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Breast Augmentation

Breast augmentation was first performed over one century ago and is one of the most popular elective procedures plastic surgeons perform. Today, advances have made this treatment one of the most popular cosmetic enhancements in the nation, one that can provide dramatic yet natural-looking results and a boost in confidence. When considering breast augmentation, seek consultation with an experienced plastic surgeon, such as Dr. Stephen Herring, who is certified by the American Board of Plastic Surgery. You should also ask questions to help you make an informed decision.

Breast Augmentation Quick FactsProcedure: Enhance the size of breasts using inflatable implants filled with saline or silicone gelLength: 1 HourAnesthesia: Local with sedation or generalIn/Outpatient: Usually outpatientSide Effects: Temporary soreness, swelling, change in nipple sensation, bruising. Breast sensitive to stimulation for a few weeks.Recovery: Back to work: a few days. Physical contact with breasts: 3 to 4 weeks. Fading of scars: several months to a year or more.Duration of Results: Variable

What Is Breast Augmentation?

Breast augmentation is a procedure that enhances the size and shape of the breasts by placing prosthetic devices (breast implants) underneath the breasts. Breast augmentation has been performed commonly since the 1980s with the number of women with implants well into the millions. While the goals of breast augmentation have remained the same since that time, the breast implant technology has improved, the surgical techniques have improved, and the options for the patient to choose from have increased. There are many options available for breast augmentation.

Goals of Breast Augmentation

  • Increase the size of the breasts and improve the shape of the breasts
  • Improve the proportion and the balance of the entire figure
  • Improve appearance in clothes and bathing suits
  • Improve self-confidence and self-image

Am I Good Candidate for Breast Augmentation?

The decision to get a breast augmentation, which is an elective surgery, is a personal one. The more common physical reasons for getting a breast augmentation are listed below.

  • Increase the size and contour of the natural breasts
  • Restore breasts that have changed following weight loss (including gastric bypass), after pregnancy, or from the aging process
  • Improve the breast proportion with the rest of the body (so that the breast size fits with the shoulder width and hip size)
  • Improve the balance (symmetry) of the breasts so that one breast is not significantly larger than the other breast
  • Lift the breasts higher on the chest wall

Some of the comments women have made to Dr. Herring as specific reasons for getting breast implants include:

  • “I want to be able to look good in a bathing suit.”
  • “I want to be able to wear a low-cut dress without padding.”
  • “I want to be able to fit better in my clothes.”
  • “I want my breasts to match my hips.”
  • “I want to be able to wear a t-shirt or a tube top and look good.”
  • “I want to have more confidence in myself.”

In addition to these considerations, you should be in good general health and have reasonable expectations for the outcome. Dr. Herring and our medical team will discuss what can be achieved based on your anatomy and preferences to help you understand what to expect. We also welcome your questions and hope to serve as partners in your progress.

What Are My Breast Implant Options?

Dr. Herring will explain the options for your breast augmentation surgery. Just as no single key fits every lock, no single surgery procedure fits every patient. It is for this reason that the personal consultation for breast augmentation be performed by a plastic surgeon. Once your specific situation is determined, and your goals are discussed with the plastic surgeon, then you can make the decision regarding your breast augmentation.

Types of Breast Implants

There are two main types of breast implants available for breast augmentation:

  • Saline-filled implants
  • Silicone gel (cohesive gel, “gummy bear”) implants

There are advantages and disadvantages to both implant types. Dr. Herring uses both types of implants and will discuss these at the time of your initial consultation.

Breast Implant Placement

There are four different locations that the implant can be placed during breast augmentation. The different locations all have advantages and disadvantages, and Dr. Herring will discuss these at your consultation. The choice of implant placement is based on many factors, and this is decided before the day of surgery. The primary factor is the amount of breast tissue that is present. Just as with other cosmetic procedures, there is not one single placement in breast augmentation that best fits every patient.

Breast implants are always placed below the breast gland. They can also be placed below part or all of the chest muscle. The purpose of placing the implant under additional layers of muscle is to make the tissue covering the implant thicker. In thinner patients with very small breasts it is better to have more layers of tissue covering the breast implant. Your implant placement options are:

  1. Above the muscle and underneath the breast gland – This means the breast implant is covered by the breast gland.
  2. Below the fascia (the covering of the muscle) and underneath the breast gland – This means the breast implant is covered by the fascia and the breast gland.
  3. Partially below the muscle and underneath the breast gland – This means the top half of the breast implant is covered by the fascia, the breast muscle, and the breast gland, and the bottom half of the implant is covered by the breast gland.
  4. Completely below the muscle and beneath the breast gland – This means the breast implant is completely covered by the muscle and the breast gland.

Dr. Herring uses all of the placement positions listed above in performing breast augmentation and, along with the patient, will decide which one is best for you. The final decision for the implant position is made by you after considering and discussing all the factors with Dr. Herring.

