Breast
Augmentation is surgical procedure designed to increase the size
and enhance the shape of one’s breasts. Not only can this
procedure enhance your appearance, it can possibly help build
your self-confidence and self esteem. Also as a result of the
procedure, many women have found it easier to dress in certain
styles of clothing. Women have different reasons for undergoing
breast augmentation. The best candidates for breast augmentation
are:
• Women who feel their breasts are too small and looking
to improve their figure.
• Women who have lost breast volume and shape as a result
of pregnancy and nursing.
• Women whose breasts have lost volume and shape as a result
of aging.
• There is a significant difference in the sizes of both
breasts.
• Weight loss has changed the shape and or size of your
breast.
For any reason a woman might have for wanting breast augmentation,
ultimately the individual should be in good physical condition
and have realistic goals and expectations in order to be considered
a good candidate for the procedure.
The breast augmentation procedure involves the surgical placement
of an implant within a woman’s breast. A breast implant
is a silicone shell filled with either a saltwater solution known
as saline, or filed with a silicone gel. If the saline-filled
implant leaks, the fluid is absorbed into the body. This is the
same as if the saline were given as an IV fluid. Dr. Hall has extensive experience with both silicone and saline-filled implants and was an investigator with the national adjunct silicone breast implant study. Around the world, 90+ % of women choose the silicone-filled implants. They have been back on the market for women 21 years and older since the spring of 2007. Currently, about 70% of the women in our practice for breast augmentation are choosing silicone-gel. They tend to feel more natural, and a fuller implant can be used with silicone and look more natural than a same volume saline implant. They also have less visible and palpable wrinkling, which is important for women with thinner tissues. But the saline implant does have one significant advantage-it is easier to tell if it has leaked, because the saline is absorbed by the body and it deflates. The silicone-gel implant would need an MRI to check it for a possible leak at this time, although studies are being carried out to use ultrasound. If a women has thinner tissues and/or wants the most natural feeling result we tend to recommend silicone-gel. If a women has a high likelihood of requiring future breast biopsies or just feels more comfortable with the ease of detecting a failed implant we recommend the saline-fill. A saline generally requires an incision length of 1 inch and a silicone gel an incision of 2 inches. Dr. Hall will review these options with you at length during your consultation and discuss the trade offs involved with these two choices.
The incision can be placed in a number of different locations
including around the areola, in the armpit, but often times it
is made underneath the breast and just above the crease. The doctor
takes every effort to assure that the incision is placed so the
resulting scars will be as inconspicuous as possible. After the
incision is made, a pocket is created either under the breast
tissue or under the pectoralis muscle. This pocket is made just
large enough to accommodate the implant. The implant is then positioned
to give the best cosmetic result.
The method of inserting and positioning an implant is dependent
upon factors based on the patient's anatomy that are discussed
with Your doctor at the time of the consultation.
Following surgery, detailed instructions are given to the patient
as to postoperative care and activity. It is important for a patient
to follow these instructions in order to minimize any complications
and to help achieve the best results. The surgeon will also advise
the patient as to when they can return to their normal activities.
Most patients are able to return to work within a few days, and
more strenuous activities in about two to three weeks following
surgery.