Breast Augmentation

Sometimes we feel like we didn’t get quite the proportions we want. Maybe you have always felt like your breasts were too small, or maybe they’ve just gotten a little deflated over time. Or maybe you want to actually fit into the bra you wear. Maybe you have always felt like your breasts are too small for your frame. Or maybe you feel that breasts will do wonders to your appearance and boost your confidence. Well, Perspectives Plastic Surgery is here to help with all the “maybes. ” There are so many good reasons to think about a breast augmentation. After an in-depth consultation with Dr. Mason, you will walk out feeling confident about your cosmetic goals. She will prescribe a surgery plan designed with your health, physical, and mental well-being in mind. There are no one-size-fits-all plans at PPS. Each plan is customized, so rest assured that what is designed for you, is designed to deliver you your best results.

What is breast augmentation?

Breast augmentation is commonly referred to as a “boob job.” It is a procedure where the size of the breasts is increased. This is usually done by placing an implant behind the breast tissue.

How is breast augmentation done?

There are two ways that breast augmentation can be done. The most common way that breasts are made larger is with implants. The implant is placed behind the breast tissue. You can also have a breast augmentation by transferring fat from other areas of your body to your breasts.

If you are having a breast augmentation with implants, there are several different options for how this can be performed.

Where will my incision and scar be?

Inframammary Fold: The most common place for your incision is in the fold underneath your breast. This is called an inframammary incision. There are several reasons to choose this incision. First of all, it is a well-hidden area. Generally, you will only see it if you lift up your breast or you are laying down topless. It can be hidden under almost any bikini. It gives the surgeon a good point of view to make the best shape and symmetry. It also has the lowest risk of problems like capsular contracture in the long term.

Periareolar incision: Another option is an incision around the bottom of your areola where it meets the normal skin. This is called a periareolar incision. This can be a well-camouflaged area for the incision. However, if the scar does not heal well it can be a very obvious scar. Also, there is a higher risk of capsular contracture and possibly infection since the implant has to go through all the breast tissue, instead of underneath it like in the inframammary incision

Axillary incision: Implants can be inserted through an incision in your armpit. The advantage is a well-hidden scar. The downside is that the surgeon does not have as good of a point of view to place the implant correctly, and again there is a higher risk of capsular contracture than there is with an inframammary incision.

Where does the implant go?

Under the muscle: Implants are often placed behind the breast underneath the pectoralis muscle. The muscle covers the top part of the implant where there is the least breast tissue. This helps to camouflage the top edge of the implant making it less visible. It is particularly important if you do not have a tissue at the top of your breast. Another advantage is that the risk of capsular contracture is lower. One of the downsides is that if you do upper body exercises, the implant will visibly move when you flex your pectoralis muscles. This is called an animation deformity. Also in the first few days or weeks after surgery, the muscle will spasm as it gets used to being stretched out by the implant. This will get better with time.

Above the muscle: Implants can be placed behind the breast tissue but above the pectoralis muscle. The advantage of this position is that there is no animation deformity. Also, there is no spasm of the muscle since it is not stretched. This is only a good option if you have thick enough tissue at the top of your breast, otherwise, the implant can be too visible.

What kind of implants can I use?

Round Silicone gel implants- Silicone gel implants are commonly used for breast augmentation. They have the advantage of feeling more natural, with less chance of visible rippling. New implants have a gel inside that is very cohesive, even if the outside of the implant ruptures you may not be able to tell since the gel inside will hold its shape. This can be both a good thing and a bad thing: the good is that if it ruptures you likely won’t have any immediate sign that would need surgery urgently. The downside is that it is hard to detect any break in the implant, so screening is recommended.

Saline implants- Saline implants are also commonly used for breast augmentation. The main advantage of saline is that the implants cost less than silicone implants. They have a slightly higher chance of rippling. If a saline implant breaks or “ruptures,” it is immediately noticeable. This has the benefit that you do not need screening to know if it has ruptured, but the downside that you will have an obvious difference in the size of your two breasts until you have surgery to correct it.

“Gummy bear” or shaped anatomic implants- These implants have a more natural shape than round implants. They are shaped like a teardrop to hold more volume in the bottom of the implant than the top, just like a real breast. This can give a softer, more natural look to the upper part of the breast. These implants are more expensive than round implants. They also come with a textured surface, which has been associated with a rare type of lymphoma.

What size of implants should I get?

The size of breast implants you get is a very personal question. Dr. Mason will measure how wide your natural breast is, and then to start with will look at implants that will fit inside the boundaries of your natural breast. Larger implants can be used; they will just not have a natural look and maybe more obviously seen and felt on the sides. The decision is entirely up to you and should be made based on what look you want. You will be able to “try on” different implant sizes in the clinic to see what you like best. You can pick the size that helps you achieve the look you want.

