Breast Augmentation is one of the most common procedures performed in the world. It is one of the most common procedures that I perform. It is a topic intricately associated with a woman’s sensuality and femininity and intimately related to a woman’s self confidence. The issues that I hear most commonly are concerns that her breasts are too small, too large, or too droopy. Other concerns include the areola size is too large or that the nipples are too long or too wide. All of these concerns are often aggravated by age and having children.
You have choices as to where I place the incisions to perform your breast augmentation. The incision I most commonly perform is in the breast crease underneath your breasts. But you have complete choice as to where you want your incisions. These include underneath the breast, under the areola, or in your armpit. During your consultation, we will discuss the pros and cons of these incisions but you have complete choice.
Breast Augmentation Details
I try to reassure my patients that their concerns are not unique and that most patients have some degree of self-consciousness when it comes to the appearance of their breasts. And I try to reassure my patients that there are solutions to their concerns. I start my consultations by listening to your concerns and desires; I then examine your anatomy to determine what the right procedure might be for you. For most patients, the choices will include what size breast implant and whether you would be a better candidate for a breast lift. Some patients will actually benefit from both a breast implant and a breast lift performed at the same time. Other decisions to discuss will include whether you would benefit from a nipple reduction.
Breast augmentation surgery takes about 1 to 1.5 hours. I perform it at a hospital surgery center with board certified anesthesiologists for the safety of my patients. While pain level is often significant, I use pain blocks that are injected directly into the area that take away pain up to 3 days ( experil ). Some of my patients even walk into the office after surgery without any complaints of pain. Most of my patients are back to work in less than a week.
Breast augmentation is very personal. During your consultation, we discuss the difference between silicone and saline breast implants. You have complete choice. The most significant benefit of silicone implants is the way they feel. They are made of cohesive silicone gel which is soft and very breast-like. Some patients choose saline because of residual safety concerns but I have found silicone to be very safe in the years that it has been re-approved by the FDA.
Choosing the right size that will make you comfortable is obviously important. We help you in the process by using a Vectra 3D camera and computer software. This remarkable tool takes a 3D picture of you. It has the ability to morph your body and breasts, allowing you to choose between different sized implants on your own body. It even has the ability to place simulated bras and shirts on you so that you can visualize how you might look like in your new body. We use this too also to simulate nose surgery.
Once the incision is made, the implant is placed using a Keller Funnel underneath the muscle. I am one of the only surgeons in this area to use this device which has the amazing ability to make your scar incision shorter… about half the size of the typical incision. Makes you wonder why nobody else is using this device. It also has the less visible but more important benefits of causing LESS trauma to your implants as no instruments are used that might cause microscopic tears in the implant. It also lets me place the implant without having the implant touch your skin; this decreases your exposure to bacteria; and decreases your risk of infection and capsular contracture.
Your satisfaction is important to me. There is no charge for follow-up appointments.