Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy or surgery.
Dr. Kadz employs the latest surgical techniques resulting in minimal or no scarring and faster post-operative recovery time. Recovery after a breast implant surgery varies by individual, but patients are usually able to return home immediately following their breast implant procedure. A return to light or normal activity is possible as soon as you feel ready, usually within a day or two of surgery. Some patients experience soreness and stiffness for the first days to weeks following surgery. A support bra may be recommended for the first week or two. Any swelling or bruising should subside shortly, and the final results of the breast implants will appear around four to six months after the surgery. The surgery itself takes approximately one to two hours.
Breast Implant Size
The size of the breast implants used depends upon multiple factors, including an individual’s desired amount of cleavage, proportion of the patient, and breast implant shape. Dr. Kadz utilizes and individualized approach in determining the size needed for your case and the type of implant needed to attain your goals. Implants come in a variety of volumes (cc) and, generally, the larger you want your cup size, the larger the breast implant considered. Another determining factor is the patient’s current breast tissue. A breast implant that is too large for your tissue can result in excessive stretching of the skin and result in the need for corrective surgeries. In addition, the implant edges may be apparent or visible postoperatively.
Breast Implant Types
There are two accepted and available breast implant fillers: saline and silicone. Both fillers have been FDA approved to be safe fillers for breast implants. Dr. Kadz is a Silicone Certified provider and can help you choose the perfect solution for your individual needs. Saline fillers consist of isotonic watery saline solution (has the same concentration as the normal cells of the body and the blood) and present no health risk to the patient even when ruptured. Chances of rupture are very low, however if ruptured, saline implants will need to be manually removed with surgery.
Silicone implants consist of silicone gel, and have become the filler of choice for many patients as these implants generally have a more natural feel and are softer. Today’s silicone gel breast implants are made differently than they were in the 1970s and 1980s. Initially, silicone gel breast implants had thick shells and thick silicone gel fills. In the 1970’s manufacturers began to use thinner shells, which were more likely to rupture. Today, silicone implants are made with multiple layers of silicone elastomer surrounding the implant. This reduces the amount of gel bleed but can make the implants feel and look somewhat firmer, but much softer than saline. If ruptured, some gel bleed may occur and will need to be manually removed with surgery. Again, as with saline implants risk of implant rupture is very low. Unlike saline breast implants, silicone gel breast implants are pre-filled and are ordered in the requested size. Silicone implants cannot be placed endoscopically through a navel incision. Additionally, silicone implants are more expensive than saline.
In addition to size, you will also be able to determine if you want to reshape your breast. Some implants give the breast a more rounded appearance, while others create a breast shaped like a “tear drop”, known as an anatomical implant. The best implant for you depends on your body frame, how much breast tissue you currently have and your goals. In most cases patients and doctors choose round implants.
The profile is the forward projection of the implant from the chest wall. For the most part, breast implants come in three profiles: moderate, midrange, and high. For a woman with a narrow frame, a moderate or low profile implant that might result in a desired size, may be too wide and carry the implant too far to the cleavage and underarm. By using a high profile implant, this patient can get the larger implant she desires. By the same token, a wide framed patient may find that in order to adequately cover the natural diameter of the breast size, the desired implant would have far too much projection. A low or moderate profile might work better. Dr. Kadz can explain the best choice for your body frame during the initial consultation. In most cases a moderate profile is recommended for patients with wider breasts who want more cleavage and less protrusion, and High profile for those patients with petite body frames and narrow breast width who want more frontal protrusion and less extension to the sides.
Incisions & Procedures
The implant placement refers to where the implant is positioned..under the Pectoralis Major (chest) muscle or over it, which places the implant only underneath the breast tissue. In almost all cases Dr. Kadz places the implants under the muscle. The breasts feels much softer and look more natural due to a layer of “buffer” (the muscle) covering the implant. Other significant benefits include: the long run opposing force of the muscle against the implant keeps the implant from stretching out the breast skin and a significantly less chance of capsular contracture (less chance implants get hard). Sub-muscular placement creates more tenderness for a short period of time post-surgery, but is worth it.
Incisions and Scarring
Dr. Kadz utilizes the latest techniques resulting in minimal or little scarring. The most common incisions include an inframammary incision (near the crease under the breast), an axillary incision (in the underarm area), or a periareolar incision placed at the edge of the areola (the pigmented skin surrounding the nipple). Incision patterns vary based on the type of implant, degree of enlargement desired, patient anatomy, and patient preference.