Breast augmentation is the single most popular cosmetic surgery performed today, both in the United States and all over the world. Symmetrical, well-proportioned breasts can instill a sense of confidence in any woman. At our plastic surgery center in South Carolina, we offer breast augmentation to give individuals the opportunity to achieve a desirable sense of proportion and feel more attractive. We believe every woman deserves to feel beautiful and love her body. With breast implants, our patients can experience the sensation of self-confidence and improved balance between breasts.
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If you feel your breasts are disproportionately small for your frame or body type and wish to improve their contours for a more aesthetic shape, breast augmentation can be a powerful solution to achieve your desired silhouette. Breast augmentation is a cosmetic surgery designed to impact both the size and shape of a woman’s breasts through the insertion of breast implants. Depending on your concerns, this enhancement can address breast asymmetry; restore lost breast volume (especially to the “upper pole” of the breast); and/or simply attain the breast size, shape, and fullness you have always wanted. With a broad range of implant types, sizes, and shapes to choose from, the procedure is personalized according to each patient’s cosmetic goals for a final outcome tailored to an individual’s ideal aesthetic. As one of the most popular cosmetic surgeries performed today, breast augmentation can yield incredibly natural-looking results that enhance your figure and body contour, not to mention improve your overall self-esteem and self-confidence.
Depending on your specific needs as well as your unique aesthetic goals and desires, breast augmentation can be custom-tailored to help:
The U.S. Food and Drug Administration (FDA) requires that for relatively healthy women with small breasts, breast augmentation patients receiving saline implants be at least 18 years of age, and those receiving silicone implants be at least 22 years old. These stipulations, however, are purely guidelines, and it is ultimately up to your plastic surgeon to devise a treatment plan that is best for you, regardless of age. Adolescent girls who have developed an unusual breast shape or asymmetry may be candidates for plastic surgery on their breasts—this can even occasionally be considered “medically necessary” by third-party insurance companies.
To be considered a good candidate for breast augmentation, you must be in good overall health with no underlying medical conditions that may inhibit proper healing. You should refrain from using any tobacco products for a minimum of four weeks prior to surgery (ideally with no intention of continuing after treatment).
It is important to note that anyone interested in addressing breast sagging simultaneous to enhancing the shape/volume of the breasts may be better suited for an augmentation combined with a breast lift. This is due to the fact that implants on their own cannot correct moderate to significant breast drooping, medically referred to as “ptosis.”
Today there are more breast implant options than ever before. Implants can be textured or smooth, round or anatomic-shaped, or saline filled or silicone gel-filled; they are also available in all sizes, shapes, degrees of softness or firmness, and degrees of projection to accommodate each woman’s unique anatomy, needs, and desires for enhancement. A smooth round implant is the most popular choice for women since it will move slightly with a patient’s breast, more accurately resembling natural breast tissue.
Breast implants are divided into two basic categories depending on the type of shell surface (smooth versus textured) and the inner fill of the implant (saline or salt water versus silicone gel). The outer shell of all breast implants, regardless of the type, is composed of silicone—a compound whose chemical term is silicone dioxide, or consisting of silicon and oxygen. Silicone is a material that is used in every aspect of our lives, with the compound found in our kitchens, bathrooms, cars, and hospitals. It is used in syringes, IV tubing, kitchen utensils, lipstick, hair conditioner, body and face creams, and is even present in natural drinking water from a brook or stream.
When it comes to understanding the different types of breast implants, most patients and plastic surgeons agree that the feel of a silicone gel-filled implant more accurately mimics the feel of a woman’s breast when compared to a saline-filled implant. That said, the larger a woman’s breast (which consists of breast tissue and normal body fat), the less relevant the feel of the implant becomes since the main purpose is to make the breasts look larger. Conversely, in a very small-breasted woman who is seeking augmentation, or in a patient who is undergoing breast reconstruction after mastectomy, the feel of the implant may play a more important role.
There are a multitude of reasons why women consider breast augmentation surgery. Most women are looking to restore breast volume from the effects of pregnancy, weight loss, aging, or simply genetics. Regardless of the reason, breast augmentation should be something you choose for yourself and not to fulfill someone else’s desires or ideal image. During your consultation, you and your breast surgeon will decide on the details of breast augmentation, including which implant size, type, and placement location is the most ideal, as well as where the incisions should be made.
