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Breast Augmentation with Implant

Breast Augmentation with Implant

What is breast augmentation?

Breast Augmentation is currently the most frequently performed plastic surgery procedure in the United States, and very popular in Bergen County too. A breast augmentation can restore or increase breast size in women with small or unevenly sized breasts.

Breast augmentation, commonly known as a boob job, is a type of cosmetic procedure to enhance breast size. Plastic surgeons perform this surgery using implants placed in the breast tissue or under the pectoral muscle. There are two main types of breast implants: saline-filled implants and silicone gel implants. Each type of implant offers unique benefits and risks.

Breast augmentation with implants has become one of the most sought-after cosmetic procedures. The allure of fuller breasts and improved body image has captivated countless individuals, prompting many to explore their options for surgical intervention. Patients choose this surgery for various reasons, including increasing breast size, drooping breasts, restoring volume lost after weight loss or pregnancy, and achieving more breast symmetry.

History of the procedure

Breast augmentation surgeries have come a long way since their inception. The first breast implant procedure was performed in 1962. Over the years, advancements in surgical techniques and implant technology have refined the procedure. Modern implants come with options like textured surfaces and smooth surfaces to reduce the risk of complications such as capsular contracture.

In the past, concerns over safety led to a temporary ban on silicone breast implants. However, further studies and improvements reinstated their use, making both saline and silicone implants popular choices for breast augmentation today. Despite advancements, patients must be aware of the risks of breast implants, including breast implant ruptures and rare conditions like breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

Plastic surgeons offer detailed consultations to discuss the benefits and complications of breast augmentation, helping patients make informed decisions tailored to their goals and health.

Types of Breast Implants

When considering breast augmentation, one must choose the right type of implant. There are several options, each with its own advantages and considerations. Below, we break down the main types of breast implants used in breast augmentation surgeries.

Saline Implants

Saline implants are filled with sterile saltwater. They are known for their safety; if they rupture, the body simply absorbs the saline. These implants allow for a smaller surgical incision, as they are filled after placement. Saline implants are often considered due to their adjustability in size.

Silicone Implants

Silicone implants are pre-filled with silicone gel, which often feels more like natural breast tissue. Many people prefer them for a more natural look and feel. This breast implant type requires a slightly larger incision during the surgical procedure. Regular monitoring with an MRI or ultrasound is recommended to check for ruptures.

Gummy Bear Implants

Gummy bear implants have a firm gel that maintains its shape even if the shell breaks. This type of implant offers a consistent shape and is less likely to wrinkle. They can be shaped rather than round, providing additional customization for breast size and contour.

Each type of implant has its own pros and cons. Choosing the right type of implant depends on personal preference, desired outcomes, and consultation with plastic surgeons. It's essential to consider the risks of breast implants and discuss potential complications of breast augmentation with a specialist.

Surgical Techniques

When it comes to breast augmentation surgeries, choosing the right surgical technique is crucial. Various methods influence the final results, recovery time, and even the risks of breast implants.

Incision Options

Selecting an incision option is an important step in the breast implant procedure. Surgeons have several choices:

  • Inframammary Incision: This is made in the crease beneath the breast. It's common due to accessible placement, allowing for better control.
  • Periareolar Incision: Here, the incision is around the outer edge of the areola. It is less visible because it blends in with the natural color transitions of the breast tissue.
  • Transaxillary Incision: This involves an incision in the armpit, leaving no scar on the breast itself. However, this may pose more challenges for precise placing of implants.

Each option has benefits and factors to consider, including scarring and accessibility for breast implant surgery.

Placement Options (Submuscular vs. Subglandular)

Placement of implants can greatly affect the final outcome of breast enlargement surgery. There are two main options:

  • Submuscular: Implants are placed beneath the pectoral muscle. This often results in a more natural appearance with less risk of complications such as capsular contracture. Recovery might take longer due to muscle involvement.
  • Subglandular: Here, implants are located above the pectoral muscle but beneath the breast tissue. This can create a fuller look, yet it may increase the visibility of textured implants and skin rippling.

The choice depends on body type, lifestyle, and individual goals.

The Surgical Process

Breast augmentation with implants involves several steps:

  1. Consultation: Discuss goals with board-certified plastic surgeons. Decide on type of implant, size, and shape.
  2. Preparation: Follow pre-operative instructions, such as avoiding certain medications.
  3. Anesthesia: General anesthesia is usually used to ensure comfort during the surgical procedure.
  4. Incision: Surgeons make an incision based on the chosen approach.
  5. Insertion: Saline or Silicone breast implants are inserted, either under or over the pectoral muscle, after creating a suitable pocket.
  6. Closure: The incisions are closed with sutures and the area is bandaged.
  7. Recovery: Follow post-operative care instructions to ensure the best healing process and reduce risks like breast implant ruptures or complications of breast augmentation.

