The Facts About Breast Augmentation

Breast Augmentation Basics


Breast augmentation, known medically as augmentation mammoplasty, is defined as a procedure to enlarge the breasts through the placement of implants. Breast implants are made of either silicone gel or have a silicone shell, which is filled with saline solution during surgery. Breast implants add volume and fullness for women who simply desire a larger breast size or whose breasts have lost fullness with age or after pregnancy.

Breast augmentation revision is a secondary surgery, which can correct issues stemming from your original surgery. Patients may have asymmetry after implants, especially if asymmetry existed naturally before surgery. Women can also develop capsular contracture, where scar tissue constricts around the implant causing the implant to appear hardened. And, sometimes women simply wish they had originally chosen a different size. In cases such as these, a revision surgery may be desired.


Breast Surgery


Breast augmentation surgery restores or adds volume to a your breasts to give you a fuller figure. Your implant will be placed under the muscle in most cases. There are also options for the incision type through which your implant is inserted. An inframammary incision runs under the breast and a periareolar incision is made around the edge of the areola. Your incision type is going to depend on the type of implant, your anatomy and your preferences.

The two types of implants are saline and silicone gel. Silicone gel breast implants have fixed fill volumes in approximate one-ounce increments. Saline breast implants are made of a silicone shell that is filled with a saline solution during your procedure. Saline-filled implants can be helpful in correcting asymmetry, as the fill level for each implant can be determined individually and perfected during the procedure. However, saline implants tend to not last as long as silicone implants. Any woman younger than 22 years old is required to have saline implants by the FDA.

There are a lot of good reasons for wanting breast augmentation surgery. It can increase both the fullness and projection of your breasts, improve the balance of your figure, and enhance your self-image and confidence. Breast augmentation can also be combined with breast lift to correct sag or droop, a condition known as ptosis.


Breast Augmentation Revision


Breast augmentation revision can be performed to correct a problem such as capsular contracture or post augmentation asymmetry. Another common reason for revision is to increase the size of your original breast implants. Increasing the size of your breast implants by only 25-50ccs will usually not provide a noticeable difference. You may want just some additional fullness (50-100cc) or you may want to increase the cup size 1-2 sizes (100cc -500cc more).

Performing breast augmentation surgery is an enjoyable and satisfying procedure. Revisional surgery can be more challenging but one in which I have had great success with in my career. It takes experience and a high level of skill to know how to handle these cases and get the best results in improving the patient’s satisfaction.

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