Augmentation


Breast augmentation, or Augmentation Mammoplasty, is a procedure used to enhance the volume and proportions of the breasts with the placement of an implant either behind the breast or underlying chest wall muscle.

According to the American Society of Plastic Surgeons, breast augmentation has consistently been the most popular cosmetic surgical procedure year after year. From 2000 to 2011, there was a 45% increase in the amount of breast augmentation surgeries, with over 300,000 procedures performed each year.

You may want to restore your breasts due to changes that occur after weight loss, childbirth, or as a result of aging. The option to undergo Breast Augmentation surgery is a very personal choice, whether the goal is to achieve greater size, better shape, and increased breast fullness, or to improve the proportions of the figure. While the procedure can increase the contours and projection of the breasts, it does not correct severely drooping breasts. If you want your breasts to look fuller and be lifted due to sagging, a breast lift or Mastopexy may be required in conjunction with breast augmentation. The breast lift involves tightening the skin envelope of the breast in addition to placement of an implant to add volume and firmness.

During your consultation, you will have the opportunity to determine if a breast augmentation is right for you. The Dr. will examine your breasts and consider the size and shape, the quality of your skin and the placement of your nipples and areolas. You may find it helpful to bring examples of breast sizes from magazines to illustrate your desired breast size. The Dr. will also counsel you on your various options for the procedure, including the type of implant, the size, the placement of the incision, as well as the placement of implant itself. As a precaution, most patients will be required to have had a recent normal mammogram (within 6 months prior to the procedure), or we will arrange for a screening mammogram to be done prior to surgery.

During the procedure, the incisions are made in inconspicuous areas to minimize visible scarring. The Dr. will discuss the appropriate incision options for your desired result based on the type of implant, degree of enlargement, your individual anatomy, and surgeon preference. Options include the inframmary incision through the crease of the breast, and the periareolar incision through the perimeter of the areola.

It is important to know your options when it comes to the choice of implant. Saline implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness, and feel of the breast. Silicone implants are filled with an elastic gel, which moves and feels much like natural breast tissue. Currently, Saline implants are FDA-approved for augmentation in women 18 years of age or older while Silicone implants are approved for women 22 years of age or older.

After the incision is made, a breast implant is inserted into a pocket either: under the pectoral muscle (submuscular/subpectoral placement) or directly behind the breast tissue and over the pectoral muscle (submammary/subglandular placement). Each combination of variables (implant type, pocket placement, and incision approach) involves trade-offs of relative advantages and disadvantages which are best discussed with the Dr.

The breast augmentation surgery generally takes 1-2 hours to complete and the results are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. By giving you a more flattering and feminine bust line, you may be able to choose from a greater variety of clothing options and have a better self-image of your body, both in and out of clothing.

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