Breast implant Sizes

The choice of breast implant size is a personal one. In general, most patients want to be in proportion. When choosing an implant size, you likely want a size large enough that there is a visible difference after the surgery. At the same time, you might not want to choose a breast implant that could cause health problems or appearance concerns at a later time due to its size. Implant sizes vary widely, and a patient who weighs 105 pounds would not need the same size breast implant as a patient who weighs 200 pounds.

“I had a breast augmentation (went larger) and can’t be happier with my results! They look better then I ever imagined and my confidence is at an all time high! The procedure was quick, recovery went extremely well, and the staff always made me comfortable!”

How Is the Breast Augmentation Procedure Performed?

Breast augmentation surgery provides many options for patients, including but not limited to surgical access options, the type of implant filler, implant shape, implant shell, implant size, and implant position. These various options play a role in how the procedure is performed. For incision locations, patients can choose between three main options:

  1. Transaxillary Incision – This incision is made in the underarm/armpit. It’s important to note that this approach can only be used with saline implants, as they are filled after placement, allowing for the small scar located away from the breast.
  2. Periareolar Incision – This incision is made on the edge of the areola, the pigmented area around the nipple. Most patients heal very well and the scar often becomes virtually unnoticeable.
  3. Inframammary Fold Incision – This incision is made where the breast meets the skin of the chest. Again, healing is often excellent, with minimal appearance of the scar, which is usually hidden beneath the breast.

Generally speaking, breast augmentation takes about 1.5 to 2 hours to complete and usually is performed as an outpatient procedure. These details will be discussed during your consultation so you know what to expect the day of surgery.

What Is Breast Augmentation Recovery Like?

Recovery after breast augmentation, based on observations of many patients, is usually not very long. Daily living activities often can be resumed after 24 hours. Over the next three weeks, activity can be increased gradually. By the end of the third week, full activity can be achieved for most patients. There is some discomfort after breast augmentation, but most patients report that the pain is about a 2 out of 10 on the subjective pain scale, with 1 being minimal pain and 10 being severe pain. Dr. Herring is aware of the importance of pain control after breast augmentation and follows all patients very closely until they are out of the post-operative pain period. During that time, Dr. Herring makes sure that all patients have the appropriate amount and type of pain medicine to control discomfort.

There are no limitations on activities for breast augmentation patients once the healing period is completed. Patients that have gotten breast augmentation have engaged in skydiving, martial arts, tennis, jogging, motorcycle riding, scuba diving, and almost any other activity imaginable without difficulty or problems.

How Long Do Breast Implants Last?

Breast implants can last for a long time without the need for replacement. In answering this question, it is important to distinguish between saline filled breast implants and silicone breast implants. No matter what predictions are made about how long breast implants last, the only way to accurately predict how long breast implants last on average is to observe them in real life in real patients. Until they have been tested in real life, nobody actually knows how long breast implants last. Because saline breast implants have been used routinely for much longer than the new silicone breast implants, there is more information about how saline breast implants last compared to silicone breast implants.

Breast implants manufacturers have written that the implants last for 10 years or more, but Dr. Herring and other surgeons have many patients that have had the same saline breast implants for over 20 years without any problems. The newest generation silicone breast implants have been around for a shorter length of time, so less information is available about that type of implant. Both saline breast implants and silicone breast implants have advantages and disadvantages, and Dr. Herring will discuss that information with you at the time of your consultation.

How Much Does Breast Augmentation Cost?

The price of breast augmentation at our practice is $5,200, and this number includes all associated care costs, like the facility, anesthesia, surgeon, and prescription medication fees. We are able to offer such a competitive rate because Dr. Herring performs the procedure in our on-site accredited facility, which also offers improved privacy and convenience to the patient. During your initial consultation, we will review the parameters of your treatment plan and discuss the full cost of your program. If you would like to consider plastic surgery financing, we can provide details on reputable lenders we work with who may be able to help. Everyone should have access to the care they want, and we’re here to help you achieve your goals.

Schedule Your Consultation Today

More Information About Breast Augmentation

Want to know more? We’re here to help. Dr. Herring has provided answers to a number of other questions patients often ask. For personalized information please contact our practice to schedule a consultation.

Is breast augmentation safe?

Breast augmentation surgery is generally considered safe if the patient follows some common sense guidelines. First, a consultation with a properly trained plastic surgeon is important. Certification by the American Board of Plastic Surgery is also an important consideration when considering breast augmentation. During the consultation for breast augmentation surgery the patient should explain their general expectations of the surgery, and those expectations should be realistic. Second, when considering breast augmentation surgery the patient should be sure that they understand the before-and-after surgery instructions. It is important to follow these instructions after breast augmentation surgery for your safety. Third, be sure that your surgeon plans for proper follow-up visits after breast augmentation surgery, and that you honor these appointments. Failure to schedule or honor appointments after surgery places the patient at risk. Patients who have breast augmentation surgery should have life-long follow-up, preferably with the plastic surgeon that performed the surgery.

