Breast Enlargement or Augmentation

If You're Considering Breast Augmentation . . .

Why do women choose to have breast augmentation? Are you the right candidate?
Many people wonder what exactly breast augmentation is. Breast augmentation, also known as augmentation mammoplasty, is a procedure in which a woman’s breasts are altered through size and shape. Many people want this surgery because:

  • it can improve the body shape of a woman who feels her breasts are too small
  • it can bring back the lost volume in the breast due to weight loss or pregnancy
  • it can help bring proportion to breasts that are asymmetrical in shape and size
  • it can help sagging breasts regain shape and firmness often used in association with a breast lift procedure

To receive an improvement in bust line, a surgeon must insert an implant behind each breast. If you are considering breast augmentation, a basic understanding could help answer many questions. If you still feel like your questions have not been answered, please feel free to ask me.

What is a breast implant?
A breast implant is a silicone shell which is filled either with saline solution (sterilized salt water), or an elastic silicone gel. After being researched, tested, and reviewed by a panel of physicians for safety, they have both been approved by the U.S. Food and Drug Administration (FDA).

Types of Implants:

Based on a woman’s breast anatomy, type of body, and your preferred size increase, I can determine what choice of implant filler, implant size and shape. Other aspects are based on your lifestyle, goals and personal preferences, as well as my recommendations. Many new styles and types of implants are made and are also available to you.

New Post Op Adjustable saline implants:

If you are afraid that your breasts may be too large or still small after your augmentation you are not alone. Most patients are concerned about this. Medical studies clearly document that the most common request for patients following breast augmentation is an increase in size of their breasts.

It is not unusual for patients to love the size and shape of their breasts in the first few weeks after surgery. But as the swelling settles, the breasts decrease in size. Patients wish that they had the enlarged size and shape immediately following the surgery. But to change the size requires an additional surgery and additional cost.

New post operative adjustable implants give you and your surgeon the ability to change the size and the shape of your breasts to your satisfaction even three to six months after surgery.

Some women also dislike the sharp edge look of the breasts following breast augmentation. The new post operative adjustable implants can be over filled and then reduced in size after the surgery. This allows the breasts to have a softer and a natural look.

Here is how it works. The saline implants have a small connecting tube and a small size injection port that is left under the skin close to your incision. Following surgery, additional fluid can be injected through the injection port. This allows correction of the asymmetry if you have any after the surgery too. One/ two additional fluid injections or removals may allow you to achieve the size and shape you are wishing for. After you are happy and satisfied with the final size and shape of your breasts the injection port is removed in the office by a minor ten minute procedure. No additional incisions are necessary.




New FDA approved Silicone Implants

In November 2006 FDA approved the use of silicone breast implants for all patients requesting breast augmentation over the age of 22 and for breast reconstruction. The silicone breast implants have been in use for the last 20 years and over a million women have used them all around the world. They are now available to you in the US.

The new silicone breast implants have Memory Gel which features a cohesive gelatin like gel which acts more like a solid rather than a liquid. It holds together uniformly while retaining the natural feel of the breast tissue. In the past there has been a worry about the implant rupturing and the gel leaking resulting in lumps in the breast. The newer implants are much safer. In fact when the implant is cut in half and the implant is held upside down the gel does not flow but stays within the implant.

Unlike a saline implant the silicone gel implants have a feel that is very natural and therefore result in a natural looking breast rather than an unnatural augmented look.

More Styles. More Choices.
Round gel-filled implants come in three different profiles (Moderate, Moderate Plus, and High Profile), and in both smooth and textured surfaces. Mentor has been making breast implants for over 20 years. Over two decades has given Mentor enormous experience, and a global reputation for integrity and continuity.

MemoryGel™ Implants: A More Evolved Breast Implant

  • Multi-layered barrier inhibits silicone gel bleed
  • Highly compliant shell for ease of placement through standard incision
  • A proprietary formula for a feel that is similar to actual breast tissue
  • Lifetime replacement guarantee
  • Moderate, moderate plus, and high profile options offer a wide selection of projection per base width in round gel implants
  • Highest quality materials used to optimize implant integrity

Over a million women around the world have had breast augmentation with the Mentor Memory Gel, so if you are considering breast augmentation or breast lift call us for more information.

