Why choose breast augmentation with breast implants?
Many women choose to have their breasts enlarged in order to satisfy their own desire for a fuller bustline. Your breasts may not have developed to a size that meets your expectations, or one breast may be significantly smaller than the other. You also may have been happy with your breasts in the past, but feel that they look different now. Often, after weight loss, childbirth or as a result of aging, the breasts lose volume and their shape changes. Breast augmentation can enhance your breast size and shape, and give you the more proportional figure that you always wanted.
Dr Speron has a tremendous amount of experience performing breast augmentation in Chicago hospitals and surgery centers. It is the procedure he performs most commonly. He is able to offer all types of options to his patients:
- he performs all the various breast augmentation approaches including minimally invasive and no-scar approaches
- he uses all types of implants including Mentor and Mghan as well as saline implants & silicone implants.
- he does not use drains for breast implant surgery
- he offers the pain pump, if patients request it (his patients typically take narcotics for < 24 hours even without this)
- all patients receive "nerve blocks" during surgery when they are asleep, which means the pain cycle is controlled from the very beginning
Am I a good candidate for breast augmentation surgery?
Any of the following feelings or conditions may indicate that you are a good candidate for breast augmentation surgery:
- you are bothered by the feeling that your breasts are too small
- clothes that fit well around your hips are often too large at the bustline
- you feel self-conscious wearing a swimsuit or form-fitting top
- your breasts have become smaller and lost their firmness after having children
- weight loss has changed the size and shape of your breasts
- one of your breasts is noticeably smaller than the other
Your Personal Consultation
During the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. The point will be to determine what natural breast enhancement you can achieve.
This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.
How will my plastic surgeon evaluate me for natural breast enhancement surgery?
Your plastic surgeon will examine your breasts and perhaps take photographs for your medical record. He will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation to obtain a more natural breast enhancement.
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.
There is no scientific evidence that augmentation mammoplasty increases the risk of breast cancer. The presence of breast implants, however, makes it more technically difficult to take and read mammograms. This may be a special consideration for women who perhaps are at higher risk for breast cancer because of their family history or other reasons. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination, but other factors may also need to be considered with regard to implant placement. Your plastic surgeon will discuss this with you.
If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing breast enhancement surgery.
If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.
How do I pick my new breast size so I can obtain a natural breast enlargement?
Patients usually ask what size implant is "right" for them. No one can really answer that question except the patient themselves. Your plastic surgeon will ask you what size you would like to be. During your examination, a determination will then be made based on your body dimensions, skin elasticity and a simple test - we provide patients with a properly sized bra and t-shirt and multiple implants of different sizes. These implants are actual saline filled implants that are usually used in breast enlargement, so the look these implants give does reflect the final appearance patients can expect. By trying on various sizes, it is easy for patients to zero-in on the size that they like best. This simple test gives a very realistic idea of the final result of breast augmentation. In our opinion, it is far superior to computer imaging of the breast. Patients agree that it is a tremendous help not only in their decision to have augmentation mammoplasty surgery but also to help decide what size is right for them.
Your Breast Implant Surgery Experience
The goal of your plastic surgeon and the entire staff is to make your breast implant surgical experience as easy and comfortable for you as possible.
How should I prepare for breast implant surgery?
In some instances, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast implant surgery, you will still be able to perform breast self-examination.
If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions.
Breast implant surgery is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.
What will the day of breast implant surgery be like?
Your breast implant surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite.
Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing breast implant surgery, although general anesthesia may be desirable in some instances.
When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your breasts will be wrapped in gauze dressings or a surgical bra.
You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.
How will I look and feel initially?
A day or two after surgery, you should be up and about. Any dressings will be removed within several days, and you may be instructed to wear a support bra. Your plastic surgeon will probably permit you to shower between three and seven days following surgery. Stitches will be removed in about a week.
Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.
When can I resume my normal activities?
After breast implant surgery, it is often possible to return to work within just a few days or a week, depending on your job. Vigorous activities, especially arm movement, may be restricted for two to three weeks.
Sexual activity should be avoided for at least the first week following surgery. After that, care must be taken to be extremely gentle with your breasts for at least the next month.
How the Breast Augmentation Procedure is Performed
Individual factors and personal preferences will help you and your plastic surgeon to determine your appropriate breast size, the location of incisions, and whether the breast implants will be placed on top of or underneath the chest muscle.
incision can be made either underneath the breast, just above the crease,
around the lower edge of the areola
The breast implant is placed in a pocket either directly behind the breast tissue (right) or underneath the pectoral muscle which is located between the breast tissue and chest wall.
In 1992, because further studies were needed to establish the safety of breast implants, the Food and Drug Administration decided that silicone gel-filled implants would not be generally available for cosmetic breast enlargement. Currently, all women undergoing breast augmentation receive saline-filled implants which consist of a silicone shell filled with sterile saltwater.
New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available. Your plastic surgeon will be able to provide you with the latest information on breast enlargement.
Where are the incisions placed for breast augmentation procedure?
One of the advantages of a saline-filled breast implant is that, because it is filled with saltwater after being inserted, only a small incision is needed. Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous.
Another possible location for the incision is around the lower edge of the areola. A third alternative is to make a small incision within the armpit.
Once the incision is made, the surgeon creates a pocket into which the breast implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall.
Results of Breast Enhancement
Breast augmentation will make your small breasts fuller and enhance their shape. The degree of your breast enhancement is a personal choice and is determined before surgery. Your breast enhancement will be noticeable right away. You will find it easier to wear certain styles of clothing. Like many women who have had breast enhancement, you may have a boost in self-confidence.
Massage of Breast Implants After Surgery
Massage of scars and implants is begun once you are 3 weeks out from your surgery date. Implant massage exercises (like the ones pictured below) are probably beneficial. I do not believe, however, that a woman gets contracture only because she did not massage her implants.
How long will the results of my Breast Enhancement last?
Except in the event of implant deflation requiring surgical replacement with a new implant, the results of your breast enhancement surgery will be long-lasting. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast "lifting" to restore their more youthful contour.
Breast Enhancement Post Surgical Care
There are certain clinical skin care products that can aid in the healing process after your breast augmentation surgery, as well as to maintain your results. Dr. Speron can discuss the one(s) appropriate for you.
Maintaining a Relationship with Your Plastic Surgeon After Your Chicago Breast Enhancement
You will return to your plastic surgeon's office for follow-up care at prescribed intervals, at which time your progress will be evaluated. Your surgeon will encourage you to schedule routine breast evaluations and mammograms at the frequency recommended for your age group. Please remember that the relationship with your plastic surgeon does not end when you leave the operating room after your breast enlargement. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your breast enhancement plastic surgeon.