Breast Augmentation

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 one of our plastic surgeon‘s 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

breastaugExamples 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 Matas and Staff 203Dr. 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: breast 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.

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, a partially filled implant is inserted through the incision into the pocket, filled to the proper volume and positioned correctly.
Breast Implant

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

before after BeforeAfter
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You will be discharged wearing a supportive, comfortable surgical bra with front closure. Once you get home, you will want to rest for the remainder of the night. There is moderate pain associated with this procedure, but the discomfort can be managed by taking the prescribed pain medication and applying ice packs as directed.

Initially, you may feel tightness in your chest due to your skin adjusting to your new breast size and post operative muscle tightness. 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!
M.R.

FAQs About Breast Augmentation

Women considering breast augmentation often have many questions about the procedure and the results they can expect. Choosing to undergo breast augmentation is a big decision, and our surgeon, James Matas, MD, is dedicated to providing you with the guidance, information, and support you require along every step of your journey. During your personal consultation with Dr. Matas, you will have an opportunity to address any concerns you may have, discuss the results you hope to achieve, and review a surgical plan suited to your needs.

For women who may still be researching breast augmentation or looking for the right surgeon, we have provided answers to several of the most frequently asked  breast augmentation and breast implant questions below. If you have further inquiries about breast augmentation, we encourage you to contact us at the Advanced Centre for Plastic Surgery to schedule a consultation with Dr. Matas.

How do I choose breast implants that are the right shape and size for me?

The process of choosing breast implants that are the right shape and size for you should take into consideration a variety of factors, including your anatomical characteristics, desired results, and personal preferences. Dr. Matas offers a wide variety of breast implant types, shapes, and sizes and will use his expertise to help guide you toward the most suitable choice for achieving your goals.

How can breast implants change the way I look?

Breast implants can change the size, feel, and shape of your breasts. Whether you desire larger breasts, more symmetrical breasts, firmer, perkier breasts, or breasts that are more proportional to the rest of your body, Dr. Matas can likely help you achieve your goals. It is important to clearly explain your desired outcome to Dr. Matas so he can design a surgical plan that will accomplish the look you want. The size, type, shape, and positioning of the implants will all be customized to suit your needs and goals.

How much does breast augmentation cost?

The cost for breast augmentation varies from patient to patient based on the unique details of their surgery. At the Advanced Centre for Plastic Surgery, we base our pricing on the shape and type of the breast implants being placed, surgeon’s fee, facility fee, and the cost of anesthesia. If you are curious about the estimated price of your desired procedure, we encourage you to explore our free cost analysis option or schedule a consultation with Dr. Matas.

Am I a good candidate for breast augmentation?

Most importantly, candidates for breast augmentation must be in good health to undergo surgery and must abstain from smoking. The FDA also requires that patients be at least 18-years-old to receive saline implants and 21-years-old to receive silicone implants. Candidates should have adequate skin elasticity and muscle quality to support implants and provide the desired results. During a consultation, Dr. Matas can thoroughly evaluate your health, expectations, and anatomical factors to determine if breast augmentation is the right option for you.

What are my breast implant incision options and how do they differ?

Most often, breast implants are placed through a small incision made within the crease on the underside of the breast, called an inframammary incision. In other cases where the inframammary approach is not ideal, Dr. Matas may choose to place the incision along the inside periphery of the areola (peri-areolar incision) or even along a skin crease in the underarm (transaxillary incision). During your consultation, Dr. Matas can further discuss your incision options and explain which approach he recommends and why.

Which implant placement offers the most natural appearance?

Breast implants can be placed either above or below the chest muscle (called the pectoralis muscle). The placement that provides the most natural-looking results will depend upon your unique physical characteristics, the size and shape of the implants, fat distribution, and skin quality/elasticity. Based on the physical examination performed during your consultation, Dr. Matas can discuss which combination of implant type, size, and placement will help you achieve the natural appearance you desire.

Can I still breastfeed after breast augmentation?

When performed correctly by an experienced plastic surgeon, breast augmentation should have no bearing on a patient’s ability to breastfeed, assuming they are able to do so. Dr. Matas can customize your breast augmentation procedure to avoid disruption of the mammary glands. Most often, he chooses to combine the inframammary incision with submuscular implant placement to help prevent any interference with breastfeeding abilities.

Contact the Advanced Centre for Plastic Surgery

Looking for more detailed information about breast augmentation? Contact our office today to schedule your consultation with Dr. Matas and get personalized answers to all of your breast augmentation questions.

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.

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