DR COTRUFO

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Breast Augmentation

Breast augmentation or augmentation mammoplasty to give its technical name, aims to enhance the size or shape of a woman’s breasts, making them appear fuller or altering their shape.

Why choose breast augmentation?

Breast augmentation, or a boob job as the surgery is more commonly known, is the most popular cosmetic surgery procedure carried out. Every year women of all ages choose to have breast augmentation to improve their breasts and how they feel about them. A boob job looks to enhance a woman’s breasts rather than striving for perfection; as a result, the surgery is often referred to as breast enhancement.

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What can breast augmentation achieve?

  • Enhance your body contours if for any reason you feel your breasts are too small
  • Correct a reduction in breast volume or shape after pregnancy
  • Balance the size and shape of your breasts
  • Reconstruction after other breast surgery

Is there an eyelift alternative?

Blepharoplasty is often combined with other facial cosmetic surgery procedures such as a brow lift or facelift. For the correction of crow’s feet or wrinkles you may select non-surgical treatments in place of or alongside blepharoplasty, such as Botox or fillers. These are simple, non-invasive procedures. During your consultation Dr Cortufo will be able to advise which treatment(s) will be most appropriate for your specific aims.

What are the alternatives to breast augmentation?

The goals of your surgery will dictate the most appropriate procedure for you. In some instances a breast lift will be recommended instead of or alongside a breast augmentation procedure.

Before your breast augmentation

When it’s time for your surgery we want you to feel as relaxed and comfortable as possible and this starts with establishing good communications between you, your surgeon and the clinic team. You will meet the surgeon during your consultation, when you will be able to discuss your personal circumstances and seek further information and advice.

During you consultation you will:

  • Have the opportunity to explain your reasons for seeking breast surgery
  • Be given the opportunity to pose questions to Dr Cotrufo
  • Undergo a health evaluation
  • Have a full assessment of your chest area
  • Discuss the options that best suit your needs, including boob job costs and timescales

In the weeks leading up to your procedure and the days immediately prior, you may be asked to make some small changes to your lifestyle or to avoid particular medications or activities.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Avoiding overexposure to the sun, particularly to your chest area
  • Committing not to make stringent changes to your diet

Those undergoing general anaesthetic will be given fasting instructions to follow.

The breast augmentation procedure

  • The surgery time will depend on the anaesthesia and breast augmentation technique used.
  • Usually, an incision will be made either in the crease where the breast meets the chest, around the areola or in the armpit.
  • Your surgeon will lift the breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle.
  • The implants are then inserted and centered beneath your nipples.
  • Sutures are used to close the incisions. When you wake up you may also find these have been taped for greater support.

After your breast augmentation

Once you have been discharged from the clinic, we strongly advise you have a friend or relative drive you home and help care for you as you recover.

  • You should avoid alcohol
  • All strenuous exercise must be avoided for around 1 month and you should avoid eating hot and spicy foods
  • You will need to care for your wounds as advised by the clinic
  • You will need to attend aftercare appointments with Dr Cortufo, who will also be available to discuss your progress via telephone
  • A support bra must be worn for the first few weeks
  • Swelling should subside approximately 7-21 days after surgery

Still have breast augmentation questions that you’d like answered?

Our clinic’s surgeon, Dr Cotrufo is a cosmetic surgery and reconstructive microsurgery expert. He has considerable experience in carrying out breast augmentation procedures and acts in a number of consultancy and research roles on the topic. Dr Cotrufo has worked in the Royal Infirmary in Glasgow as a breast surgery specialist and has also advised the medical supply industry on the latest trends and developments in breast augmentation and breast implants. If you would like to discuss your suitability for surgery or to discuss the breast augmentation procedure in further detail, please call 0207 873 2330 to organise a personal consultation.

Breast Lift

Breast lift surgery, which has the technical name mastoplasty, is a surgical procedure to reshape and reposition the breast. It is a common surgery and is often combined with a breast augmentation or breast reduction.

Why choose breast lift surgery?

Age, cycles of weight loss and gain, pregnancy and breastfeeding can all impact on the appearance of breasts. Any one of these factors or a combination of them might have caused your breasts to sag or lose shape, making your feel uncomfortable or self-conscious. A breast lift can help restore firmness and make you feel more like yourself.

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What can a breast lift achieve?

  • Restore firmness to drooping breasts
  • Regain breast shape after pregnancy or weight loss
  • Correct nipples so they point forwards
  • Make breasts feel firmer and appear more youthful
  • Boost confidence

Is there an alternative to breast lift surgery?

Dr Stefano Cotrufo performs a full range of breast enhancement procedures many of which such as breast reduction or breast implants are often chosen to complement breast lift surgery. By speaking with him you will be able to ascertain which procedure(s) is best suited to your individual needs and whether breast lift surgery is right for you.

