Who Is the Best Candidate for Breast Augmentation?
Many people wonder what exactly breast augmentation is. Breast augmentation, also known as augmentation mammoplasty, is a procedure in which a woman’s breasts are enhanced in size and shape. Many women seek out this surgery because:
- It can improve the body shape of a woman who feels her breasts are too small
- It can restore the lost volume in the breasts resulting from to weight loss or pregnancy
- It can help correct proportions in breasts that are asymmetrical in shape and size
- It can help sagging breasts regain their shape and firmness.
To achieve an improvement in the bust line, a surgeon must insert a breast implant behind each breast. If you are considering breast augmentation surgery, a basic understanding of the procedure can help answer many of your questions. If you still feel like your questions have not been answered, please feel free to ask Dr. Panchal. Call Genesis Plastic Surgery & Medical Spa in Edmond, Lawton or Moore, Oklahoma, at 405-340-9949 today.
"I've always been small chested. I've breastfed my kids and do not plan on having anymore. I am 5' 4" and 135lbs and was a 34A -B. I got 435cc Sientra memory gel, medium profile, under the muscle. My experience was AMAZING! I would recommend it again and again! I was empty in the top of my breast, probably from Breastfeeding. Not anymore! The doctor was able to show me 3D imaging to show what I would look like in the end which helped my decision greatly. I couldn't be happier!"
What Is a Breast Implant?
A breast implant is a silicone shell that is filled either with an elastic silicone gel (memorygel/gummy bear). After being researched, tested, and reviewed by a panel of physicians for safety, siliocone implants have been approved by the U.S. Food and Drug Administration (FDA) since 2006.
How Can I Find the Best Types of Breast Implants?
Genesis has the variety of breast implants Oklahoma City needs. Based on a woman’s breast anatomy, body-type, and desired size increase, Dr. Panchal can determine the best type of implant filler, implant size and implant shape.
Other considerations include your lifestyle, goals and personal preferences, as well as Dr. Panchal's recommendations. There are plenty of new styles and types of breast implants available for you to choose from.
New FDA-approved silicone breast implants:
In November 2006, the FDA approved the use of silicone breast implants for all patients requesting breast augmentation over the age of 22 and for breast reconstruction. The silicone breast implants have been in use for the last 10 years and over a million women have used them all around the world. They are now available to you in the U.S.
The new silicone breast implants have Memory Gel which features a cohesive gelatin like gel which acts more like a solid rather than a liquid. It holds together uniformly while retaining the natural feel of the breast tissue. They are also called gummy bear implant. In the past there has been a worry about the silicone implant rupturing and the gel leaking, resulting in lumps in the breast. The newer implants are much safer. In fact, when the implant is cut in half and the implant is held upside down, the gel does not flow but stays within the implant.
Unlike a saline implant, the silicone gel implants have a feel that is very natural and therefore result in a natural looking breast rather than an unnatural augmented look.
Recent studies conducted by the American Society of Plastic Surgeons show that although majority fo women used saline implants in 2006, now in 2014 over 99%% of the women chose silicone gel prosthesis compared to saline implants.
More Styles. More Choices.
Round gel-filled implants come in three different profiles (Moderate, Moderate Plus, and High Profile), and in both smooth and textured surfaces. Mentor has been making breast implants for over 20 years. Over two decades of manufacturing implants has given Mentor and Sientra enormous experience, and a global reputation for integrity and consistency.
Over a million women around the world have had breast augmentation using the Mentor Memory Gel, so if you are considering breast augmentation or a breast lift, call us for more information.
A smooth surface round implant is commonly chosen for you. Textured surface implants tend to have a higher rate of fluid formation around them.
New Shaped Silicone Implants:
Over the last few years there has been a trend to use anatomical tear drop shaped implants. There are specific indications for use of these shaped implants.
Shaped breast implants have a rough textured surface to prevent rotation of the implant in to an abnormal position. This picture shows how a typical shaped breast implant looks like. They come in different heights and projections.
- Patients who specifically do not wish to have a high projection of the upper pole of the breasts but want a more natural tear drop shape
- Patients who have had large implants in the past and do not wish to have large implants anymore and at the same time do not wish to have a breast lift with additional scars
- Patients who have had implants for many years and now the old implants have a rippled appearance at upper pole or the implants are shifting to the sides
- Silicone implants from the past that have become hard and are in an abnormal position.
These new shaped implants are expensive and cost an additional $ 750 to purchase them as compared to typical round smooth implants.
Dr. Panchal will discuss in detail if you are a candidate for this procedure and if you will benefit from it.
Silicone vs Saline Implants
As silicone implants are more safe and have a better cosmetic result and because they now have a life long warranty Dr. Panchal does not feel the need to recommend saline implants in any new patients.
What Is the Right Size for Me?
The size of a breast implant is measured in cubic centimeters (CCs) based on the volume of the silicone filler. It is not difficult to choose the right size of the implant. It is based primarily upon your breast width. Choosing an implant wider than your chest will result in the implant rubbing against your arm. Choosing an implant narrower than your breast, on the other hand, makes it look very unnatural. Once the implant width is determined, it is easy to find out the right profile for you based on the amount of existing breast tissue you already have and what you want to achieve with your surgery. During your consultation you will also be given a chance to see yourself in the mirror with the implant inside a tight tank top, so you will have fair idea how it will look after the surgery.