Your surgeon will thoroughly review the benefits and potential risks of complications during breast augmentation surgery with you before any treatment plan is developed. It is also at this point where combination procedures (such as a simultaneous breast lift, or other “Mommy Makeover” procedures, such as tummy tuck, injectables, etc.) may be suggested to maximize your anticipated results. Your surgeon will address all of your questions and concerns to ensure that you make an informed decision that is right for you.
In summary, there is no substitute for a consultation, wherein your plastic surgeon listens to your concerns, takes a detailed medical history, and carefully examines you. The more informed you are before and after your consultation, the greater the likelihood you will end up totally satisfied with your decision and final result.
Thank you so much for doing such a wonderful job on my breast augmentation. This is something that I thought about doing for a long time and I’m glad I finally did it!
Our team performs this breast surgery as an outpatient procedure utilizing a light general anesthesia, from which you should recover quickly and easily. There are several possible incisions that can be used to place your implant, with the most common incision made along the breast fold within the inframammary crease (breast crease). Your breast surgeon will help you determine the most beneficial choices according to the results you desire. We always aim to make your incisions as discreet and inconspicuous as possible for a natural-looking outcome. A standard breast augmentation typically takes one hour or less to complete.
You will awaken from your surgery wearing a comfortable surgical bra, which will be provided. Minimal to moderate swelling and/or bruising may be present initially, but these symptoms should resolve with time. Any discomfort experienced is generally described as mild and can usually be controlled easily with pain medication. Most patients feel 75% recovered within 7-10 days, and 95% recovered within 4 weeks, at which time all restrictions on activities are lifted and one can resume unlimited sports or exercise. We ask our patients to wear their bra for the first four weeks—day and night—except when showering. Women should also avoid strenuous activity during this time period.
The majority of individuals feel well enough to return to school, office jobs, and non-strenuous daily activities, including driving, after about one week. That said, we advise patients to avoid heavy lifting, vigorous exercise or strenuous physical activity of any kind for a minimum of four weeks in order to give the breasts ample time to heal as well as reduce the risk of implant malposition, extended swelling, and/or bleeding.
Most swelling should subside within four to six weeks, at which point a near final appearance of the breasts is often apparent. With proper care, the scar should fade over time, though it may take up to a year—if not longer—to fully mature and lose its pink color. This is typically resolved faster when the scar is massaged; we will provide clear instructions on this part of your recovery.
There are several elements that factor into achieving natural-looking breast augmentation results. Three key components include choosing the right plastic surgeon, selecting the proper breast implants, and placing the implants in the ideal position based on a patient’s particular needs. For a more detailed explanation as to how each of these influences the final results of the procedure, check out our blog post on the best way to ensure a natural-looking breast augmentation.
The ultimate price of your breast augmentation will be influenced by the details of your treatment plan, including:
After your consultation, our office will provide you with a personalized quote based on your unique needs. Our practice accepts all major payment methods and works with several reputable healthcare lending companies that can allow patients the opportunity to pay for their treatment over time. Many options include low- to no-interest rates and affordable monthly installments. Please contact our practice to learn more about the cost of breast augmentation.
Long-established breast implant options like saline and silicone generally last 10 to 15 years before patients consider replacing or upgrading them. However, newer choices—such as cohesive gel “gummy bear” implants—are thought to remain in good condition for much longer than more traditional implant types. Most implants do not require replacement unless a complication occurs, such as rupture, rippling, or capsular contracture (scar tissue formation).
Scars from any type of surgery are inevitable, but your surgeon will aim to place incisions in the least visible locations possible. In many cases, scars can be camouflaged within the natural lines and contours of the breast. The best example of this concealment is the periareolar incision, which blends into the change in pigmentation between the skin and the areola. Incisions made under the breast fold should hide well in their location within the breast crease. Your plastic surgeon will fully inform you of how visible your breast augmentation scars are likely to be, as well as what steps can be taken to help scars fade as the years go by.
