Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. and one of our most popular services. Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breast.
Who is a good candidate for breast augmentation?
Patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under our doctors’ expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.
What can I expect from my pre-operative consultation?
We know that every woman is unique in both her desires and her body shape. With that in mind, we take the time during the pre-operative consultations to learn what each patient hopes to gain from breast augmentation surgery and to decide which type and implant placement is best. In this way, every one of our patients enjoys a completely customized treatment, designed with her specific goals in mind. Breast augmentation can achieve dramatic and beautiful results on its own, as well as in conjunction with other cosmetic surgery or non-invasive procedures. We sometimes recommend combining breast augmentation with other procedures such as a breast lift for more satisfying results.
What is the difference between saline and silicone gel breast implants?
Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are very safe, and each offers its own advantages. We will help you decide which kind is right for you. During surgery, implants will be placed above or below the pectoralis muscle depending on your anatomy and wishes.
After many years, the U.S. Food and Drug Administration (FDA) has approved silicone breast implants for breast augmentation surgery. We are proud to offer patients the option of silicone gel-filled breast implants, since they are much softer and feel more natural than saline-filled breast implants.
What should I expect during breast augmentation surgery?
The breast augmentation procedure lasts one to two hours and is typically performed with IV sedation. Incisions are made in inconspicuous places on the breast to minimize scar visibility. These may be located:
- In the crease on the underside of the breast (inframammary), or
- Around the areola, the dark skin around the nipple (periareolar).
The breast is then lifted, creating a pocket into which the implant is inserted. After the implants have been inserted and positioned beneath the nipples, the incisions are stitched closed, then taped and bandaged.
What are the different placement options for breast augmentation surgery?
Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include reduced risk of capsular contracture (post-operative tightening around the implant) and, less interference with mammogram examinations. We will discuss which options may be best for you.
What can I expect during my breast augmentation recovery?
Most patients feel tired and sore after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within the week. Your stitches are removed in a week to 10 days after breast augmentation and any post operative pain, swelling and sensitivity will diminish over the first few weeks. The scars from your breast augmentation incisions will begin to fade in a few months and will continue to fade for months or years.
What are some of the possible complications from breast augmentation surgery?
Complications following breast augmentation surgery are uncommon and usually minimal. They may include capsular contracture, swelling and pain, infection around the implant, a change in nipple sensation, milk production if you nursed a baby within a year before the procedure, and breakage or leakage of the implant (implant rupture) as a result of injury or the normal compression and movement of your breast. If a saline implant ruptures, the implant will simply deflate in a few hours and your body will absorb the salt water. If a silicone implant ruptures, you will need to see a doctor immediately. Regular monitoring of breast implants after breast augmentation is recommended to ensure continuing breast and implant health.