Dr. Panchal also has a software that will scan your breasts and create a 3D image in 10 minutes. He will consult with you on the size and place those implants inside your 3D image. He will give you virtual reality glasses and you will see yourself with new implants in your breasts. Patients love that they can visualize how they will look after breast augmentation before they have the actual surgery.
We at Genesis Plastic Surgery are very confident that you will get the right size, because Dr. Panchal does not remember when he had to change the implant size because the implants were too big or too small for his patients. We get it right nearly always for you.
Is Fat Injection an Option?
Yes, studies are currently underway to determine the success rate of fat injection into the breasts. Although fat can be injected easily, the long-term durability is not known.
The effect of injected fat on future mammograms and the difficulty breast cancer detection of are also being studied extensively. Until these results are very clear, we will be waiting before I inject fat into the breast for cosmetic enlargements.
Where Your Surgery Will Be Performed
Dr. Panchal will perform the breast augmentation in Oklahoma City at a hospital outpatient facility.
Types of Anesthesia
Breast augmentation can be performed with a general anesthesia, so you'll sleep through the entire operation.
The method of inserting and positioning your implant will depend on your anatomy. There are three locations where incisions can be made. The first is under the underarms, the second around the areola, and the third under the breasts. Each incision has its advantages and disadvantages, and I will discuss and recommend what is best for you during the consultation. In the vast majority of patients, the final incision is barely visible after six months to a year following the surgery.
Once the incision has been made I will lift the breast and muscle and place the implant in the space created. The implant will be inserted, and the incision will be closed in multiple layers.
The surgery usually takes one to two hours to complete.
Implants can be placed behind the breast or behind the muscle or a combination of both (dual plane technique).
There is a good amount of medical evidence showing that placing the implant behind the breast significantly increases the risks of formation of scar tissue or capsular contracture. This has been shown in numerous medical studies and in different countries over the past decade. The implant edge can be visible and the implant rippling is more visible if the implant is placed behind the breast.
Placing the implant completely behind the muscle makes the implant sit higher and tends to result in an unnatural appearance for three weeks post surgery. They settle to the right position after three weeks. But this option has a very low incidence of capsular contracture, and the implant edges are not visible.
A combination technique (dual plane) allows the vast majority of the implant to be placed behind the muscle, reducing the chances of the capsular contracture, but the lower edge muscle is divided so that the implant does not appear to be higher and the breast has a more natural appearance. This is the technique I have used for many years, and it has resulted in the best outcomes.
What Are the Risks Following Breast Augmentation?
In rare instances, bleeding follows a surgery and may cause swelling and pain. To control persistent bleeding, a surgery might necessary needed to manage the bleeding and remove the build up of blood.
If an infection occurs around the implant, which is very rare, the implant might be removed for several months until the infection goes away. A new implant can be reinserted afterwards. An infection can occur at any time, but is often noticed within a week after surgery.
Once an implant has been placed, your body will form some scar tissue around it. If excessive scar tissue is deposited, this may lead to capsular contracture. To minimize the chances of this happening, implants are placed behind the muscle (sub muscular). Some women have residual asymmetry after this surgery. After all, minor asymmetry is present in most women prior to any surgery. Implants generally have a life long warranty. Regular monitoring is essential. Routine mammograms should be performed. Current medical literature does not support any evidence of a link between breast implants and cancer of the breast, nor does it support any link between breast implants and autoimmune diseases. Many potential mothers wonder if breast implants will obstruct their ability to breast-feed. Although pregnancy and similar changes to a woman’s body may change the outcome of any breast surgery, there is generally not an interference with the ability to breast feed. It is very important to discuss your choices of breast implant surgery with your surgeon if you are considering becoming pregnant and breast-feedng in the future.
After your surgery, you will likely feel tired and sore for a few days. You will most likely be up and about in one to two days. I will prescribe medication so that most of your discomfort can be controlled.
Soon after your surgery, your dressings will be taken off and you will use a surgical bra. For about two weeks, you will feel a burning sensation in your nipples, but this will settle down. Swelling will take three to five weeks to disappear.
How Long Before I'm Back to Normal?
Most people return to work within a few days. It mostly depends on the amount of activity required for your job.
Make sure you follow our advice on when to begin normal activities or exercise. You should avoid physical contact with your breasts because they will be sensitive to direct stimulation for two to three weeks. Usually three to four weeks after surgery, your breasts will no longer feel sore.
For women in the appropriate age group, mammograms should be continued even after the surgery. Make sure that you let the mammogram technician know that you have implant so they can use special techniques to perform the mammogram.
Your New Self
Your results after your surgery can be highly satisfying as you learn to love your new self.
You should still have follow-ups even after your surgery. You should also conduct a monthly breast self-exam and schedule a regular diagnostic breast screening.
Once you're happy with your new shape and size, you can fully enjoy your new look.