Augmentation mammoplasty, or breast augmentation, enhances the body contour of a woman who is unhappy with her breast size. Breast augmentation is also used to correct a reduction in breast volume that can occur after pregnancy or correct breast asymmetry. Breast augmentation is accomplished by surgically inserting a silicone, cohesive silicone(gummy bear implant) or saline implant behind each breast. This is generally done on an outpatient basis, under general anesthesia.
Dr. Chalekson typically places breast implants partially under the muscle, which is know as the dual plane technique. The implant rests behind the breast tissue in the lower aspect of the pocket. The pectoralis muscle covers the upper portion of the breast implant. This technique hides the implant from being easily seen and felt. At the same time, this technique allows the implant to fill out the breast in the lower region, behind the nipple, to create a natural breast appearance. Additionally, the muscle is able to massage the implant in the upper portion of the pocket, and thereby help reduce problematic scar contractures.
Dr. Chalekson can help you decide the placement and type of implant that will work best for your individual situation. As breast implant size increases, the chance of a visible or palpable implant also increases since there is less of your own tissue to cover a larger implant.
Realistic expectations of this surgery are important. Women often think of breast size in terms of bra cup size. Unfortunately, as many women have come to find out when purchasing bras, there is no standardization of cup size between bra manufacturers.
Discomfort with breast augmentation surgery is controlled with prescribed medication. Complications are uncommon. Both silicone and saline breast implants have been extensively studied, and neither has been shown to significantly correlate with other illnesses. Smokers are required to stop smoking (including nicotine patches and gum) at least 4 weeks prior to and after the surgery. Smoking causes delayed healing.