Armen Vartany, MD, FACS | Plastic Surgery and Laser Center

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Breast Augmentation

Frequently Asked Questons

breast augmentationBreast Implants are one of the most popular cosmetic surgeries performed in the United States and around the globe.  There are many reasons why you may be considering breast enhancement surgery.  Maybe you feel that increasing your breast size will improve the balance of your figure, or give you that “hourglass” shape that you have always desired.  You may be looking to increase the tissue volume that you once had prior to extensive weight loss, pregnancy or the natural aging process.  Whatever your reason for wanting to improve the fullness of your breasts, a Breast Augmentation, also known as Augmentation Mammaplasty, is a procedure that can give you more ample, voluptuous breasts.  With the use of FDA approved saline filled or silicone gel implants, your breasts are enhanced with a more projected and rounded shape

 

Breast Augmentation is performed under General Anesthesia.

Frequently Asked Questions

  • Is Breast Augmentation right for me?

    If you feel that you could benefit from larger, more shapely breasts, then a Breast Implants may be the right procedure for you.  Breast Augmentation is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

     

    Good candidates:

    • Are physically healthy
    • Do not smoke
    • Have realistic expectations
    • Have breasts that are fully developed
    • Are bothered by the feeling that your breasts are too small
    • Are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss or with aging
    • Have breasts that vary in size or shape
    • Have one or both breasts that have failed to develop normally
  • Are there any additional aspects of my consultation specific to Breast Augmentation?

    During your consultation, you will try on different size implants so that you can see how the “NEW YOU” will look.  It is a very fun and exciting part of the consultation process.  You will follow by having a final discussion with Dr. Vartany where he will discuss the risks involved and explain your implant options.  Additionally, he will share actual patient before and after photos with you so that you can see what the surgery can do for your appearance.

     

    Special note: While a Breast Augmentation does not usually affect breast function, if you are planning to become pregnant, discuss this with Dr. Vartany.

  • Where are the incisions made during a Breast Augmentation?

    Incisions are made in inconspicuous areas to minimize visible scarring.  You and Dr. Vartany will discuss which incision options are appropriate for your desired outcome.

     

    Incision options include:

    • Peri-areolar - This incision is placed along the bottom of the areola.
    • Inframammary - This incision is placed under the breast falling within the natural crease.

     

    Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference.

  • What are my choices for implants?

    Implant type and size will be determined based on several factors.  Considerations include your breast anatomy, skin elasticity and body type.  Your desired increase in size will also play an important role in selecting the right implant for you.

     

    Saline Implants

    Saline implants are filled with sterile salt water.  They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breasts.  Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body.

     

    Silicone Implants

    Silicone implants are filled with an elastic gel.  The gel feels and moves much like natural breast tissue.  If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.  Regular mammograms are a necessary aspect of post-surgery maintenance.

     

    Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available.  Currently, saline implants are FDA-approved for augmentation in women 18 years of age and older.  Currently, silicone implants are FDA-approved for augmentation in women 22 years of age and older.  Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

  • Where will the implant be placed?

    After the incision is made, a breast implant is inserted into a pocket.  Either under the pectoral muscle (a sub muscular placement), or directly behind the breast tissue, over the pectoral muscle (a sub mammary/sub glandular placement).  Dr. Vartany prefers placing the implant under the muscle as this method usually achieves more natural results.  Dr. Vartany will determine what will be the appropriate placement for your body type to achieve optimal results.

  • Are there additional instructions for my Breast Augmentation recovery?

    After your Breast Implant procedure is complete, dressings and/or bandages will be applied to the incisions.  On the day of your surgery, a medical support bra will be provided.  You will need to wear this bra, morning and night, for 4-8 weeks after surgery.  The bra is designed to minimize swelling and support your breasts as they heal.  If you would like to purchase additional support bras, it is important to find something that provides compression, support, and opens in the front with a zipper or Velcro.  No underwire garments may be worn for 6-8 weeks after surgery.

     

    You may shower 3 days after surgery.  Gently wash your breasts and pat the incisions dry.  Immediately replace your support bra.

     

    It is extremely important that you limit the use of your arms for 10-14 days after surgery.  Do not extend your arms over your shoulder level.

     

    You may not sleep on your stomach for 4-6 weeks after surgery.

     

    You may not drive a vehicle until you have been permitted to do so.

  • How much time should I take off of work or school?

    You will need to allow 4 to 7 days off from work or school for this procedure due to swelling and discomfort.

  • What are some procedures that may compliment a Breast Augmentation?

  • Important facts about the safety and risks of Breast Augmentation surgery

    Dr. Vartany will explain, in detail, the risks associated with a Breast Augmentation.  It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable.  You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

     

    The risks include:

    • Unfavorable scarring
    • Bleeding (hematoma)
    • Infection
    • Poor healing of incisions
    • Changes in nipple or breast sensation, may be temporary or permanent
    • Capsular contracture, which is the formation of firm scar tissue around the implant
    • Implant leakage or rupture
    • Wrinkling of the skin over the implant
    • Anesthesia risks
    • Fluid accumulation
    • Blood clots
    • Pain, which may persist
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Possibility of revisional surgery

     

    Other important considerations:

    • Breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants.
    • Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of your lifetime.
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