Breast augmentation, (placement of breast implants), is a plastic surgical procedure to enhance the size and shape of a woman’s breasts. For most women in the Boston area, the ultimate goal of breast augmentation is to increase the size of the breasts while maintaining the desired form, firmness, and natural appearance.
If you are considering breast implants, your reasons and goals may be very different than someone else for desiring surgery. The most common reason that women come see a plastic surgeon for breast augmentation is to enhance the size and contour of their existing breasts. Some women, however, would like to regain the breast volume that was lost after pregnancy and breastfeeding. Other women are seeking reconstruction after surgery or symmetry between uneven breast sizes.
Candidates for Breast Implants
Patients who come seeking breast implants are anxious to know if they are good candidates for breast augmentation surgery. You may be a good candidate for breast augmentation if you:
- have been dissatisfied with the size of your breasts and would like to enlarge them.
- would like to balance out breasts that are different sizes (asymmetric).
- have lost breast volume as a result of aging, weight loss, or pregnancy.
- have breasts that are a disproportionate size to the rest of your body and you have a hard time finding flattering clothing.
Age is an important consideration as well. Dr. Doherty understands that many young women may be dissatisfied with their current breast size. Patients must wait until their breasts have fully developed before undergoing breast augmentation surgery. This will be discussed at the initial consultation in detail.
The Breast Augmentation Procedure
Breast augmentation is performed under general anesthesia in the operating room in the hospital. Depending on the type and size of breast implants that have been chosen, Dr. Doherty may choose to make the incision in one of three locations: just inside the armpit (axillary), within the crease underneath the breast inframammary fold) or around the edge of the areola (peri-areolar). This decision will be made with you before the surgery, during one of your consultations with Dr. Doherty. Some incision options are not appropriate for some patients. Body type, native breast size and desired implant may limit incision options for some patients.
Dr. Doherty uses Saline and Silicone gel implants. The gel implants are also known as “gummy bear” or Memory Gel implants. Durng the consultation, Dr. Doherty will discuss the pro’s and con’s of each implant and what he recommends for you.
After making the incision, Dr. Doherty will insert the breast implants either above or beneath the pectoral muscle (submammary or submuscular). You and Dr. Doherty will be able to make a decision about the location of the incision with Dr. Doherty based on your body type and activity level. Dr. Doherty uses the Keller Funnel to place the implants via a “no-touch” technique. This decreases the risk of capsular contracture and other issues that can occur after breast surgery with implants.
When the breast augmentation is complete, your chest will be wrapped with gauze and/or a support bra. The discomfort felt for the first few days after surgery can be controlled with prescribed medications. After the first week, patients are typically able to resume many of their normal activities. These include driving and working at a computer.
During the first few weeks after surgery, swelling is common. Patients are not able to initially appreciate their implants until this swelling improves. As healing progresses, a new silhouette will emerge and patients begin to enjoy their new body shape!
If you live in the Greater Boston area and would like to learn more about breast augmentation with implants, contact Sean Doherty, MD today to schedule a consultation. Call his Boston (617)450.0070 or Concord (978)369.4499 office to learn more today.