Breast augmentation, medically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:
- To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
- To correct a reduction in breast volume after pregnancy.
- To balance a difference in breast size.
- As a reconstructive technique following breast surgery.
By inserting an implant behind each breast, surgeons are able to increase a woman’s bust line by one or more bra cup sizes.
(click here to view before/after gallery)
The Best Candidates for Breast Augmentation
Breast augmentation can enhance your appearance and your self-confidence. Before you decide to have surgery, think carefully about your expectations and discuss them with Museum District Aesthetic Plastic Surgery.
The best candidates for breast augmentation are women who are looking for improvement in the way they look. If you’re physically healthy and realistic in your expectations, you may be a good candidate.
Types of Breast Implants
Generally Museum District Aesthetic Plastic Surgery uses two types of breast implants, prefilled (with silicone or saline) and inflatable (for saline only).
- Prefilled Breast Implants
A prefilled breast implant is a silicone shell filled with a salt-water solution known as saline.
- Inflatable Breast Implants
The main advantage of the inflatable saline implant is that being inserted non-inflated (empty) permits the smallest possible incision. After insertion the implant is inflated with saline.
Risks Associated with Breast Augmentation Surgery
Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with breast augmentation surgery and specific complications associated with this procedure.
While the majority of women do not experience these complications, you should discuss each of them with Museum District Aesthetic Plastic Surgery to make sure that you understand the risks and consequences of breast augmentation.
Planning Your Breast Augmentation Surgery
In your initial consultation, Museum District Aesthetic Plastic Surgery will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, Museum District Aesthetic Plastic Surgery may also recommend a breast lift.
Be sure to discuss your expectations frankly with Museum District Aesthetic Plastic Surgery. We will be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask for a copy of the manufacturer’s insert that comes with the implant we will use — just so you are fully informed about it. And, be sure to tell your us if you smoke, and if you’re taking any medications, vitamins, or other drugs.
Museum District Aesthetic Plastic Surgery will also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.
If finances are an issue, financing is available.
(click here to view before/after gallery)
Preparing for Your Breast Augmentation Surgery
Museum District Aesthetic Plastic Surgery will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.
Your surgery will be done in the state-of-the-art Museum District Aesthetic Surgery Center, located nearby. The center is designed to provide you with personalize care by friendly, thoughtful and experienced staff. Its ambulatory care concept offers you the advantages of reduced cost, easy access and a brief stay in a pleasant environment. Map.
Breast augmentation is performed with a general anesthesia, so you’ll sleep through the entire operation. The method of inserting and positioning your implant will depend on your anatomy and our evaluation.Museum District Aesthetic Plastic Surgery will also discuss with you the pros and cons for the incision site specifically suited for you. Every effort will be made to assure that the incision is placed so resulting scares will be as inconspicuous as possible.
The common incision sites are:
- Under the arm (auxillary): This incision is less concealed than periareolar (2) and associated with less difficulty than the periareolar incision site when breast feeding. Compared to the less complex inframammary incision (3), there is an increased chance of bleeding or bruising.
- Around the nipple (periareolar): This incision is well concealed, but is associated with a higher likelihood of inability to successfully breast feed, as compared to the other incision sites.
- Within the fold under the breast (inframammary): This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast feeding. Compared to the less complex inframammary incision (3), there is an Increased chance of bleeding or bruising.
The surgery usually takes one to two hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.
Working through the incision, Museum District Aesthetic Plastic Surgery will lift your breast tissue and skin to create a pocket, either underneath your chest wall muscle (Submuscular Placement) or directly behind the breast tissue (Subglandular Placement). The implants are then centered beneath your nipples.
The breast implant is placed behind the chest wall muscle (pectoral muscle). This placement feels and looks more “natural” because the implant is further away from the skin. It may require a longer surgery and recovery period, but typically results in less capsular contracture (scar tissue formation), and easier imaging of the breast with mammography.
A subglandular placement for the breast implant behind the breast tissue offers shorter surgery, less pain and discomfort and briefer recovery, since muscles are left intact and only skin and fat are cut. Larger implants may also be used. This placement may result in more palpable implants, more capsular contracture, and more difficult imaging of the breast with mammography. Keep in mind that the only thing supporting the implant is the skin and breast tissue.
Museum District Aesthetic Plastic Surgery will discuss with you the pros and cons of the two possible implant placement sites, and recommend the site that best meets your needs.
Also, you should be aware that breast implants don’t always last forever. They often require a future operation to remove and replace the original implant.
After Breast Augmentation Surgery
You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by Doctors Schusterman.
Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by Dr. Schusterman. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.
Absorbable suture material is used to close the incision. Your own body enzymes will dissolve the suture material in about 60 to 90 days. A small piece of the suture may extend out at each end of the incision. These ends will be trimmed 1 week after surgery and after that, no suture material will be visible, but the swelling in your breasts may take three to five weeks to disappear.
Getting Back to Normal
You should be able to return to work within a few days, depending on the level of activity required for your job.
Follow Doctor Schusterman advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.
Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely.
Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier.
Your New Look After Breast Augmentation
For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.
Regular examination by Dr. Schusterman and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.
Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you’ve met your goals, then your surgery is a success.
If Breast Augmentation / Breast Enlargement Surgery interests you, and you would like to learn more, contact Dr. Schusterman office at 713-794-0368 or email us today.