Breast Augmentation

In breast augmentation, the cosmetic surgeon uses implants made of saline or silicone made of rubber silicone shell. The shell can be filled with elastic silicone gel or sterile salt water. This form of breast surgery is generally opted for by women who are dissatisfied with the size of their organ and are willing to invest in the process.


Who is a good candidate for a breast augmentation?

A woman’s breasts are the most intimate and personal areas on her body. They are an outward manifestation of her femininity and desirability. When questioned about themselves, many women expressed that they would desire a change or an alteration in the appearance of her breasts.

The most common issue that women express to me regarding their breast size and shape is that they wish to be able to fill out their clothing appropriately. It is very common that the proportion of the breast tissue present to the chest wall size is mismatched.

This can be further exacerbated by genetic factors owing to small breast size, or post pregnancy involution (shrinking) of the breasts. The perfect woman for a breast augmentation is one who wishes to achieve her natural feminine bust line in proportion to her body type. This can be achieved through one of several augmentation techniques, each offering an outstanding result for the patient and her self image.


What do the procedures generally entail for a breast augmentation?

Breast augmentation is performed as an outpatient surgery under general anesthesia. Typically the length of the surgery is one to two hours. A small incision is made underneath the breast mound, and a pocket is made underneath the breast tissue and muscle. Once this is tailored appropriately to the individual patient’s body, the implants are placed and the incisions are closed with dissolving suture. A fluffy dressing then cushions the breasts and a very lightweight bra is given to the patient to maintain the dressings. The patient then recovers and is allowed to go home.


How is the recovery after a breast augmentation?

Patients typically go home after a few hours in the recovery room. We ask that our patients leave the dressings in place and they follow-up in the next several days in the office. There is a small amount of discomfort for the first 48 to 96 hours, but this is easily controlled with pain medication. We typically send the patient home with a five day course of antibiotics as well. The sutures dissolve on their own, and the only wound care is to replace the small band aides when they fall off. There is typically a modicum of bruising at the operative site which begins to resolve after 48 hours. The patient may shower after the dressing is removed (typically in 48 hours), and they resume normal activity slowly after one week as their clinical course dictates.


What are the typical results from a breast augmentation?

After a breast augmentation, a woman’s chest will be more full and robust. She will fill out her clothing appropriately for her body type, and typically go up in 1-2 bra cup sizes. Almost all women are extremely pleased with the results, and would recommend to others to have the same procedure. The results are intended to be permanent, but they will not prevent aging and sagging of the breast, nor will it prevent implant related complications such as rupture or capsular contraction. Most women that I have performed revisions on for one of these two problems have stated that they most certainly would still have the augmentation done again.