What is breast augmentation?
Breast augmentation is a surgical procedure to enhance the size and shape of the breasts. It often utilizes breast implants, which come in varying size, shapes and textures, to achieve these results.
Should I get breast augmentation surgery?
If you have spent your life feeling unhappy about the size, shape, or projection of your breasts, breast augmentation surgery can be life-changing. To finally feel confident in your body shape can be empowering.
To be safe to undergo breast augmentation surgery, you should be at a healthy weight, a non-smoker, and not have certain physical conditions, including hypertension (abnormally high blood pressure), or a bleeding disorder. When you come to our Scottsdale breast surgery clinic, we will review your medical history and any medications (or supplements) you take as part of the process. You need to be at least 18 years of age to get breast implants.
Where will the incisions be placed?
The choice of incision site is based upon the type of implant, the quantity of natural tissue and fat on your body, and what will be necessary in the surgical procedure. The various types of incisions are as follows:
- Periareolar: For some patients, an incision is made around the areola, the outer colored part of the nipple structure. Through the incision, a pocket is created into which the implant will be placed. This incision is appropriate for some patients, and some sizes of implants, and has the advantage of reducing the risk of a visible scar.
- Inframammary: A common incision site is in the fold beneath the breasts, just above where the breasts and rib cage meet. This incision allows for more options in where the implant will be placed, an important point in achieving a natural look and feel. The incision is hidden from view even in bras or bikini tops once healed.
- Transaxillary: For saline implants only, this incision is placed in the armpit. A channel is created and the saline implant is then carefully placed and then filled.
Additionally, there are two common locations within the breast where the implant can be placed:
- Subglandular: Under your breast tissue yet over your pectoral muscle.
- Subpectoral Under your breast tissue and under your pectoral muscle.
Does the breast augmentation surgery entail any risks?
Nearly all cosmetic surgeries have some element of risk. As far as the breast augmentation procedure is concerned, some of the potential side effects include unfavorable scarring, rippling, implant displacement, changes in nipple sensation and asymmetry.
Some of the potential long-term problems may include implant leakage or deflation. This usually requires removal of implant and perhaps a replacement surgery. There is also a possibility of capsular contracture. This happens when the capsule or scar surrounding the implant starts to tighten and squeezes the implant. The patient can feel their breast harden when there is capsular contracture.
What sort of anesthesia can I expect during my procedure?
Dr. Andres may suggest three options for anesthesia during a breast augmentation in his Phoenix office. These are local anesthesia, general anesthesia or IV sedation. Each type of anesthesia has its own pros and cons and it is best to make a selection in consultation with your doctor.
Will I need a mammogram before getting breast augmentation?
Some women, to be safe, should have a mammogram prior to breast augmentation to rule out the presence of breast cancer, particularly if any of your close relatives developed the diseases. A mammogram is a fast procedure and once complete, you can proceed to surgery with confidence that you are in good health.
How long do I need to take off from work after breast augmentation?
It is advised that you plan on taking at least one week off work. Some patients may need a bit more time, but a typical patient feels strong enough to go back to work (other than jobs that require heavy physical activities such as lifting) after a week.
Are there natural ways to enhance breasts?
While you may see promotions for creams that increase breast size, these don’t work. One method that does not involve breast implants is natural fat transfer, but this procedure cannot greatly increase breast size, and is appropriate for patients who want a moderate increase in breast size.
What are the types of breast implants?
There are more sizes, shapes, and types of implants than ever before. The basics types are:
- Saline implants: These implants are filled with a saline solution after the silicone shell is placed in the pocket created by our plastic surgeon. They come in a wide range of sizes and shapes. Thinner patients may find that saline implants are not appropriate, as the edge of the implant can be felt beneath the breast. While not dangerous, it may detract from the natural look and feel the patient envisions.
- Silicone implants: The most popular type of breast implant, many patients choose silicone as these implants have the most natural feel and appearance. The silicone gel “gives” and feels like a natural breast. They come in a wide range of sizes and shapes, from round to teardrop.
- Gummy bear implants: Also called “form-stable,” these implants are produced from a softer silicone gel that has a very natural “give.” The implants are shaped to mimic natural breast tissue, in a teardrop shape for a natural look to the upper breast. It all depends upon how you want your breasts to appear – many women still prefer rounded implants.
Do breast implants come with a warranty?
All modern breast implants come with some type of warranty. Saline implants typically have a 10-year warranty (from date of surgery), and silicone implants also come with warranties, typically in the range of 10 years. However, most modern implants can last for many years more than 10. Some implants have lifetime warranties – should you need to replace the implants, they are given to you without a charge, and some companies offer financial assistance should an implant rupture. We can discuss the warranties and what they offer when you come for your consultation and have the opportunity to see and feel the various types of implants.
How do I choose a breast augmentation surgeon?
It is important that you choose your plastic surgeon carefully. Dr. Andres is often called upon to perform breast revision surgery to correct an earlier breast augmentation surgery – have the procedure performed correctly the first time and save yourself from the stress, cost, and recovery time involved in revision surgery.
Some of the common issues requiring breast revision include one breast lower than the other, or the breasts appearing like one large breast due to improper placement, or cases of capsular contracture that must be corrected.
Why choose Dr. Andres for breast augmentation surgery?
Dr. Lewis Andres has a reputation for his surgical skills and ability to create natural-looking breasts. He is a board-certified plastic surgeon who stays ahead of the curve in the latest developments in surgical techniques. He is considered the premier plastic surgeon for breast augmentation in the Scottsdale and Phoenix area.
Does Dr. Andres have any awards or honors?
Dr. Andres is a faculty member at the Arizona School of Medicine, and the Chief of Plastic Surgery at HonorHealth-Shea in Scottsdale. He has authored scholarly plastic surgery articles published in medical journals and has been asked to present his techniques and insights into complex surgeries at professional meetings of his peers. Dr. Andres has been inducted as a “Fellow of the American College of Surgeons.” This title indicates his high level of education, training, surgical skills, and ethical conduct.