Breast Augmentation is one of the most popular surgical procedures done in the United States. It is surgery done to enhance the beauty of small breasts or to restore the beauty of breasts that have lost their original beauty. Breast augmentation increases the size of the breasts. It is not designed to change the shape or symmetry of your breasts nor is it designed to reconstruct abnormalities, although these kinds of improvements may be an added benefit of the Breast Augmentation procedure.
Saline Implants: Saline implants have a silicone shell and are filled with saline (saltwater) after being placed into the breast. Their volume can be adjusted during the procedure by putting more saline in one side than the other in order to create better symmetry. They are safe and effective and less expensive than silicone implants.
Silicone Implants: Silicone implants have a shell of silicone and are filled with a “liquid” silicone. They come filled so that their size cannot be adjusted. Clients like silicone because it feels more natural than saline implants. Scientific studies have shown that silicone implants are safe and effective. Silicone implants cost more than saline implants.
Peri-areolar: This is our most popular incision. It is made at the border of the dark, flat skin around the nipple and the lighter outer skin on the under half of the areola. It is very hard to see the scar because of the contrast between the dark and light skin. It is my favorite incision because it allows me to see the entire pocket during the procedure. The pocket exposure decreases the chance of bleeding and insures the implant is placed in the correct position. This incision decreases the chances the wound will come apart because of tension on the wound edges from the implant.
Infra-mammary: This incision is made in the crease below the breast. It is the second most popular incision. The scar is a little more visible than the peri-areolar incision; however, it is under the so that it is partially hidden. The dissection of the pocket is a blind dissection so the there is a small increase in the chance of bleeding and the implant presses on the incision edges so that there is a small increase in the chance of the wound edges coming apart. This incision results in excellent results for the majority of clients that select this incision.
Under-Over the Muscle
Under the Muscle: This refers to placing the implant under the Pectoralis major muscle. This is the large muscle that covers the chest. It is responsible for all lifting types of arm movements. Traditionally, implants are placed under the muscle for better tissue coverage. It is the preferred method when the breasts are small with little tissue to cover the implants.
Over the Muscle: This refers to placing the implant on top of the Pectoralis major muscle and under the mammary glands of the breasts. It is a more anatomical position for the implant and works well if the breasts are large enough to provide adequate tissue coverage. It may be the best place for the implant in very athletic individuals because it avoids the wear and tear on the implant with contraction of the muscle during vigorous exercise. Many athletic individuals have their implants under the muscle and they last very well.
Size of the Implant
Cup sizes are different for each manufacturer so we talk in terms of milliliters or cubic-centimeters. We have you bring is a bra that you want to fill and we stuff the bra with different sizes of implants in order to choose the right size for you. Our staff will assist you and Dr. Powell will make sure that he can technically accomplish the size you desire; however, you have to pick the size since you are the only one that knows exactly the look you desire. Our staff has a great deal of experience at sizing implants and will make every effort to help you achieve the breast enhancement you desire.