There are many reasons women consider getting a breast augmentation. You may have felt as if your breasts were never proportional to the rest of your body. Maybe they were stretched and lost volume after pregnancy and breastfeeding. Some women even feel like they were always asymmetric. Dr. Nguyen can discuss all of these concerns with you in helping you prepare for your breast surgery.
Our practice strongly believes that you should consider breast augmentation primarily for yourself, not for a spouse or partner. You may want to invite the opinions of friends and significant others, but the ultimate decision should be yours alone.
Once you’ve decided to move ahead with getting an augmentation, there are a number of other decisions you’ll need to make. Dr. Nguyen will provide you with all the information you need and help you with those decisions at the consultation. We invite you to schedule your breast augmentation consultation with us today.
Augmentation mammaplasty (breast enlargement) is performed to increase breast size and/or fix breast asymmetry. Candidates include women who want larger breasts and those who want to restore the breast volume often lost as a result of pregnancy or weight loss.
Breasts can be enlarged with implants or by fat grafting. Augmentation mammaplasty is not a substitute for mastopexy, which is a procedure to “lift” breasts that sag significantly.
What Are Different Types Of Breast Augmentation?
Silicone and saline are the most common implant types used in augmentation mammaplasty. Silicone implants feel more like natural breasts than saline ones and tend to have less rippling. If a saline implant ruptures, the saline is naturally absorbed by the body. However, if a silicone implant has an extracapsular rupture (a rupture to the outer capsule), silicone filler can leak into the body, possibly resulting in inflammatory nodules or enlarged lymph glands. This is now much more rare since the introduction of newer cohesive (or “gummy”) breast implants, which are much less prone to leaking when ruptured.
Other characteristics of implants include round versus anatomic (“gummy bear”), smooth versus textured.
How Is The Breast Implant Procedure Performed?
Implants are typically placed underneath the chest-wall muscle. On occasion, they can be placed underneath breast tissue only. The procedure takes about 1 to 2 hours and is performed under general anesthesia.
Incisions are made either in the crease on the underside of the breast (usually 4-5 cm long) or around the areola in order to minimize scar visibility. The breast and pectoralis muscle is then lifted, a pocket is created, and the implant is inserted.
There are advantages to placing the implant behind the pectoralis muscle, which include a reduced risk of capsular contracture (hardening of the pocket tissue around the implant) and less interference with mammograms. Disadvantages include longer recovery time. Advantages of placing the implant beneath breast tissue only is that the breasts will be able to move much more naturally as the patient uses her arms and that there is more correction of sagging (ptosis) of the breasts.
Actual Patient Review
I am beyond pleased with the results of my breast augmentation surgery. Dr. Nguyen was very helpful from beginning to end, even now. I had my surgery in February . He answered all my questions and concerns. He is very knowledgeable and caring. I would highly recommend Dr. Nguyen. I have had a couple friends do to him already and are just as happy with their results. Thank you so much Doctor!
Would I Be A Good Candidate For Breast Augmentation?
Body image can affect how women feel about themselves. If you’ve ever felt that your breasts were disproportionately small to the rest of your body, you may have become self-conscious while wearing a swimsuit or during intimate situations. Breasts that are asymmetric can be more emotionally challenging as well.
The choice to have a breast augmentation is a very personal decision. However, it often makes patients feel like their “life has been changed” for the better.
What Size Do You Want Your Implants? What Shape?
You’ll need to choose the size of your breast implants. Unlike bras, they aren’t sized by cup but rather by the amount of filling used. This is typically measured in cubic centimeters (or cc’s). Dr. Nguyen will help you determine how you will look with different sized implants, but you may also be asked to perform a simulation test at home as well. We generally advise patients to go with a natural and proportional look, but the final decision is always yours to make.
Our practice typically uses round implants. “Gummy bear” or tear-shaped implants are reserved for specific situations since they have a risk of rotating after being placed under the breast tissue. An implant’s profile describes how projecting it is, with higher profile implants having a smaller base and more outward projection.
What Is The Recovery Like Following Breast Augmentation?
After an augmentation mammaplasty, the incisions are stitched, taped, and bandaged. A surgical bra or breast binder is placed over the bandages to help reduce swelling and to support the breast shape. Patients will feel sore for a few days after surgery, but most return to work within a week. Stitches are dissolvable and do not need to be removed. Pain, swelling, and sensitivity after surgery will decrease over a few weeks while scars will fade over a few months to the first year.
To access full postoperative instructions, please click here.
What Are The Risks Of Breast Augmentation?
There are always risks associated with surgery and anesthesia, and the anesthesiologist will discuss these with you. Every effort is made to minimize them. Risks related to breast augmentation using implants include:
Implant leak and rupture
Implant deflation, rotation (for anatomic shaped ones), or malposition
Temporary or permanent change in nipple or breast sensation
Irregularities in breast contour/shape
Asymmetry Partial or total loss of nipple/areola.
How Long Do Implants Last?
Almost all patients will require at least one implant exchange/replacement surgery in their lifetime, and a large portion of them will need more. Implants are generally expected to last around 10 years, although many do last longer. When it reaches the end of its lifespan, the implant will rupture and will need to be replaced. The exchange/replacement surgery usually requires less recovery time than the initial surgery. Incisions will generally be made through the original ones, but occasionally a breast lift (or mastopexy) may be needed at the same time.
Schedule your consultation with Dr. Nguyen to discuss if breast augmentation is right for you.