Breast Augmentation/ Breast Implants
If You're Considering Breast Augmentation/ Breast Implants in Dallas, TX
Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons:
- To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
- To correct a loss in breast volume after pregnancy.
- To balance a difference in breast size.
- As a reconstructive technique following breast surgery.
By inserting a breast implant behind each breast, surgeons are able to increase a woman's bustline by one or more bra cup sizes. If you are considering breast augmentation, a consultation with Dr. Saretsky will give you a detailed basic understanding of the procedure. A physical exam will then answer specific individual details. Dr. Saretsky is open to discussing anything to help ensure that his patients undergo breast augmentation with confidence and trust.
The Best Candidates For Breast Augmentation/Breast Implants
Breast augmentation can enhance your appearance and your self-confidence. Before you decide to have surgery, think carefully about your expectations as Dr. Saretsky will want to discuss them with you in your consultation.
The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate.
Types of Implants
A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline.
Because there is now sufficient information demonstrating the safety of silicone gel-filled breast implants, the Food & Drug Administration (FDA) has approved the use of silicone gel-filled implants for breast augmentation as well as for breast reconstruction. A patient now has a choice. Dr. Saretsky will discuss with you all the implant options in your consultation.
All implant types, sizes and shapes are available to breast augmentation patients on an unrestricted basis. You can ask Dr. Saretsky doctor about the specifics of the FDA decisions.
All Surgery Carries Some Uncertainty and Risk
Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.
The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or breaking up of the scar tissue, or perhaps removal or replacement of the implant.
As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.
A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen several weeks after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.
Some women report that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but may be permanent in some patients.
There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by your doctor.
Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body.
If a break occurs in a gel-filled implant, however, one of two things may occur. If the shell breaks but the scar capsule around the implant does not, you may not detect any change. If the scar also breaks or tears, especially following extreme pressure, silicone gel may move into surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, or it may migrate to another area of the body. There may be a change in the shape or firmness of the breast. Both types of breaks may require a second operation and replacement of the leaking implant. In some cases, it may not be possible to remove all of the silicone gel in the breast tissue if a rupture should occur.
A few women with breast implants have reported symptoms similar to diseases of the immune system, such as scleroderma and other arthritis-like conditions. These symptoms may include joint pain or swelling, fever, fatigue, or breast pain. Research has found no clear link between silicone breast implants and the symptoms of what doctors refer to as "connective-tissue disorders." This is why the FDA has approved the use of silicone implants for primary breast augmentation.
While there is no evidence that breast implants cause breast cancer, they may change the way mammography is done to detect cancer. When you request a routine mammogram, be sure to go to a radiology center where technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views will be required. Ultrasound examinations may be of benefit in some women with implants to detect breast lumps or to evaluate the implant.
While the majority of women do not experience these complications, Dr. Saretsky will discuss each of them with you to make sure you understand the risks and consequences of breast augmentation.
Planning Your Surgery
In your initial consultation, Dr. Saretsky will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, he may also recommend a breast lift. Dr. Saretsky takes pride in listening to his patients in order to meet their goals as well as providing the most "natural" result possible.
Be sure to discuss your expectations frankly with Dr. Saretsky. He will be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask him for a copy of the manufacturer's insert that comes with the implant he will use -- just so you are fully informed about it. And, be sure to tell him if you smoke, and if you're taking any medications, vitamins, or other drugs.
Dr. Saretsky will also explain the type of anesthesia to be used, will show you our state-of-the-art surgical suite where the surgery will be performed, and explain the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.
Preparing For Your Surgery
Dr. Saretsky will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.
Where Your Surgery Will Be Performed
Dr. Saretsky performs most breast augmentations in his state-of-the-art surgical suite. The operating room is equipped with the most up-to-date instruments and monitoring devices to ensure the best technical results as well as the safety of his patients. The operating room has met the stringent requirements necessary to be certified by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. In addition, a comfortable recovery room is adjacent to the operating area so that you can be observed closely during the immediate postoperative period.
Types of Anesthesia
Dr. Saretsky prefers to use general anesthesia for breast augmentation surgery. This means you will be completely asleep through the entire operation.
The Surgery
The method of inserting and positioning your breast implant will depend on your anatomy and Dr. Saretsky's recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.
Working through the incision, Dr. Saretsky will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered in the pockets beneath your nipples, nicely filling out your breasts.
Some surgeons believe that putting the implants behind your chest muscle may reduce the potential for capsular contracture. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.
You'll want to discuss the pros and cons of these alternatives with Dr. Saretsky before surgery to make sure you fully understand the implications of the procedure he recommends for you.
The surgery usually takes about one hour to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.
After Your Surgery
You're likely to feel tired and sore for a few days following your surgery, but you'll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication Dr. Saretsky will prescribe for you.
Within several days, the gauze dressings, if you have them, will be removed, and you may wear a soft bra. You should wear it as directed by Dr. Saretsky. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as swelling fades.
Your stitches will come out in a week, but the swelling in your breasts may take four to six weeks to disappear.
Getting Back to Normal
You should be able to return to work within a few days, depending on the level of activity required for your job.
Follow Dr. Saretsky's advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.
Your scars will be firm and pink for awhile. After several months, your scars will begin to fade, although they will never disappear completely.
Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier.
Your New Look
For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.
Regular examination by Dr. Saretsky and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.
Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you've met your goals, then your breast implants surgery is a success.
Financing your procedure
Please call us at (214) 368-4970 to schedule a personal tour of our Dallas Plastic Surgery Center.