What to expect before your breast lift procedure

To ensure your personal surgery experience is as relaxed and comfortable as it can be, it is essential that you establish good communications with your surgeon. This will help you both set clear and realistic expectations for the procedure. The relationship will begin to be formed during your consultation, when you will be able to discuss your wants and needs directly with Dr Cotrufo.

During you breast lift consultation you will:

  • Talk through your reasons for seeking breast lift surgery
  • Have your breasts examined and measured
  • Undergo a full health evaluation
  • Discuss the options available to you
  • Learn more about the breast lift procedure, including aftercare and recovery information
  • Talk about costs and timescales
  • Have the opportunity to ask any questions about the clinic, procedure or surgeon’s experience

To ensure you are in the best possible health before your breast lift surgery you may be asked to make some small changes to your lifestyle, which might include avoiding certain medications or activities.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Avoiding sun overexposure, particularly the breast area
  • Committing not to make stringent changes to your diet

Those undergoing general anaesthetic will be given fasting instructions to follow.

The breast lift procedure

  • The time required for breast lift surgery does vary according to the amount of work being performed, it is generally between 1.5 and 3 hours
  • During the surgery, any excess skin and tissue will be removed and the nipple and areola will be moved into a higher position, to give a more natural appearance
  • If you choose to combine a breast lift with implants, they will usually be inserted under the breast tissue
  • Incisions will be closed carefully with sutures

After your breast lift surgery

You will usually be required to stay overnight in the clinic but should be able to return home the next day.

After that:

  • You should walk around as soon as you feel able
  • You will need to wear a supportive bra day and night for several weeks after surgery and change dressings as directed
  • Within around a week you should be able to return to work
  • Sutures are generally removed around 14 days after surgery
  • Your breasts may be swollen for a few days after surgery but should then begin to settle
  • Swelling and loss of feeling should subside after 6 weeks
  • You should avoid all strenuous activity including housework and heavy lifting and avoid hot and spicy foods for up to a month
  • A schedule of aftercare appointments will be arranged for you to attend with Dr Cotrufo

Still have questions about breast lift surgery?

Dr Stefano Cotrufo is a cosmetic surgery and reconstructive microsurgery expert who has specialised in reconstructive and aesthetic breast surgery throughout his career. In addition to performing all types of breast surgery he has spoken on the topic at meetings of the European Society of Plastic Surgery and Oncoplastic and Reconstructive Breast Surgery and acts as a consultant to the medical supply industry, advising on new breast surgery trends. If you would like any further information about breast lift procedures, your suitability for surgery or the service and aftercare you can expect to receive at our clinic, please call 0207 873 2330 to book a personal consultation.

Breast Reduction

Breast reduction surgery can significantly impact on your physical comfort as well as your personal contentment with your shape. The procedure, which is also known as mammoplasty, can be carried out at any age, though you will have to wait until your breasts have fully developed before undergoing surgery.

Why choose breast reduction

Having large breasts can be a source of physical and psychological discomfort for many women. While a radical reduction isn’t always the right course of action, a reduction mammoplasty or breast reduction procedure can provide relief and restore confidence.

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What can breast reduction achieve?

  • Ease back, neck and shoulder pain
  • Reduce excessive sweating, rashes or infection under breasts
  • Make sporting activities and physical exercise easier
  • Allow you to wear a greater variety of clothes
  • Realign droopy breasts
  • Even the symmetry of breasts

What are the alternatives to breast reduction?

If your breasts are sagging, your surgeon may recommend a breast lift alongside a reduction. If the breast size is largely due to fatty tissue and excessive skin is not a factor, liposuction alone may be used.

Before your breast reduction

Good communication between you and your surgeon is essential, it will help you to establish the best procedure for your goals and reassure and relax you throughout your surgery journey. This begins with your consultation.

Your surgeon will discuss with you what will happen before, during and after your procedure. You will:

  • Have the opportunity to explain your reasons for seeking breast reduction surgery
  • Be given the opportunity to pose questions to Dr Cotrufo
  • Undergo a health evaluation and assessment of your chest area
  • Discuss the options that best suit your needs, including breast surgery costs and timescales

In the weeks immediately prior to your surgery you may be asked to make some small changes or to avoid particular medications or activities.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Avoiding overexposure to the sun, particularly of the chest area
  • Committing not to make stringent changes to your diet

When breast reduction is carried out under a general anaesthetic you will be required to follow fasting instructions before the surgery.

