Introduction to Breast Augmentation
What is "Breast Augmentation"?
Breast Augmentation surgery involves the placement of a prosthesis (commonly known as a breast implant) underneath the breast. Breast Augmentation surgery 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. Women may elect to undergo breast augmentation for many different reasons, including increasing or balancing breast size and compensating for reduced breast mass after pregnancy or surgery, or possibly to correct a congenital breast defect. There are many options to consider: type of implant (saline or silicone gel), conventional silicone gel or highly cohesive (“Gummy-Bear”) silicone, shape (round or anatomic “teardrop”), surface texture (smooth or “textured”), placement of implant (above the muscle or below it), implant size, technique (dual plane type I, II or III), whether or not a breast lift (mastopexy) is also needed and whether or not it should be performed at the time of surgery or later. According to the American Society of Aesthetic Plastic Surgeons, Breast Augmentation surgery is one of the most commonly performed cosmetic surgical procedure in the United States. In 2014, 313,327 breast augmentation procedures were performed. Under my expert care, patients can enjoy great-looking, natural-feeling and looking breasts that are one or more cup sizes larger after the operation.
Who is a good candidate for breast implants?
In order to be a candidate for breast implants, you should lead a healthy lifestyle that does not include smoking, be free of any infections and have no history of problems with general anesthesia. You should not currently have any breast disease, be pregnant or nursing. You weight, blood pressure and overall medical health should be good. If you have a family history of breast cancer, especially on your mother’s side, please make certain to note when you give your medical history, as additional information will need to be obtained.
Most women who present to me for breast augmentation are good candidates for this procedure. There are some limitations; as the surgeon, I can only work with the tissue I am given. Some patients have issues that may compromise the results or make the surgery a little more difficult. This includes differences in breast size, shape and position on the chest; chest wall (rib cage) asymmetry; overstretched tissue from pregnancy or weight loss; drooping of the nipple (ptosis); asymmetry of the nipples/areolae, and drooping (“bottoming out”) of the glandular tissue.
Breast Augmentation and Pregnancy
I will not perform any cosmetic breast procedure on a woman who is pregnant, lactating or planning to become pregnant in the very near future. Many of my patients have undergone breast implant surgery and then became pregnant at a later date with no significant deleterious effects on the results of their implant surgery from the pregnancy. If you do undergo breast augmentation, and then become pregnant, it is possible, although not very common, that you may desire to undergo a breast lift later after you have completed childbearing. As for breast lift surgery, most women seeking this procedure wish to correct sagging of their breasts following pregnancy, therefore, such surgery is generally postponed until such a time that the woman no longer desires to bear any more children.
A Successful Outcome of Breast Augmentation
I define a successful outcome in breast augmentation surgery as one in which the patient goes into surgery with realistic expectations, and a surgical result is delivered which meets or exceeds those expectations. As I go to great efforts so that the patient has been properly educated as to what is a likely outcome, and that outcome is met, then both the patient and I are more likely to be satisfied with the final outcome. The key to success is education and proper decision making. Proper decision making in plastic surgery is a joint effort between the patient and surgeon. The patient is presented with many options and decisions to make. If the patient is not properly educated as to how to consider all factors and how to make the necessary decisions, then there is no assurance of a good outcome.
Breast Expectations: Surgery Planning for the short & long term
Let's just get this one out of the way...
There is this crazy myth that keeps circling the globe, and I wish I knew who started this rumor, but here goes...
Do implants need to be changed every ten years? - The answer is no. If your breast implants are doing well, you do not need to routinely replace them. However, it is important to understand that breast implants are not "lifetime devices" and additional surgery at some time in your lifetime is likely.
Every woman is unique in both her desires and her body shape. With that in mind, I take the time during the pre-operative consultation to learn what is important to each patient, as well as what she hopes to gain from breast augmentation surgery. Patient education is absolutely essential so as to make the proper decisions regarding which implant type, size and placement is best. In this way, each patient enjoys a completely customized treatment designed with her specific goals in mind.
During your consultation with me, you and I will make decisions together about the type, size, incision and placement of your implants. Your anatomy, as well as the tissue characteristics of your breasts, play a major role in these decisions. I will discuss with you the available options for breast augmentation surgery.
This website is designed to provide you with enough information so that you can make an informed decision about your surgery. The more information you have, the better empowered you will be to make all the necessary correct choices. I welcome feedback on this website as well as any suggestions that you may have to improve it.