Understanding these steps can help in making informed decisions about breast augmentation, ensuring a safe and satisfying experience.

Recovery After Surgery

Breast augmentation with implants is a surgical procedure that enhances breast size and shape. Understanding what to expect during recovery is crucial for a smooth healing process. This section will guide you through the post-operative experience, timeline, and pain management tips.

What to Expect Post-Operation

After breast implant surgery, it's common to experience swelling, bruising, and tenderness. You'll likely have bandages and support garments to protect the breast tissue. Movement might be restricted, and heavy lifting should be avoided. You might also feel groggy from anesthesia for a day or two. Always follow your plastic surgeon's post-operative instructions for the best outcomes.

Recovery Timeline

Recovery from breast augmentation surgeries varies depending on the individual and the type of implant used. Here's a general timeline you might expect:

  • First Few Days: Rest is crucial. Swelling and discomfort are most intense, but these symptoms start to subside gradually.
  • Week One: You may return to light activities. Ensure you're wearing the recommended support bra.
  • Week Two to Three: Gradual return to daily activities, but avoid strenuous exercise.
  • One to Two Months: Most people resume regular activities. Always check with your surgeon to confirm if it's safe to start exercising.

Managing Pain and Discomfort

Pain and discomfort are common during the recovery process after breast augmentation surgery, but there are several effective ways to manage them. First, it's crucial to take the prescribed pain medication as directed by your surgeon to alleviate discomfort. Applying ice packs can also help reduce swelling and ease any pain you may feel. Keeping your head elevated while resting is an effective method to minimize swelling as well. Additionally, attending all follow-up appointments is essential for monitoring your healing and addressing any concerns that may arise. If you experience any unusual symptoms, such as severe pain or signs of infection, it's important to contact your surgeon immediately. By adhering to these guidelines, you can ensure a smoother recovery after your breast enlargement surgery.

Motivations for Breast Augmentation

Breast augmentation is a popular choice for many individuals seeking to enhance their appearance and confidence. There are several motivations that drive people to consider this procedure. These motivations can be aesthetic, restorative, or psychological.

Aesthetic reasons

Many individuals choose breast augmentation to improve their breast size or shape. Some people may feel dissatisfied with their natural breast tissue, desiring a fuller or more symmetrical appearance. This enhancement can lead to an overall more balanced silhouette. By selecting the right type of implant, such as saline or silicone breast implants, patients can achieve the desired look. Plastic surgeons can help guide individuals in choosing the best implant type to meet their aesthetic goals.

Restorative purposes (post-mastectomy, trauma)

Breast augmentation is not always about achieving a desired look; for some, it is about restoring normalcy following a significant loss. Women who have undergone mastectomies due to breast cancer often opt for reconstruction to regain their breast shape. Additionally, individuals who have experienced trauma or congenital deformities may seek breast enlargement surgery. These restorative procedures can include breast lifts or the use of implants to help in the reconstruction process, aiding in physical and emotional healing.

Psychological impacts

The psychological benefits of breast augmentation can be profound. Enhanced breast size can boost self-esteem and body confidence, positively impacting one's mental health. Many individuals report feeling more attractive and feminine after the procedure. This boost in self-confidence can lead to improved social interactions and a higher quality of life. However, it is important to understand the potential risks of breast implants, including concerns like capsular contracture and the rare occurrence of breast implant ruptures. Open discussions with healthcare providers are vital in making informed decisions about undergoing breast augmentation surgeries.

With these motivations in mind, individuals considering breast augmentation should consult with an experienced plastic surgeon such as Dr Capuano to explore their options and make informed decisions tailored to their personal goals.

Impact on Breast Health

Breast augmentation involves altering breast tissue to change size and shape. It's crucial to consider how these changes might affect your breast health. This procedure can influence breast cancer screening, monitoring for complications, and long-term implant management.

Breast Cancer Screening

After breast augmentation surgery, breast cancer screening may require different techniques. Traditional mammograms can be less effective because breast implants may obscure the view of breast tissue. It's important to inform your radiologist about your implants. They may use different imaging techniques, like MRI or ultrasound, to ensure accurate results. Regular check-ups with your healthcare provider are vital for early detection and prevention.

