Augmentation Mammoplasty (with Breast Implants)
Breast Augmentation Indications:
The modern era of breast augmentation started in 1961 when the first silicone implant was used to improve the appearance of the breast. Since that time, the basic implant has undergone many modifications and improvements. In 1991, because of unsubstantiated claims, the FDA suspended use of silicone implants except for breast reconstruction. However, many studies that were then performed have demonstrated the safety of breast implants. At this time, silicone breast implants are now approved by the FDA.
Before/After Breast Augmentation Pictures
Many of our patients who desire breast implants are in their early twenties and thirties. Many of our patients are women who have lost breast volume due to pregnancy, and wish to return to their pre-pregnancy breast size. It is therefore not uncommon to perform breast augmentation surgery on women throughout their forties.
New York beast surgeon, Dr. Sherman will discuss the goal of your proposed breast augmentation surgery, and go over the entire procedure with you. The following information will help you understand breast implants and the operation itself.
Breast Augmentation Surgery Overview
Types of Breast Implants:
The breast implant choice is one of the most important decisions that you have to make. Dr. Sherman will discuss the relative advantages of each type of breast implant, silicone or saline. A cohesive gel implant has been developed over the past several years (gummy bear implant).
Breast implants now come in various widths, heights, and projections. These are all individualized to create the desired goal of the patient. In addition, Dr. Sherman was one of the original investigators for the Allergan 410 cohesive gel breast implant. These implants are now approved by the FDA. Learn more about these cohesive gel breast implants.
Breast Augmentation Surgery:
The operation may be performed in our fully accredited New York plastic surgery center, or in the hospital as an out-patient. The breast augmentation surgery itself lasts for 1 to 1 1/2 hours. You will stay in our recovery area until you feel comfortable to return home. If you are coming from out of town, you should remain in New York overnight, so that Dr. Sherman could see you if the need arises. Suture removal is usually one week after your breast augmentation.
There are several options besides the type of breast implants that you may choose for your breast augmentation surgery. These consist of the placement of the breast implants, relationship to the pectoralis muscle, and the choice of the incision through which the breast implants are placed.
Incisions for Breast Implants:
The choice of incision is made by the patient after consultation with Dr. Sherman. Breast augmentation can be accomplished through either a transaxillary (arm pit) incision; inframammary incision (below the breast, above the fold); or a periareolar incision (through the areolar, the circle around the nipple). The selection of the breast implants as well as the goal for size, shape and placement each play a role in where the incision is made. Each approach has its advantages and disadvantages. Dr. Sherman will discuss all of these with you.
Submuscular or Subglandular Breast Implants:
This describes the position of the breast implants in relation to the pectoralis muscle. Depending on your anatomy, age, and vocation, there are advantages to each approach for breast augmentation. Dr. Sherman will explain each, and help you understand the position that may be ideal for you.
Revision of Breast Augmentation:
Because of Dr. Sherman’s experience, he often corrects problems associated with breast implants and previous breast augmentation surgeries. This may reflect the aging of the breast in relationship to the implant, or complications of the previous breast implant surgery. Read about Dr. Sherman’s New York patients’ experiences.
Anesthesia for Breast Augmentation Surgery:
Patients have a choice of either a general anesthesia or intravenous sedation anesthesia. As in all of our operations, the anesthesiologist is a board-certified, and highly skilled, experienced anesthesiologist. If the breast implants are placed below the muscle, the operation is usually performed under general anesthesia.
Recovery from Breast Mammoplasty Surgery:
After your it takes approximately three to four days to feel comfortable. You should refrain from exercise for roughly three weeks after surgery while you recover.
Breast Augmentation & Implant Complications:
Breast augmentation surgery has several potential postoperative complications. These include capsular contracture, deflation of the implant, and wrinkling of the breast implant. Dr. Sherman will discuss the incidence of each of these and relate it to your individual surgery.
In addition, some patients experience a temporary numbness of the nipple for several weeks after surgery. This may last longer or may be permanent in a very small group of patients.
Breast Augmentation Cost and Insurance Information:
The cost of breast augmentation surgery is rarely covered by any insurance program. However, if there is a congenital maldevelopment of one or both breasts, this may be covered. Some insurance companies will cover the removal of ruptured silicone breast implants. If you do have a ruptured breast implant, contact our New York plastic surgery center to determine if your breast augmentation surgery costs are covered.