• Breast augmentation is also called breast augmentation, breast enhancement or breast implant.

    Why Breast Augmentation?

    The most common reason for wanting breast augmentation are women who feel that their breast’s size never developed to match their body. Another common reason is to restore volume to the breast after weight loss or pregnancy, “after my last child my breasts deflated” is a common comment. Following breast augmentation women report feeling more confident, more proportioned, more comfortable with their body, more sensual. In a recent study breast augmentation was found to have the highest satisfaction rate of all cosmetic procedures.

    Who is a candidate for breast augmentation with implants?

    Any woman, who has reached mature growth, is in good health and desires larger breasts or to restore volume of flat breasts is a candidate. The FDA guidelines state, at the very minimum, 18 years old for saline implants and 22 years old for silicone implants.

    Are breasts implants the only way to improve the breast appearance?

    No. Moderate breast enlargement may be obtained with fat transfer.  When implants are used to restore volume they will create a slight amount of lift and there need be no scar on the breast. But if significant elevation is required then a lift procedure will be needed either alone or combined with a breast implant.

    What are the types of breast implants?

    There are two types of breast implants – silicone and saline. Each is encased in a silicone shell. The difference in the two types lies in the filling. Saline implants are filled with a sterile saltwater solution. Silicone implants are filled with a silicone gel.

    How long do breast implants last?

    Usually implants will remain intact many years sometimes decades.The shells of both types are engineered to last longer than past models but no implant should be expected to last a lifetime.

    How are breast implants inserted?

    There are four areas from which breast implants can be inserted.

    1)    Infra mammary fold- the crease under the breast

    2)    Areola- the pigmented area around the nipple

    3)    Axilla- which uses a crease in the armpit

    4)    Umbilicus- where the incision is made inside the upper rim of the belly button. This approach is also known as TUBA for Trans Umbilical Breast Augmentation.

    Which type of implant is better?

    The decision of implant type is highly personal. Saline implants can be inserted through very small openings via all entry sites; infra mammary fold, areola, axilla, and umbilicus. When saline implants leak they deflate in a few hours to a few days so there is no uncertainty. Also the fluid that leaks out is entirely safe, sterile intravenous solution so there is no reaction or side effects.

    Silicone implants tend to feel more natural and have less visible rippling in thin skin individuals. However, if you expect entirely natural feeling breast you should not get implants.  Silicone implants require a larger insertion site so the incision is noticeably longer. No silicone implant can be inserted via the umbilical approach. Larger implants may not be suitable for the axillary and areola approach.   Because the silicone stays in the pocket surrounding the implant it is often impossible to diagnosis leaks from examination. This is why the FDA recommends MRI scans every three years for women with silicone breast implants. Silicone is still associated with higher rates of capsule contraction around the implant compared with saline implants.

    In summary silicone implants tend to feel more natural and have less rippling in thin skin individuals. But they require larger incisions, have less insertion options and have more maintenance issues and more complications than saline implants. Silicone implants also cost more than saline.

    Where are implants placed?

    Implants have traditionally been placed in two locations. Under the breast gland also called sub glandular placement. The other is under the pectoral muscle also called sub muscular. Beginning in the early 2000’s a third position has also been used. The implant is placed under the fibrous covering of the muscle but on top of the muscle fibers. This placement is called sub fascial.

    What Can I Expect during Recovery?

    Recovery will vary from patient to patient. Recovery also depends on many other factors such as; insertion site, position of implant and implant size.

    Are There Risks Involved with Breast Enlargements?

    Breast augmentation surgery is quite common, performed thousands of times every year. Minimize your risks by following Dr Perry’s instructions by the letter. A few of the more common risks and side effects of breast implants include:

    • Breast pain or hardness
    • Swelling and bruising
    • Scarring
    • Irregular breast shape or size
    • Infection
    • Bleeding

    There is also potential for leakage or rupture, and breast implants should be removed immediately if changes in the shape, size or firmness

    Take the first step:

    If you are considering a breast enlargement, schedule a consultation with Dr Perry. At your consultation Dr. Perry will carefully listen to your concerns and goals, perform the appropriate examination, answer any questions and explain your options often using computer imaging

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