Monitoring for Complications

Monitoring for complications is essential after breast augmentation. Possible issues include capsular contracture, where scar tissue tightens around the implant, or implant ruptures. Look out for symptoms such as breast pain, changes in size or shape, or hardening of the breast. Regular self-exams and professional check-ups can help detect problems early, making treatment more straightforward.

Long-term Implant Management

Breast implants are not lifetime devices. Long-term management strategies are important to consider. Implants may need replacement or removal over time, often within 10 to 20 years. Regular medical evaluations help determine if implants remain in good condition. Developing a plan with your plastic surgeon ensures that you maintain breast health over time.

By understanding the impact of breast augmentation on health, you can make informed decisions and maintain optimal breast health.

Next Step: Click here for Breast Augmentation with Implant FAQs

Is Breast Augmentation Right For Me?

Breast augmentation with implants can be a transformative decision for many individuals, but it is essential to determine if one is a suitable candidate for the procedure. Key considerations include age, health status, and realistic expectations. Candidates must be at least 18 years old for saline implants and 22 for silicone gel implants, although younger individuals may be eligible with proper medical justification.

Overall physical health is crucial; ideal candidates should be free from medical conditions that may heighten surgical risks or hinder recovery. Additionally, those seeking the procedure should have realistic expectations, understanding that while breast augmentation can enhance appearance and self-esteem, it may not resolve deeper psychological issues or dramatically alter one's body image. Furthermore, motivation and understanding of the procedure's implications play a significant role in candidacy. Candidates should possess a clear desire for reasons such as increased breast size, improved symmetry, or restoring breast volume after significant life changes like pregnancy or weight loss.

It's also important for individuals to be aware of their breast tissue composition, as those with insufficient tissue might benefit more from silicone implants for a softer texture. Understanding the risks associated with breast implants, a commitment to follow-up care, and having a supportive network can substantially contribute to a positive outcome. Before proceeding, consulting with double board-certified plastic surgeon Dr Capuano is vital for a comprehensive evaluation of personal goals and determining the best approach for achieving desired results.

Ask the Doctor

Frequently Asked Questions

How long does breast augmentation surgery take?

The procedure typically lasts one to two hours depending on the patient’s anatomy and extent of correction needed.  Breast augmentation bergen surgery is performed in a hospital or surgery center in NJ with either general anesthesia or local anesthetic and sedation. You will likely be discharged home the day of surgery.

What is the expected recovery time for a breast augmentation?

Most patients are able to return to work in a week to 10 days, depending on the nature of their work. After breast augmentation you may begin light exercise at two weeks, while six weeks is required before returning to strenuous exercise. We recommend that you handle your breasts gently and lie on your back for the first two months following surgery. We would also ask that you avoid lifting, pushing, or pulling anything that causes pain or twisting your upper body for at least six months. Breast massage is initiated as soon as it is comfortable to perform.

The results of breast augmentation plastic surgery are immediately discernable. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller or more proportional breasts.

What are common side effects of a breast augmentation?

Typical side effects include bruising and swelling of breasts, nipple sensitivity, or temporary changes in nipple sensation.

Where can I get breast augmentation in Bergen County, NJ?

You can get breast implants by receiving a breast augmentation consultation from Dr. Capuano. The Northern Center for Plastic Surgery is located in Bergen County.

Does having dense or cystic breasts prevent one from considering breast augmentation surgery?

Breast augmentation is not contraindicated in patients with dense or cystic breasts, so having dense or cystic breasts by itself is not a reason to avoid this surgery. If your cysts are tender however, this may not improve and may get worse after a breast augmentation. 

Currently, most breast augmentation procedures are performed in a dual plane, partially beneath the pectoralis muscle, and partially beneath the gland. Because of this, screening for cancer with mammograms and ultrasound can allow improved visualization of your breast tissue that lies over the implants. However, imaging of the tail, which is the portion of your breast that ascends upward towards your armpit, can be more difficult. A baseline mammogram should be performed prior to implant placement, if one has not been performed within the past year.

How long until I can exercise after a breast augmentation?

You should not do any strenuous exercise, lift more than 10 pounds, or partake in any high impact activity or sports for at least six weeks. Good chest support is necessary for prolonged results, so we would recommend wearing a sports bra at all times - no underwire bras.  

Furthermore, patients should avoid push ups, chest presses, dips or supporting your body weight with your arms or chest muscles for at least six months, and we would also suggest sleeping on your back for the first six months.

Is a breast lift necessary with an augmentation?

