Chances are, you probably have a friend, relative, or neighbor who has undergone breast augmentation. With its rising popularity and our year-round warm weather, breast augmentation is our most requested procedure. For the woman born with small breasts or the woman who finds her breasts have changed after childbirth or breastfeeding, breast augmentation can be a very rewarding procedure.
- Best Candidates for Breast Augmentation
- What to Expect at Your Consultation
- Sientra Breast Implants
- How Augmentation Surgery is Performed
- Recovery from Breast Augmentation Surgery
Best Candidates for Breast Augmentation
Examples of potential candidates for breast augmentation include women in their 20s to 50s who have small breasts in proportion to their lower body, or who have marked changes to their breasts after having children, breastfeeding, weight loss or gain, or aging. Women with asymmetric breasts, where one side is larger than another, may also be candidates for augmentation on one or both sides.
Note: women with a significant, strong family history of breast cancer are counseled to consider the procedure very carefully because implants pose an interference with mammography.
Note: women under the age of 21 are not eligible to receive silicone-gel filled implants unless special criteria is met.
What to Expect at Your Consultation
Dr. James Matas, our experienced board-certified plastic surgeon in Orlando, Florida, has extensive experience performing breast surgery and a reputation for natural-looking outcomes.
During the initial consultation, Dr. Matas will consider the following factors: implant size, implant type (saline versus silicone-gel filled), implant shape (round versus anatomic, low profile versus high profile), placement of the implant (under the muscle-subpectoral or over the muscle-suprapectoral) and placement of the incision (under the breast in the fold-inframammary, under the armpit-transaxillary, or around the nipple-periareolar).
He will ask you about your motivations for breast surgery and with assess your physical and emotional health. Additionally, he will review information you provide about previous surgeries, previous pregnancies/breastfeeding, past and current medical conditions, as well as nutritional supplements, herbal remedies, and pharmaceutical medications you take.
He will carefully examine your breasts and chest wall with consideration for the following factors: amount of breast tissue you have to cover your implant, thickness and symmetry of the chest (pectoralis) muscles, position of your nipple areola in relation to the breast tissue, degree of sag, and thickness of skin and skin tone. He will also take specific measurements of your chest area to scientifically determine the space available for the implant to fit.
Dr. Matas will recommend the exact procedure or procedures needed to bring about the desired result, outlining the size, style, and placement of the implant, location of the incision, the type of anesthesia, where the surgery will be performed, and the risks and possibility of complications. If a woman has a significant sag or looseness of skin, he may also recommend that a mastopexy or breast lift be done at the same time.
Dr. Matas will advise you to avoid taking aspirin, ibuprofen products, Vitamin E, and certain herbal medications before surgery, as these can often cause increased bleeding or have undesirable effects with anesthesia. He may also ask you to discontinue upper body workouts in order to reduce muscle strength before surgery. If you require a breast lift, and you are a smoker, he will require that you discontinue smoking one month prior to surgery for proper healing.
Once a surgical plan has been established, you will be provided with the financial details, along with a suggested plan of action should you decide to take the next step towards breast augmentation surgery.
Sientra Breast Implants
Sientra is a company that caters exclusively to plastic surgeons. It is committed to patient safety and believes that its implants are best delivered by only board-certified and board-eligible plastic surgeons.
Dr. Matas, who has training in mechanical engineering, uses Sientra shaped implants in difficult cases where changes to breast shape are necessary, either to lengthen the breast lower pole and/or change the orientation of the nipple areolar complex.
How Augmentation Surgery is Performed
An incision is typically made beneath the breast that measures about 2” in length. If the implants are being positioned under the muscle, then a portion of the pectoralis muscle is opened to allow access beneath it. A pocket is then developed over the rib cage and below the muscle where the implant will be positioned. If the implants are being positioned over the muscle, the pocket is developed over the muscle and under the breast tissue.
In some cases, breast sizers are inserted first before final determinations are made with respect to implant size. To permit the smallest incision possible, an empty implant is inserted through the incision, placed in the pocket, filled with sterile saline solution, and positioned.
Note: silicone-gel filled implants arrive pre-filled by manufacturer and do not require filling.
If there was asymmetry noted between the breasts, Dr. Matas may adjust the fill volume of one or both implants to compensate for this difference. Once the implants are properly positioned and he is satisfied with the appearance of both breasts, the incision is closed using several layers of dissolvable sutures. A butterfly is used on the skin’s surface, so there are no visible sutures. The procedure takes approximately 2 hours and is typically performed as an outpatient surgery under general anesthesia.
Recovery from Breast Augmentation Surgery
Initially, you may feel tightness in your chest due to your skin adjusting to your new breast size. There will also likely be bruising, mild swelling, and sensitivity to physical contact. The day following surgery, you will be asked to perform several breast massage techniques that will help your implants shift into desired position.
Implants placed under the muscle may cause more discomfort than over the muscle, and you may have to restrict arm motion for a few days. Some patients experience a temporary change in nipple sensation, though this is usually resolved within a matter or days or weeks. Most patients return to office work within 5-7 days, although you should avoid any strenuous activities that raise your pulse and blood pressure for at least 2 weeks. Strenuous upper body activities, such as tennis, weightlifting, or water-skiing, typically can be resumed after about 6 weeks.
I elected to undergo breast augmentation after several consultations with surgeons throughout Florida. It is clear that I made the right choice with your facility! Everyone made sure I received the best individual attention and showed concern for my hopes and listened to my questions. I sincerely appreciate your time and expertise, and the new look I am enjoying!
Your New Look
We expect you’ll be quite pleased with your new appearance, as this procedure has a very high satisfaction rate among patients. Having fuller, firmer, and shapelier breasts may also increase your self-confidence and improve your feelings as a woman. It can also make shopping more enjoyable, as many patients report that clothes fit better after breast augmentation. If you had a difference between each breast before surgery, you will find them to be closer in appearance.