Breast augmentation, or augmentation mammoplasty, is a surgical procedure designed to increase breast size, improve symmetry, and enhance body contour. It involves placing breast implants under the breast tissue or chest muscles, offering patients a way to feel more confident and satisfied with their appearance. It’s among the most popular plastic surgery procedures performed each year.
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Candidates For Breast Augmentation Surgery
Ideal candidates for breast augmentation are individuals in good general health with realistic expectations and who may be looking for the following benefits:
- Increase the fullness and projection of their breasts
- Improve the balance of their overall silhouette
- Enhance their self-image and confidence
Individuals considering breast augmentation should also be non-smokers or willing to quit smoking. Smoking can complicate both the surgery and the recovery process, negatively impacting results.
Types of Breast Augmentation Incisions
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Peri-Areolar Incision
This incision is made around the perimeter of the areola, allowing for minimal visible scarring. It offers excellent access for implant placement and is ideal for patients also undergoing a breast lift.
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Inframammary Incision
Made along the fold under the breast, this incision type is the most common for breast augmentation. It allows for precise placement of the implant and is well concealed by the breast itself.
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Trans-Axillary Incision
This incision is made in the armpit, allowing for the implant to be inserted without any scars on the breast itself. It may be limited to certain implant types. This technique may require an endoscope for better visualization during the procedure.
Breast Implant Placement Options
Implants can be placed in two primary locations. Each offers benefits:
Subglandular placement
The implant is positioned between the breast tissue and the chest muscle. This option may provide a more natural look and feel and is typically chosen by women with sufficient natural breast tissue to cover the implant.
Submuscular placement
The implant is placed under the pectoral muscle. This may result in a more natural slope of the breast and is often recommended for women with less natural breast tissue.
Types of Implants for Breast Augmentation
Several types of breast implants are available, each offering unique benefits:
Saline Implants
These implants, filled with sterile salt water, provide an adjustable shape and firmness. They are filled after insertion, allowing for a smaller incision.
Silicone Implants
Filled with silicone gel, these implants feel more like natural breast tissue. If the implant leaks, the gel may remain within the implant shell or escape into the breast implant pocket.
Gummy Bear Implant
A form-stable implant, or a gummy bear implant, maintains its shape even if the implant shell is broken. It has a thicker consistency than traditional silicone implants but offers several firmnesses.
Fat Transfer
This involves using liposuction to take fat from other parts of the body and inject it into the breasts. This option may be suitable for those seeking a relatively minor increase in breast size and a more natural approach.
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The Breast Augmentation Procedure
The procedure typically takes one to two hours under general anesthesia. The chosen incision type is made, the implant is placed, and the incision is closed with sutures
Read moreRecovering From Breast Augmentation Surgery
Recovery varies but generally involves resting and avoiding strenuous activities. Swelling and discomfort are common at first but should diminish over time. Follow-up appointments with Dr. Bolden are essential to proper healing.
Read moreTypes of Silicone Shell Breast Implants
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Round Breast Implant
These implants make breasts appear fuller and rounder. Higher profile options can achieve even more projection.
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Tear Drop Implant
These implants are shaped to mimic the natural shape of the breast, with more fullness at the bottom than at the top. They're ideal for women who want a more subtle, natural look.
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Smooth Breast Implant
These implants can move within the breast implant pocket, potentially providing more natural movement.
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Textured Breast Implant
The textured surface adheres to the tissue and minimizes the implant's risk of being repositioned within the breast.
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Costs vary widely based on many different factors. During the consultation, Dr. Bolden will provide a detailed quote covering surgery, anesthesia, and facility fees. We offer financing options to help you comfortably fit your procedure within your budget.
As with any surgery, risks include infection, bleeding, scarring, and dissatisfaction with results. Specific to breast augmentation are risks like implant leakage or rupture and capsular contracture. Dr. Bolden will discuss these risks at length.
What to Expect Following a Breast Augmentation
Patients typically notice immediate changes in their breast appearance, although swelling may impact the appearance of your results. As the implants settle and swelling decreases, full results are usually visible within a few weeks to months.
Alternatives to Breast Augmentation
For those seeking alternatives to breast augmentation, options include breast lift surgery, which can lift and rejuvenate the breasts without increasing their size. Fat transfer breast augmentation is also considered an alternative to breast implant surgery
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