Finally, it is important to understand that breast augmentation, while greatly improved over the past forty years, is not perfect. During that time, breast augmentation implant materials have improved, breast augmentation surgical techniques have been re-analyzed, imaging (X-ray) technology and radiology skills have improved, and evidence-based medicine has become more prevalent.

Should I feel embarrassed that I want breast implants?

No. You should never be embarrassed for wanting to improve yourself. Millions of women have had breast augmentation for that reason, and the satisfaction rate for breast augmentation is very high. Dr. Herring has performed thousands of breast augmentations and understands the reasons patients seek this operation.

Where is the best place to get the most accurate information about breast augmentation?

In general, the more information you have about breast augmentation the better. It is very important to get accurate information, and while there is accurate information readily available, there is also inaccurate information out there. There are two general types of information regarding the breast augmentation procedure. One type of information is scientific information. This information is the same no matter which plastic surgeon you visit in consultation. The second type of information is the professional opinion of your plastic surgeon regarding breast augmentation. The professional opinions about the breast augmentation procedure will vary from surgeon to surgeon, but there will be a general commonality when talking to a plastic surgeon certified by the American Board of Plastic Surgery.

The best source for information regarding the breast augmentation procedure is a consultation with a plastic surgeon trained to perform this procedure.

Patients can get information about breast augmentation from a number of resources, including the internet, from health care professionals, and from personal communications with friends, but none of these sources are as good as a consultation. First, the plastic surgeon has had more training and more experience than any other group in the breast augmentation procedure. Second, every patient’s situation for breast augmentation is different, and the plastic surgeon is best qualified to diagnose the exact situation, and make a recommendation or recommendations to the patient. Dr. Herring has performed thousands of breast augmentation procedures over a period of 28 years and can help you decide which options are best for you.

How much time should my doctor spend with me during the consultation for breast augmentation?

Your plastic surgeon should spend as much time with you as you desire. In some situations, patients may even request a second or a third consultation with their plastic surgeon, and that request should be honored. You should have the opportunity to ask any and all of the questions you might have, and to receive any additional information you request.

What is informed consent?

Informed consent is the process by which you receive information regarding breast augmentation, so that you can make an “informed” decision regarding your procedure.

Informed consent is a shared responsibility of the plastic surgeon and the patient. It is the plastic surgeon’s responsibility to provide all of the information that the patient requests about breast augmentation in addition to the printed information that is given to every patient. It is also the plastic surgeon’s responsibility to answer any and all patient questions regarding breast augmentation.

It is the patient’s responsibility to learn about and to ask questions about breast augmentation. Only after a consultation, study of the printed materials, and asking questions, can the patient make an informed decision about breast augmentation.

When I get my breast augmentation, will I be awake or asleep?

A good general principle regarding surgical procedures is the amount or level of anesthesia used should be appropriate for the procedure. During breast augmentation, two types of anesthesia are typically used. Sedation is used to relax the patient so that there is a general unawareness of the breast augmentation procedure. Because the procedure is not as complicated as some operations, less sedation anesthesia is needed. In addition to the sedation, local anesthesia is also used. The combination of these anesthesia techniques means that the patient has no memory of the surgery and experiences no discomfort during the procedure.

Do I need follow-up after my breast augmentation?

Yes. After your breast augmentation you should receive close follow-up with your plastic surgeon for about three months. After that time, you should still get routine follow-up and breast screening, but at that time your primary care physician can take over your care, if you so desire. Any patient that undergoes the breast augmentation procedure should have life-long follow-up of the implants.

What if my implant leaks or ruptures?

If a breast implant leaks or ruptures after surgery, then it should be replaced. In general, it is thought that there are no serious health risks when a breast implant leaks. The breast implant exchange process is similar to the initial procedure. The recovery for replacement of a breast implant, as reported by most patients, is easier than the initial operation.

Is there a guarantee or warranty on my implants?

At the time of this writing, there are companies that have a warranty on their breast implants. The up-to-date details of the warranty information will be discussed by Dr. Herring at the time of your consultation.

Is it possible to breastfeed after breast augmentation surgery?

Yes and no. Many patients that have had breast augmentation have been able breastfeed without problems. There is always a chance that you will not be able to breastfeed after breast augmentation, and this may be an important consideration.

Can I still get mammograms after surgery?

Yes. You can get mammograms after breast augmentation, but you should go to an imaging center that is familiar with the special techniques used for patients with breast implants.

Should I still get mammograms after surgery?

Yes. You should get all breast screening through your primary care physician.

Can I get other surgery at the same time I get breast augmentation?

Yes. In most circumstances you can get multiple surgical procedures at the same time. For example, you can get a breast augmentation and a tummy tuck at the same time.

Contact our practice today to schedule a consultation and find out if breast augmentation is right for you.