What happens at the initial consultation?

During the initial consultation, you will talk to Dr. Mason about your general medical history and breast history. You will then discuss breast augmentation specifically, and what your goals are for your breasts. Dr. Mason will examine you and take measurements of your breasts. This will allow her to make sure that you are a candidate for breast augmentation and that it is a good surgery for you. Dr. Mason will also help you decide on an implant size range. You will also discuss with Dr. Mason whether implants above or below the muscle will be best for you. The consultation is the perfect time to ask all the questions you have. But don’t worry, if questions come up later you can always call Perspectives Plastic Surgery Center.

What should I do before my breast augmentation surgery?

Try to be as healthy as you can before surgery. Do not smoke, and avoid being around people who are smoking for at least 2 weeks before your surgery. If you are over 40, Dr. Mason recommends you have a mammogram screening done to set a baseline before surgery.

What happens the day of surgery?

You are likely to feel both anxious and excited, both are normal and expected. remember, you’re doing something for you and you should feel excited! You will have a scheduled arrival time on the day of surgery. The Surgery Center team will be expecting you and check you in upon arrival. Please do not eat the morning of surgery. Dr. Mason will come to talk to you before surgery and will make marks on your skin where your incisions will be, these will be as discussed in your treatment plan. You will be able to talk about this, ask questions, and agree on it together. She will make sure there have been no changes to the original plan you agreed to. You will also meet your anesthesiologist. From there you will go back to the operating room and the anesthesiologist will put you to sleep. When you wake up, you will have your new breasts! The procedure will take approximately an hour and a half. After the surgery is done, a soft bra will be put on you. We may use a band to help keep the implant in the correct place and you will have purple surgical glue on your incisions. You will be brought to the recovery area, and once you are released, you will be ready and able to go home the same day. You will be able to drive and will need someone to pick you up from the surgery center. This is a good time to switch your mindset to “let them look after me for a while,” as you will need your rest.

What happens after surgery?

After surgery, you will go home with medications to help with the pain. Most people need to take 1-2 weeks off of work. You will have to avoid strenuous activity for about 4 weeks. You will have regular follow up appointments to make sure everything is healing properly, the schedule will be determined depending on how you’re healing, again this is customized. Although your breasts will immediately look bigger, keep in mind that it will take a little while to reach your final result. Your breasts will be very swollen initially and seem high and boxy. Over the next weeks and months, your implants will relax and your breasts will become softer, look more pleasing, and begin to feel natural.

Do’s & Don’ts for breast augmentation.

Do celebrate your decision. Do enjoy your new breasts. Do allow your confidence to skyrocket. Do take time to properly heal and take care of yourself. Don’t push yourself too hard. Don’t skip scar care or the wearing of your compression garment.

Will my breast implants last forever?

The short answer to this question is probably not. How long breast implants last varies for each person getting the implants. Some women may have their implants for 20 years or more and will have no problems with their implants. While others may not last as long. There is no set time that you are required to have your implants exchanged for new ones. Remember the aging process affects everyone differently, so pay attention to how your implants feel and if there are any changes. We recommend you can keep them as long as you aren’t experiencing any problems and as long as they still deliver the results you want.

What is capsular contracture?

Also known as scar tissue. Capsular contracture is the official term for thick scar tissue around the breast implant. Everyone’s body creates scar tissue around their implants. Sometimes this scar tissue can get very thick and make the implants feel hard. Dr. Mason takes extra steps during surgery to minimize the risk for each of her patients.

Is breast augmentation the right surgery for me?

Breast augmentation is an amazing procedure that can produce beautiful results and work wonders to improve self-esteem. However it is important to note that breast augmentations cannot fix all breast problems. It simply takes the breast you already have and makes it bigger. If your breasts sag too much, a breast augmentation alone may not fix the sagging. You might need a breast lift with or without a breast augmentation. This is common for many women. Breast augmentation also cannot change the shape of your chest. Some women have different shapes of their chest wall where it can either point outwards (pectus carinatum) or cave inwards (pectus excavatum) in the middle. A breast augmentation may camouflage this, but it does not actually change the shape of your chest.

Breast augmentation does not change the location of your breast and nipple. The breast implant has to be centered right behind the nipple. If your breasts point out to the sides, they will still point out to the sides after a breast augmentation. Understanding the human body and particularly your body will play an important role in you getting the results you want. Although breast augmentation cannot fix everything, most women do very well and are very happy with their results and their new appearance after they have the breast augmentation procedure.