Memory Gel (gummy bear) Implant cut into half and turned upside down showing that the gel does stick to itself

Silicone Saline
FDA approved FDA approved
More natural More firm
Does not create lumps Saline leakage only
More expensive Less expensive
Cannot adjust size after surgery Can adjust size after surgery

What is the right size for me?
The size of a breast implant is measured in cubic centimeters (cc’s) based on the volume of the saline or silicone filler. It is not difficult to choose the right size of the implant. It is based first on your breast width. Choosing an implant wider than our chest will result in the implant rubbing against your arm. Choosing and implant narrower than your breast makes it look very unnatural. Once the implant width is determined it is easy to find out the right profile for you based in the amount of breast you already have and what you want to achieve with your surgery. If you choose to have the saline post op adjustable implant you can have the breast size to fit your favorite bra six weeks after your surgery. You will be in complete control. If you choose to have silicone implant then you can choose from three different profiles. During your consultation you will also be given a chance to see in the mirror with the implant inside a tight tank top, so you will have fair idea how it will look after the surgery.

Where will the implant be placed?
Implants can be placed behind the breast or behind the breast or a combination of both (dual plane technique).

There is enough medical evidence that placing the implant behind the breast significantly increases the risks of formation of scar tissue or capsular contracture. This has been shown in numerous medical studies and in different countries over a decade. The implant edge can be visible and the implant rippling is more visible if the implant is placed behind the breast.

Placing the implant completely behind the muscle makes the implant higher and give an unnatural appearance. It however has a very low incidence of capsular contracture and the implant edges are not visible.

A combination technique (dual plane) allows the vast majority of the implant to be placed behind the muscle reducing the chances of the capsular contracture but the lower edge muscle is divided so that implant does not appear to be higher and the breast has a more natural appearance. This is the technique I have used for many years and has resulted in the best outcome.

What are the risks following breast augmentation?
Rarely bleeding follows a surgery and may cause swelling and pain. To control persistent bleeding, a surgery might be needed to manage the bleeding and remove the build up of blood.

If an infection occurs around the implant, which is very rare, the implant might be removed for several months until the infection goes away. A new implant can be reinserted afterwards. An infection can occur at any time, but is often noticed within a week after surgery.

Once an implant has been placed your body will form some scar tissue around it. If excessive scar tissue is deposited this may lead to capsular contracture. To minimize the chances of this happening implants are placed behind the muscle (submuscular). Some women have residual asymmetry after this surgery. After all, minor asymmetry is present in most women prior to any surgery. Implants generally have a warranty for approximately 10 years and they may need to be replaced at that time. Regular monitoring is essential. Routine mammograms should be performed. Current medical literature does not support any evidence of any link between breast implants and cancer of the breast nor does it support any link between breast implants and autoimmune diseases. Many potential mothers wonder if breast implants obstruct their ability to breast feed. Although pregnancy and similar changes to a woman’s body may change the outcome of any breast surgery, there is generally not an interference with the ability to breast feed. It is very important to discuss your choices of breast implant surgery with your surgeon if you are considering becoming pregnant and breast feed in the future.

Where Your Surgery Will Be Performed
I will perform the operation in a hospital outpatient facility.

Types of Anesthesia
Breast augmentation can be performed with a general anesthesia, so you'll sleep through the entire operation.

The Surgery
The method of inserting and positioning your implant will depend on your anatomy. There are three locations where incisions can be made. The first is under the underarms, the second around the areola and the third under the breasts. Each incision has its advantages and disadvantages and I will discuss and recommend what is best for you during the consultation. In the vast majority of the patients the final incision is barely visible after six months to a year following the surgery.

Once the incision has been made I will lift the breast and muscle and place the implant in the space created. The saline implant will be inflated and the incision will be closed in multiple layers.

The surgery usually takes one to two hours to complete.

After Your Surgery
After your surgery, you will likely feel tired and sore for a few days. You will most likely be up and about in one to two days. Medication will be prescribed by me so most of your discomfort can be controlled.

Soon after your surgery, your gauze dressings will be taken out and you will use a surgical bra. For about two weeks, your will feel a burning sensation in your nipples, but it will settle down. Swelling will take three to five weeks to disappear.

How long is it until you are back to your typical self?
Most people return to work within a few days. It mostly depends on the amount of activity required for your job.

Make sure you follow my advice on when to begin normal activities or exercise. You should avoid physical contact with your breasts because they will be sensitive to direct stimulation for two to three weeks. Usually three to four weeks after surgery, your breasts will no longer feel sore.

For women in the appropriate age group, mammograms should be continued even after the surgery. Please let the mammogram technician know that you have implant so they can use special techniques to perform the mammogram.

Your new self
Your result after your surgery can be satisfying as you learn to love your new self.

You should still have follow-ups even after your surgery. You should also have a monthly breast self-exam and schedule a regular diagnostic breast screening.
Once your goals are met you can enjoy your new look.