Breast augmentation is one of the most popular procedures performed. If you are unhappy with the size and/or shape of your breasts you are not alone. Through the placement of saline or silicone implants, breast augmentation can enhance the shape and increase the size of your breasts, as well as correct asymmetry.
There are many reasons women undergo breast augmentation. These reasons include: reshaping breasts that have lost their size and shape due to breast feeding or weight loss, making breasts larger to become more proportional in overall body shape or balancing breasts that are different sizes. That being said, your reasons are personal and unique. Your decision to undergo breast augmentation should be based on your own needs and expectations. If your breasts are sagging, Dr. Wright may also recommend a breast lift.
Breast implants come in many styles and sizes. Choosing the size that is right for you is based on specific measurements, as well as the look that you are hoping to accomplish. In addition to size and shape, breast implants are available in different profiles, each of which offers a different projection. Breast implants come in a low profile, moderate profile or high profile. Dr. Wright will spend time discussing your desired breast augmentation outcome and measuring you to help choose an implant that fits your body type, the size of your breasts, your skin tone and chest wall shape.
The operation is carried out under IV sedation and will be performed in our state-of-the-art surgical suite. Breast implants can be placed through an incision made under the lower fold of the breast, around the areola, or underneath the arms. Dr. Wright will discuss the pros and cons for the incision site specifically recommended for you. Implants can be placed beneath the muscle or above the muscle and Dr. Wright will discuss the advantages and disadvantages of implant placement either way.
All of these methods are designed to result in minimal scarring so that the incisions are not easily detected. Working through the incision, Dr. Wright will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples. The implants are then adjusted to ideal size and symmetry before the incision is sutured closed.
Breast Augmentation Information Video
Breast augmentation surgery is performed as an outpatient procedure, and most patients are able to return to work typically within a week but sometimes after up to two weeks. Some swelling, bruising and minor discomfort may be experienced for several days after the surgery and is easily controlled with pain medication. You may also feel tightness in the chest area for some time. To minimize your risk for complications such as hematoma (bleeding around the implant) we recommend that you limit your activity for the first two weeks. Strenuous activity should be avoided for 6-8 weeks following breast augmentation. You should be able to return to work within a few days, depending on the level of activity required for your job.
You will be given antibiotics to minimize your infection risk, and we will instruct you to use specific breast massage techniques following your surgery to help keep your breasts mobile, soft and natural looking, and to help prevent capsular contracture (excess scarring around the implant from the inside). It is normal for your breasts to appear high and swollen for several weeks following your surgery until they “drop” into a normal position. One breast may drop before the other and this is not a cause for concern. You may experience numbness or burning in the nipple/areola that is often due to swelling and usually resolves. In a small number of patients the numbness will remain permanent.
The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or “scoring” of the scar tissue, or perhaps removal or replacement of the implant.
As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.
A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.
Some women report that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but may be permanent in some patients.
There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by Dr. Wright.
Breast Augmentation with Lift
Implants are used to make the breast larger. It is important to understand that implants alone may not adequately lift the breast, or correct the effects of pregnancy, weight loss or skin stretching. Dr. Wright may suggest additional procedures at the time of breast augmentation, such as a breast lift or mastopexy, to optimize your results.