A breast lift is not always necessary with a breast augmentation. A thorough examination by Dr Capuano is necessary to answer this question properly, as each individual's breast tissue and the amount of sagging in their breasts needs to be examined. Ptsosis, laxity, skin quality and nipple position are all taken into consideration when deciding whether or not a breast lift is appropriate for you to have with an augmentation.

Should I get breast implants if I have a family history of breast cancer?

Yes, in most instances you can still get breast implants. However the amount of work up necessary prior to your surgery may vary depending on what your family history consists of. Breast cancer is very common in women; 1 in 8 women will develop breast cancer in their lifetime, and most instances of breast cancer are not genetically linked. 

There are circumstances where patients have multiple family members or very young family members with a history of breast cancer. In those situtations, further testing for genetic risk is important to undergo prior to any cosmetic procedure.  At that point, a decision for surgery can be made between you and Dr Capuano regrding your individual risks.

Additionally, all patients regardless of family history should have a thorough breast exam prior to surgery. If the exam by Dr Capuano reveals any palpable mass, further imaging is required prior to any surgical procedure.

What is the most optimal time of year to have a breast augmentation?

The most optimal time of year to have a breast augmentation is contingent upon your individual lifestyle. If you are very active in the winter but more of a sunbather in the summer, then the spring would be a good time to consider your breast augmentation so that your post surgical swelling can subside by summer and you aren't using your chest muscles and arms to over exert your surgical area.

How big is too big when choosing an implant size?

We display a range of sizes to each patient based on our breast simulation software and Dr Capuano's expert analysis. Dr. Capuano will give you options based on your stature and suggest implants that will provide you with a natural balance for your body. If you are looking for implants that are larger than our initial recommendation, we will help you make an informed decision on whether or not that is something you want to move forward with.

At what age do your breasts stop developing?

Breast development varies greatly between women.  It begins at puberty, which typically starts between age 11-14, and can continue into the late teens and early twenties.  Additional development of glands occurs when a woman becomes pregnant, which can result in significant changes in the breasts post pregnancy or post breast feeding.  Although hormonally driven development becomes less significant later in life, changes occur in the breasts with respect to gland density, fat content and fascial and skin laxity throughout life. These changes are often further hastened during menopause. All of these factors play a role in surgical decision making.

Will I be able to breast feed?

Great question, most women are able to nurse post implant, though there is a possiblity that you may not be able to.  These risks are evaluated and discussed with each patient on an individual basis prior to surgery with Dr Capuano. The access point by which the implants are placed or approach can increase or decrease your chances of being able to nurse. If nursing is a concern for you, the most benign approach is via the inframammory fold.

What type of bra should I wear after breast augmentation?

Post breast augmentation and recovery, one should always use a supportive bra and never use a bra that has an underwire. We highly recommend the Pillow Cup Signature Wireless Bra by Spanx, which provides amazing supprt and keeps the breasts more medially placed then other bras that have a tendency to push in medially and cause the breasts to be forced out to the sides.

How often after Breast Augmentation do you need a mammogram?

We typically request a mammogram right before your breast augmentation to act as a baseline. Mammograms after your breast augmentation are only necessary when you need them for typical screening for breast cancer unless you have a high genetic risk based on your family history. Mammograms without genetic propensity begin at age 40 and are usually performed annually.

When should I have my implants replaced?

Knowing which generation of implants that were placed in at the time of your surgery can help determine whether or not it is time to exchange them. It is also important to note that you should have mammograms taken to make sure they are intact and no other issues have occurred while they have been in place. We recommend consulting with Dr Capuano as each patient's history and anatomy is unique.

Do you let patients choose their own implant size?

Dr Capuano gives patients the ability to choose how full they want to be, but he does limit this to about 60cc above or below what their own body measurements dictate.  

The key to sizing a breast implant appropriately is the patient's breast and chest wall measurements, one of the most important of which is their base width. For example, if you measure across that patient’s breast and you have 12 cm as a measurement, you can use an implant from maybe 11.5 to 12.5 cm. If you go much bigger than that, you’ll be outside the dimensions of your chest wall and will be able to see the implant bulging under the axilla and even sometimes medially, beyond the medial cleavage line.

The implant will typically also sit too high as implants are round, so if they are oversized with regard to their width, they will likely be oversized with respect to their height as well.  

Additional measurements include chest width, breast height, nipple to fold distance, sternal notch to nipple distance, midline to nipple distance, clavicle to nipple distance and nipple diameter. At the Northern Center for Plastic Surgery, you can try on different sized implants virtually during your consultation with our Vectra 3-D simulator. This is a helpful tool if you are interested in seeing how different sized implants will suit their body.