 
Enhance Your Figure with a Breast Augmentation
Breast
enlargement surgery is the third most frequently performed cosmetic surgery
procedure. The breasts are enlarged by inserting saline-filled or silicone
implants into a surgically created breast pocket. Incisions are made at
the edge of the nipple areola, the armpit, or beneath the lower breast,
so scarring is hidden. The implants may give the appearance of a lift as
well as an increase in breast size. Dr. von Maur has performed thousands
of breast surgeries.
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& After: Patient 1 |
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& After: Patient 2 |
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Breast Augmentation Gives Patients Volume, Lift and Balanced Body
Q. After my second child,
I really noticed my breasts sagging. I want the volume back on the upper
part of my breasts. I'm a C-cup but don't look it because of the droop.
Can a breast enlargement help or is a breast lift my only option?
A. A breast enlargement could give
you both the increase in cup size and the breast lift you desire. Although
it's rare that women are candidates for this approach, we have recommended
and performed breast enlargement surgery on quite a few patients who fit
your description during the course of my many years in practice.
One such patient was, like you, already a C-cup but
had lost volume after nursing her baby, leaving a little extra room in
her breast envelope. Using a peri-areolar incision ( at the edge of the
nipple complex), we inserted an implant and easily placed it above the
muscle, filling the extra space nicely and giving the desired lift.
With this approach, recovery is usually faster than
for either an uplift or a standard breast augmentation. This particular
patient explained her choice and her satisfaction with the results: "I
didn't want the more noticeable scars from a breast uplift so I was glad
to know I had another option. I got exactly what I wanted more volume
at the top of my breasts. Now they look more like they did before I had
children." She mentioned that recovery was easy , about two weeks,
and that the scars have already faded after just a few months. You should
always consult a Board Certified Plastic Surgeon with extensive breast
surgery experience to see if you're a candidate for such a custom approach.
Update On Breast Implants
Q. I’m considering having my
breasts enlarged and have heard that there are different kinds of breast
implants. What options do I have? Which looks the best?
A. There are only two types of materials
used in breast implants that are available in the United States at this
time; Saline-filled and Silicone gel-filled. For the past several years
silicone gel-filled implants have been available, but only on a limited
basis while being studied by the FDA. Board Certified Plastic Surgeons
can, when appropriate, offer silicone gel-filled implants to patients
who are undergoing breast reconstruction after mastectomy, patients who
already have breast implants with certain complications, and those patients
who would have a better result with silicone gel-filled implants because
of their body type (i.e. a patient who is thin and a saline filled implant
may wrinkle and show through the skin, those with scoliosis, or chest
wall deformity and those requiring a mastopexy (breast lift). These cases
are closely monitored by the patient’s surgeon, who report his or
her findings to the FDA. For the most up to date summary of study findings
please refer to the following web sites:
Saline-filled implants are presently the most commonly
used implants in first time breast augmentation. As far as which implants
“look the best”, the final appearance after breast augmentation
is determined by the surgeon’s skill, experience, placement of the
implant and the physique of the patient. I place the implants under or on
top of the pectoralis muscle depending on which will give the patient the
most natural appearance.
Important Factors to Consider When Deciding to Have Breast Augmentation
with Either Saline-Filled or Silicone Gel-Filled Implants
Be aware that breast implantation may not be a one-time
surgery. You are likely to need additional surgery and doctor visits over
the course of your life.
Breast implants are not considered lifetime devices.
You will likely undergo implant removal with or without replacement over
the course of your life.
Many of the changes to your breast following implantation
are irreversible (cannot be undone). If you later choose to have your
implant(s) removed, you may experience unacceptable dimpling, puckering,
wrinkling, or other cosmetic changes of the breast. Breast implants will
not prevent your breasts from sagging after pregnancy.
With breast implants, routine screening mammography
will be more difficult and you will need to have additional views, which
means more time and radiation.
Your health insurance premiums may increase, coverage
may be dropped, and/or future coverage may be denied. Treatment of complications
may not be covered as well. You should check with your insurance company
regarding coverage issues.
Reconstruction: Most insurance covers
the first breast reconstruction operation. Insurance coverage for re-operation
procedures or additional doctor’s visits following reconstruction
may not be covered, depending on the policy.
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