The breast reduction procedure

  • The time and steps of a breast reduction surgery will differ according to how much excess fat and skin is removed and whether any other procedures are being carried out
  • An anchor-shaped incision circling the areola is made, this is extended to follow the curve beneath the breast
  • Excess glandular tissue, fat and skin is removed and the nipple and areola are repositioned
  • Liposuction may be used to remove excess fat
  • Most often, the nipples stay attached to vessels and nerves, however, in some cases they may be repositioned slightly higher, which will result in some loss of sensation

After your breast reduction

After your operation you will likely be required to stay in the clinic for a period of 24 to 28 hours. When you wake up, you may find you have a drip in your arm to keep you hydrated and small drainage tubes inserted beneath the skin to prevent fluid build up, these will be removed before you are discharged. We advise you have a friend or relative drive you home after your discharge, so they can care for you during your breast reduction recovery period.

After that:

  • You will need to wear a supporting bra day and night for around 4 weeks
  • You should start walking around as soon as possible to reduce swelling and to help prevent blood clots
  • You will be able to return to work a few days after surgery
  • 7-10 days after surgery your stitches will be removed
  • Bruising should subside 7-14 days after surgery
  • You will need to avoid strenuous exercise for around 1 month
  • Heavy lifting should be avoided and you will need to lie on your back
  • You will attend scheduled aftercare appointments with Dr Cotrufo, who will monitor your progress

Do you still have questions about breast reduction?

Choosing breast reduction surgery is a very personal matter and one that shouldn’t be taken lightly. Dr Cotrufo is a cosmetic surgery and reconstructive microsurgery expert with vast experience of the breast reduction procedure. In addition to performing hundreds of successful breast surgery procedures, he has spoken on the topic of breast procedures at meetings of the Oncoplastic and Reconstructive Breast Surgery and European Society of Plastic Surgery. He is frequently asked to act as a consultant surgeon at some of the UK’s leading hospitals and has also provided advice to the medical supply industry about the latest trends in breast surgery. Should you have any queries or want to discuss your options further, you can organize a personal consultation with Dr Cotrufo by calling 0207 873 2330.

Nipple Lift

Nipple surgery is offered to those who are unhappy with the overall appearance of their nipples with several surgery options available. Areola reduction surgery - a procedure to remove the excessive areola tissue – is an option for individuals who feel their nipples are too large or puffy or prominent. Inverted nipple correction – where the nipple is pulled inward and looks flat or like a slit and through surgery is made to protrude the right way – is an option for those who have functional problems (women) and concerns (men and women alike). Nipple lift – a procedure to move the nipple to a higher position on the breast – is an option for those who feel the position of the nipple is much lower than it should be.

Why choose nipple surgery?

If you feel self-conscious and lack confidence in the appearance of your chest area because of your nipples, nipple surgeries can help to give you the overall appearance you are looking for.

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What can an areola reduction achieve?

  • A smaller and neater looking areola
  • Confidence in the appearance of your nipples

What can an inverted nipple correction achieve?

  • A correction of the nipple to protrude outwards
  • Function in the nipple (women)
  • Confidence in the appearance of your nipples

What can a nipple lift achieve?

  • A more balanced nipple position on the breast
  • Confidence in the appearance of your nipples

What are the alternatives to a nipple surgery?

Your surgeon will speak with you about any possible alternatives to nipple surgery that may better suit your individual requirements. This will occur in your consultation.

Before your nipple surgery

Every areola reduction, inverted nipple correction and nipple lift surgery is different, depending on the needs of the patient. That’s why establishing good communication between you and your surgeon is an essential part of a relaxed and comfortable surgery experience. This starts with your consultation.

During you consultation you will:

  • Have the opportunity to ask Dr Cotrufo questions about the surgery
  • Explain your personal reasons for seeking nipple surgery
  • Undergo a full health evaluation and chest examination
  • Discuss the surgical options that are open to you, as well as costs and timescales

To make sure you are in the best health before your nipple surgery, the surgeon and clinic team may ask you to make some important lifestyle changes in the run up to the surgery.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Being careful while in the sun, being careful not to suffer overexposure to the chest area

The areola reduction procedure

  • Areola reduction surgery can be performed under local anaesthetic and normally takes about 2 hours
  • The incisions are normally made in circles around the edges of the areola, your surgeon will then remove excess tissue and skin from the surrounding area
  • The incisions are closed with sutures around the areola; which are pulled in, tightening the surrounding skin

The inverted nipple procedure

  • Inverted nipple repair surgery is normally performed under local anaesthetic and takes about 1 hour
  • Incisions are normally placed at the base of the nipple, with tiny sutures holding the nipple in position until it heals

The nipple lift procedure

  • A nipple lift is done under local anaesthetic and the procedure lasts approximately 30 minutes
  • The nipple and areola are fixed at a natural height
  • The nipple is usually connected and fixed by means of nerves and blood vessels and secured in its now position with small sutures

After your nipple surgery

You will usually be able to return home the same day, though we do advise that a relative or friend accompany you.

