Breast Augmentation

Full, Feminine and Beautiful Breasts

Creating the ideal breast that is full and round has been the hallmark of the beautiful female body throughout history.  You can see it in the statues of Greek and Roman times, masterpieces of Renaissance Art, and the fashions of the Victoria Secret era.  The same ideal remains today, with Breast Augmentation continuing to be among the most popular Plastic Surgery procedures.

Last year, over 300,000 women underwent Breast Implant surgery with a satisfaction rate exceeding 95%.  Studies have even shown that women after breast augmentation have improved self-esteem and self-confidence.

Dr. Edelson has over 25 years experience using all types of Breast Implants.  Whether you choose saline or silicone, Dr. Edelson will create for you breasts that are full, feminine and beautiful.

Breast Augmentation is performed with either saline or silicone gel implants.  Dr. Edelson will help you  decide which type of implant to use as well as size selection.  The operation typically takes less than one hour and is performed in Dr. Edelson’s surgical center, usually under full general anesthesia, provided by a Board Certified Anesthesiologist.  The implant may be placed either in front of the chest muscle (subglandular) or behind the pectoral muscle (subpectoral) the incision may be placed under the breast or around the edge of the areola, or less commonly through the armpit (the transaxillary approach) or the umbilicus, known the TUBA techninique.  (Trans Umbilical Breast Augmentation).

Recovery from breast augmentation is only a few days.  Women may shower on the second day after surgery and usually can return to work in less than one week.  Exercise and sexual activity is restricted for 2-3 weeks.

Breast Augmentation FAQs

There are pros and cons of each.  Silicone Gel implants are more costly (they cost about $1,000 a pair more than saline).  Some women, especially those with very thin breast tissue and skin may prefer the feel of silicone than saline implants.  In the majority of women however, saline implants provide a natural feeling breast especially when placed under the muscle.

Draw backs to silicone gel include a higher incidence of capsular contracture.  Also, leakage from a silicone implant could be difficult to detect and may require an MRI Xray to diagnose.  Saline implants, if there is a leakage will deflate all the way and can be diagnosed immediately.  If the saline implant needs replacement it can be done under local anesthesia in about 20 minutes.  Plus, the implant manufacturer guarantees the implant for life and will provide a free replacement.

 

Capsular contracture is a condition in which scar tissue forms around the breast implant making the breast feel hard.  The exact cause is unknown although there are many theories for its occurrence.  The overall incidence is low, although it is more common with silicone implants than saline.

Mild forms of capsular contracture may not require any intervention.  However, severe capsular contracture may require surgery to remove the scar tissue and replace the implant.  The procedure is known as a capsulectomy.

The vast majority of women will be able to breast feed after breast augmentation.  This will be true regardless of the location of the incision chosen to insert the implant.

No, this is not the case.  The implants only need replacement if there is a specific indication, such as leakage of the implant.

Breast implants come sized in cubic centimeters (cc’s).  They are sized at intervals of approximately 25 cc’s.  The average size is usually 300-400 cc’s,  which brings most women a mid to large “c” cup.  By looking at pictures of the surgeon’s work, you will be better able to communicate to your surgeon what size you want to achieve and the volume of the implant to be used.

This is a common concern among women considering breast implant removal for a variety of reasons.  However, most of the time, the breasts go back to looking the way they did before surgery.  This may vary from patient to patient, but a deformed or distorted breast after implant removal is more often the exception rather than the rule.

Asymmetry of a woman’s breasts is common, but most of the time it is of a minor degree.  In cases of significant asymmetry, a surgeon may opt to use different size implants in each breast to correct this.  However, be aware that almost all women have some asymmetry even if only the slightest amount before surgery.  Despite a surgeon’s goal to achieve perfectly even breasts, slight asymmetry after surgery is common if you look closely enough for it.

Breast Implants have been around for over 50 years, and during that time, manufacturers have tried different shaped implants.  Tear drop shaped implants have been tried many times.  Unfortunately, if the implant gets turned the wrong way, which it may do on its own, it can result in significant asymmetry.  I prefer using round implants and strongly advise against the temptation to use tear-drop shaped ones.

Ever since Plastic Surgeons have removed fat through liposuction, women have asked about using that fat to enlarge their breasts.  The majority of efforts have been dismal failures.  A few years ago, the claim was made that “stem cells” have been found in suctioned fat leading some surgeons to offer what they called “stem cell breast augmentation”.  The results continue to be poor and unpredictable.  Most of the time the fat gets resorbed over a number of months and can leave the breast lumpy.  In the best cases, only small degrees of enlargement were obtained.  Long story short:  Breast Enlargement with your own fat is far from being a successful, reliable procedure.  Avoid it!