also take place. Depending on the degree of skin laxity present before the procedure begins, a permanent implant may be inserted without the need for skin expansion.

Flap Reconstruction (Lattisimus Flap)

In flap reconstruction, the patient's own tissue is used to create coverage for the breast implant. A section of tissue that includes skin, muscle, and fat is shifted from the back (where it remains attached to maintain blood flow) and tunneled beneath the skin to replace the removed breast.

TRAM Flap Reconstruction

This breast reconstruction technique utilizes skin, muscle and fat from the abdomen to create the breast. Though this technique is more complex and requires a longer recovery, many women appreciate the natural feel of a breast reconstructed using this method.

Will I need any follow-up procedures?

Follow-up procedures depend on your own needs, but they may include reconstruction of the nipple and areola, or altering the natural breast to match the reconstructed breast.

How long is the recovery after breast reconstruction?

Overall, it may take up to six weeks to recover from breast reconstruction surgery. Tiredness and soreness are typical in the first two weeks. Most sutures will be removed within a week to 10 days of surgery. Any scars left after surgery will fade after a year or two, but may remain slightly visible.

Dr. Lazzaro and Dr. Antimarino will give you specific guidelines to follow during your recovery based on your personal needs. In general, patients recovering from breast reconstruction surgery should refrain from overhead lifting, strenuous sports and sexual activity for three to six weeks following surgery.

You can expect the new breast to be slightly different from your natural breast. The reconstructed breast may feel firmer or look rounder or flatter than before. For most reconstructive patients, the new look they achieve through breast reconstruction dramatically improves their overall appearance, self-confidence, and quality of life.

Does insurance cover breast reconstruction surgery?

Though insurance coverage varies, insurance usually covers all procedures to recreate the removed breast, as well as all procedures that are necessary to achieve symmetry with the opposite breast.

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Breast Reconstruction Surgery at Aestique® Medical Center

At Aestique® Medical Center, we combine compassion with the latest surgical techniques performed by highly-trained doctors. Contact us today to learn more about why we are a superior choice for breast reconstruction, breast lift, and breast reduction surgery near Johnstown and the city of Pittsburgh.

View our Breast Reconstruction Gallery

Gynecomastia

Gynecomastia is a condition characterized by the enlargement of male breasts, which can occur for many reasons. Gynecomastia is a relatively common problem, affecting about half of the male population. Gynecomastia can affect one breast, or both. Luckily, a surgical procedure can correct this problem, giving you a more masculine, sculpted chest.

What is gynecomastia surgery?

During the male breast reduction procedure, the surgeon removes excess fat and/or glandular tissue from the chest. In some cases, excess skin is also removed. The result is a chest that is firmer, flatter, and more masculine.

Who is a good candidate for gynecomastia surgery?

Any healthy male can be affected by gynecomastia. Ideal candidates for gynecomastia surgery have firm, elastic skin that will form to the body’s new contours. We discourage this surgical procedure in men who are obese, or overweight men who have not attempted exercise or weight loss to correct the problem.

Are there any risks involved in male breast reduction?

When gynecomastia surgery is performed by a board-certified plastic surgeon, as it is at Aestique® Medical Center, complications are infrequent and usually minor. There is a risk of infection after male breast reduction, as with any surgery. However, we take steps to minimize this risk. Other risks of gynecomastia surgery include excessive bleeding, skin injury, reaction to anesthesia, and excessive fluid loss or accumulation.

Male breast reduction may result in scars, permanent changes in pigment of the area, or slight asymmetry of the breasts or nipples. The procedure’s temporary effects may include loss of breast sensation or numbness, which may persist for up to a year. Patients can reduce the risk of any complications by following the instructions our surgeons give both before and after surgery.

How do I plan for gynecomastia surgery?

It is very important to discuss your expectations for the surgery with Dr. Lazzaro and Dr. Antimarino during your initial consultation. The doctor will help you determine the realistic result that can be achieved for you.

What happens during gynecomastia surgery?

First, an incision is made on the lower half of the areola (darkened area around the nipple). Working through this incision, excess breast tissue is removed with a scalpel. Some liposuction is generally done also, and the cannula (the small tube used to perform liposuction) is inserted through the existing incisions. The surgery itself takes about two hours; then, you will stay an additional hour or more to become alert and let the anesthesia wear off.

What happens following male breast reduction surgery?

You will return to Aestique® Medical Center in about six to seven days after surgery to have your sutures and drains removed. You will be instructed to wear a binder (a broad bandage that wraps around the chest) for up to six weeks after surgery. Your physical activity will be restricted for three to four weeks; however, walking is encouraged during recovery.

How long is the recovery after gynecomastia surgery?

You will need someone to drive you home and look after you for at least the next 24 hours after gynecomastia surgery, as your physical activity will be restricted. Most men feel ready to go out in public or back to work in about 10 days after surgery. You may feel some discomfort for a few days after surgery, which can be controlled with pain medications prescribed by your surgeon. You will also appear swollen and bruised for awhile. Although the worst of your swelling will dissipate in the first few weeks, it may be three months or more before the final results of your surgery are apparent.

Gynecomastia Surgery at Aestique® Medical Center

At Aestique® Medical Center, you will find a unique combination of privacy, compassion, and superior medical care courtesy of highly trained surgeons and anesthesiologists. Contact us today to learn more about treating gynecomastia with male breast reduction surgery.

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Contact Us for Breast Reduction, Breast Lift, and Other Breast Surgery

Breast reduction, breast lift, and other breast procedures at our facility outside Johnstown and Pennsylvania can give you increased confidence and body image. Contact Aestique® Medical Center for a consultation to discuss breast lift, breast reduction, or another breast surgery.

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