After that:

  • You should walk as soon as you feel able
  • You are likely to feel tired and sore for a few days following your surgery, but you will be up and around in 24 to 48 hours
  • You should be able to return to work within a few days of surgery
  • You may notice some bruising around your areolas, which is to be expected and will subside about 10-14 days after surgery
  • You should avoid vigorous exercise and heavy lifting for several weeks
  • It is important that the surgical incisions are not subjected to excessive force, abrasion or motion during the time of healing
  • You will need to attend scheduled aftercare appointments with Dr Cotrufo, who will monitor your recovery and progress

Still have nipple surgery questions that you’d like answered?

Dr Cotrufo is an expert in cosmetic surgery and reconstructive microsurgery. In particular, he specialises in aesthetic breast surgery and reconstructive breast surgery and he has contributed to a number of industry journals and conferences on the topic as well as acting as a consultant to several of the UK’s leading hospitals. If you would like to discuss nipple surgery in more detail, including your suitability for any of these procedures, please call 0207 873 2330 to organise a consultation.

Areola Reduction

This area of the website is currently under construction. Please call us on 0207 873 2330 for information on areola reduction.

Inverted Nipple

This area of the website is currently under construction. Please call us on 0207 873 2330 for information on inverted nipple surgery.

Breast Reconstruction

Breast reconstruction surgery is carried out on individuals who have undergone a mastectomy or in some cases a double mastectomy. Where a mastectomy has been performed, the reconstructed breast is matched as closely as possible and formed either by an implant, tissue from another part of the body or a combination of the two.

Why choose breast reconstruction surgery?

Following cancer treatment it can take time to heal both physically and psychologically. As part of this healing process many women choose to undergo breast reconstruction surgery. While we always encourage women to talk to their mastectomy surgeon about this procedure in the first instance, Dr Cotrufo is an expert in breast reconstruction surgery and has carried out a great deal of research in the field.

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What breast reconstructive surgery achieve?

  • Restore balance to the chest area
  • Boost confidence post-mastectomy

Is there an alternative reconstructive breast surgery?

Many women find they don’t want to undergo reconstructive breast surgery after cancer treatment, speaking to a surgeon as well as support groups will help you decide whether it is right for you

What to expect before your breast reconstruction procedure

It’s exceptionally important that you feel comfortable with your surgeon and as relaxed as possible during the surgery process from start to finish. You will begin to establish the good communications you need with your surgeon during your consultation when you will be able to talk through your goals and hopes for surgery.

During you breast reconstruction consultation you will:

  • Talk about what you hope to achieve with breast reconstruction surgery
  • Learn more about the reconstruction procedure and breast implants
  • Discuss the care you can expect to receive before, during and after reconstructive surgery
  • Undergo a full health evaluation
  • Have an assessment of the chest area
  • Ask questions and talk through what other options may be available to you
  • Talk about timescales and costs

As the date of your procedure approaches you may be asked to make some small changes and in particular to avoid certain activities and medications in order to ensure you are in the best possible health for surgery.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Avoiding sun overexposure, particularly to the chest area
  • Committing not to make stringent changes to your diet

For surgeries performed under general you will be given fasting instructions to follow by the surgeon.

The breast reconstruction procedure

  • The length of time for breast reconstruction varies according to the extent of the work done and is sometimes completed in two stages
  • Generally, breast reconstruction takes several hours
  • If the procedure is being completed in two stages the implants will be inserted last, with the first surgery dedicated to inserting a tissue expander in the area of reconstruction
  • As most women have their nipple removed as part of mastectomy, you may undergo a third procedure to have a new nipple before your breast settles into its final size and shape

After your breast reconstruction surgery

Following surgery you will be required to stay at the clinic at least overnight, you will then return home, we advice a friend or relative accompanies you. The stages that follow will not all apply depending on what type of procedure you have undergone.

  • You should walk as soon as you feel able
  • You will need to wear a supportive bra day and night for several weeks
  • You will need to follow guidance for dressing your wound as provided by the clinic
  • You will need 1-2 weeks of rest and should not return to work until this time has elapsed
  • You will need to attend scheduled aftercare appointments with Dr Cotrufo and will also be able to discuss your breast reconstruction recovery with him over the phone

Still have questions about scar surgery?

Dr Stefano Cotrufo is a cosmetic surgery and reconstructive microsurgery expert who has spent much of his career focussed on reconstructive and aesthetic breast surgery. As well as treating hundreds of reconstructive breast surgery patients and performing combinations of breast lift, reduction, augmentation and fat grafting, he has also provided advice on the latest trends in this area of surgery to the medical supply industry and spoken at several leading industry conferences. If you are looking for more information about reconstructive breast surgery and the options open to you, you can book a personal consultation by calling 0207 873 2330.