Breast implants are placed under the breast—not in the breast. Therefore, breast augmentation surgery should not impact your ability to breastfeed. That said, approximately one out of five women do not have luck successfully breastfeeding their baby (even if they never had surgery on their breasts), but this has no relation to breast augmentation.
Breast augmentation is considered safe when using FDA-approved breast implants. The only way for breast implants to be approved is by passing extensive FDA testing. Some people may have heard about the 1992 FDA ban on silicone gel implants. This occurred because manufacturers were not providing the detailed information required to prove the safety and effectiveness of their silicone implants. After many in-depth clinical studies on silicone implants, the FDA lifted the ban in 2006. Since then, silicone breast implants have been deemed safe to use for breast reconstruction and breast augmentation.
Our team is dedicated to providing the safest and best care possible for all our patients to minimize any risks that may be associated with breast augmentation. If you have any questions or concerns about the safety of breast augmentation, please do not hesitate to contact our office. We would be happy to provide you with more information.
There is not an exact age that is considered “best” for breast augmentation—everything is dependent upon the unique needs and goals of the individual. In fact, our team has performed breast augmentation for patients ranging from their late teens to their late 50s and beyond. More important than age is a patient’s overall wellness and expectations for results that can realistically be achieved. It is obviously very different for a 23 year old who is small-breasted and fairly flat-chested but has never been pregnant, versus a 35 year old mother who may have nursed two or three children and feels that her pre-pregnancy C-cup is now barely a droopy A- or small B-cup.
Research is important when finding the best breast augmentation surgeon for you. Here are a few factors to consider when making your decision:
We also highly recommend scheduling an in-person consultation. During the appointment, you can determine if you are comfortable with your potential plastic surgeon and their team. This is also a great opportunity for you to ask any questions that you still have about the procedure. The right plastic surgeon should make you feel comfortable and confident under their care.
Sometimes breast augmentation can affect future mammograms. We often tell patients to make sure that whoever is performing the mammogram knows that they have breast implants. This allows the radiologist to use the proper techniques to get a more accurate screening of the breasts. If needed, the radiologist may choose to do an ultrasound or MRI instead to get a more accurate and comprehensive scan of the breasts.
A breast implant can be placed either above or below the pectoral (chest) muscle depending on your aesthetic goals for the outcome, the amount of implant coverage your breast skin can provide, and the size of your implant. Insertion over the muscle generally allows a relatively faster recovery process compared to an under-the-muscle approach, although patients should have adequate skin quality to provide coverage for the breast implant. The advantages of placement under the muscle include better support for the implant and a reduced risk of rippling, which occurs when the edges of the implant are detectable through the breast skin. Your surgeon will evaluate your anatomic indicators and suggest the best implant location for your needs.
While we strive to make the procedure as pain-free as possible, some patients do experience discomfort after breast augmentation. It is usually minimal and can be easily managed by taking over-the-counter pain medications, such as Advil® or TYLENOL®. Our team does our best to help minimize any discomfort by giving detailed post-operative instructions that can help the healing process go by more quickly and smoothly.
Swelling is a normal response to breast augmentation and usually subsides four to six weeks after surgery. To facilitate in the healing process and reduce swelling, we often tell our patients to do the following:
Patients are instructed to wear the surgical bra provided by their surgeon after the procedure, or a comparable sports bra without underwires. This post-breast augmentation bra should be worn for approximately four weeks to help facilitate the healing process and support the new breast contours.
After surgery, you should avoid lifting your arms above the head, as well as carrying objects over approximately five pounds. While light walking around the house is encouraged to prevent blood clots, you shouldn’t exercise or engage in strenuous activity until at least four weeks after the procedure.
To ensure an optimal healing process and the best possible results, you will be instructed to sleep on your back for a few weeks after surgery. Sleeping on the sides or the stomach should be avoided.
Anyone interested in breast augmentation is welcome to contact our office to schedule a consultation with one of our doctors. Please email or call us today.
Our Mt. Pleasant plastic surgery practice is looking for an experienced CMA to join our team in a full time position. If you are a self starter who take initiative and enjoys working with patients, we’d love to hear from you.
Please send your resume to jacque@plasticsurgerycarolina.com