Why would you want to have BREAST AUGMENTATION?

Breast augmentation is a procedure that alters the size and shape of a woman’s breasts or for larger implants. It is done for a number of reasons: a woman may feel that her breasts are too small or they may have developed asymmetrically leaving one breast smaller than the other or a woman may have “lost her breasts” after pregnancy or need reconstruction following surgery.

Can I combine BREAST AUGMENTATION with other plastic surgery procedures?
A breast lift can be done at the same time to correct drooping of your breasts. Many patients also have liposuction, facial surgery or some laser procedures done. Most other plastic surgery procedures can be done as well.

What kind of implants can be used during BREAST AUGMENTATION?
Smooth and textured saline implants are available to everyone. Both round and tear-drop shaped implants are available, depending on the patient’s desires and breast shape. Silicone implants are available for those patients who need to have a breast lift or who have severe breast asymmetry.

Where do you place the implants during BREAST AUGMENTATION?
A woman’s own anatomy determines the best method of inserting and positioning the implant. Most implants are placed behind the pectoralis muscle. 80% of the upper portion of the implant is covered by muscle and the lower 20% is uncovered. This allows for a more natural breast shape makeover immediately after surgery and far less discomfort compared to total muscle coverage of the implant.

Where do you place the incisions during BREAST AUGMENTATION?
A small incision beneath the areola allows me to position the implant in the “80% under-muscle, 20% over-muscle” position just discussed. It usually heals beautifully, and has the same minimal chance of decreased nipple sensation that goes along with incisions in the armpit, under breast and belly button.

What kind of anesthesia is used during BREAST AUGMENTATION?
This procedure takes around one and one-half hours and is done under light, general anesthesia.

Will insurance pay for BREAST AUGMENTATION?
Insurance will not cover this procedure unless it is done for reconstruction.

What will I experience in the days following BREAST AUGMENTATION?
Medication will control the pain and discomfort that patients usually experience for around 1-2 weeks. Recovery time varies but plan on 1 week before you can drive or work (or do anything that requires lifting your arms) and 3-4 weeks before you can participate in sports activities. The breast shape improves for several months following surgery.

Breast augmentation using implants has been done for 50 years despite being associated with many problems. All women having breast implants are advised that breast implants are not lifetime devices and are informed that they will almost certainly require revision or replacement of their breast implants at some time. The recent and most reasons why most women go for a makeover or reoperation are for capsular contracture some is implant migration and or implant rupture or even for their desire on changing of breast size. To make matters worse, recently a further but extremely serious risk has been identified. Women with breast implants that have a textured surface are prone to develop a condition called Anaplastic Large Cell Lymphoma (ALCL). This is a cancer of the immune system which forms in the capsule surrounding textured breast implants. Although the risk was originally thought to be “small” there have been 60 cases identified in Australia and New Zealand and 4 deaths have been caused by this disease.