There are several reasons for women to desire breast augmentation:
- Enhance the contour and size of the breasts in a woman who feels she is not proportional or desires a certain appearance in clothing
- Restore loss of breast volume after pregnancy
- Correction of asymmetry
During your initial consultation we will discuss with you the reason for breast augmentation, family history of breast issues, and the breast size you desire. The physical exam will help determine the best option of implant location (on top of the muscle or below the muscle), incision (inframammary fold or periareolar) and implant type (silicone or saline).
The implant can be placed on top of the muscle (subglandular) or below the muscle (submuscular). Subglandular implant placement is valid in women who have a moderate amount of breast tissue present before surgery and physically active women or bodybuilders. Incision placement is usually below the breast in the inframammary fold. In women with large areola (pigmented portion of breast) a periareolar incision can be used with and without areolar reduction.
It is very common for women to have some asymmetry of the breasts. After breast augmentation some asymmetry may still exist. Correction of mild asymmetry in size can be improved by filling saline implants with different amount of fluid. To correct severe asymmetry a breast lift or reduction of the larger breast may be needed at the time of the breast augmentation.
Breast augmentation is performed as an outpatient procedure. A post operative bra will be placed and you can shower on post operative day 1. Prescriptions for pain control, nausea, muscle pain, and antibiotics will be provided. A patient can usually return to work after a week depending on your occupation. A full exercise program can be resumed 6 weeks after surgery. Follow up is performed one week, one month and 3 months after surgery.