There are various reasons women choose to have a breast augmentation. For women who have always felt their breasts were too small or disproportionate to the rest of their body, breast augmentation can make them feel good about their bodies. For women who have lost breast volume after pregnancy and breastfeeding, augmentation can make them feel good about their figure again. Most women want natural-looking results, not centerfold transformations.
Augmentation can truly change the way a woman feels about her body, impacting her entire self-image. That could explain why breast augmentation is one of the most popular cosmetic surgeries each year, and why its numbers continue to grow.
When you choose to have breast augmentation with Dr. Aydin, together the two of your will work through the many decisions that need to be made: implant type, implant size, projection, and incision location. The decisions can seem daunting, but Dr. Aydin makes his patients comfortable with each step in the process.
Breast Implants: types of implants
Silicone gel breast implants
Silicone implants consist of a silicone shell filled with medical silicone gel. Silicone implants are sealed when manufactured, so they are inserted already filled. You can choose different levels of cohesion in the gel. This is the amount the gel stays together and within the shell if there is a leak. The trend has been to make gel more of the consistency of Jell-o, with higher cohesiveness than older types of silicone. The general consensus is that silicone implants feel closer to natural breast tissue than saline implants. More recently, “gummy bear” implants have been added to the mix. Their consistency is even more firm — think gummy bear — and the silicone doesn’t leave the shell is there is a leak. This is the disadvantage of silicone implants: if there is a rupture, the silicone can leak out of the shell. Usually, the patient doesn’t even know her implant has ruptured. For this reason, regular mammograms are required with silicone implants to ensure they aren’t leaking.
Saline breast implants
Saline breast implants are a silicone shell that is filled with sterile salt water. Unlike silicone implants, saline implants are inserted into the breast pocket empty and are filled in place. This has the advantage of adjustability once the implant is in place. It also means a much smaller incision is required. The other benefit of saline is that in the case of a rupture, the body naturally absorbs the salt water. However, the now-empty silicone shell will still need to be removed and replaced. Plus, in a rupture, the implant will empty, leaving you with a single deflated breast.
There are several breast implant manufacturers approved by the FDA:
Natrelle® by Allergen – silicone and saline-based implants
Mentor® – silicone and saline-based implants
Sientra ® – silicone-based implants
Ideal Implants® – saline-based implants
Ideal Implants are uniquely designed with two separate internal chambers that contain a saline filler. This helps the to control the movement of the saline within the implant in order to prevent issues such as wrinkling or folding of the breast. The outside edges of the implants are lower, which provides for more effective contouring to the chest wall. The Ideal Implants have a natural look and feel and has been proven safe by FDA inspection.
Gummy Bear Implants
Our practice offers gummy bear implants, which are silicone-gel implants that have a teardrop shape to help make the implant more stable. They are also beneficial for women who desire breast reconstruction because they do not need to be fitted around existing breast tissue. Although they can appear more natural, they do sometimes require a larger incision.
Implants are made with either a smooth or a textured surface. In general, smooth implants cost less and are more common. The textured implants were initially conceived out of the idea that it reduces the chances of capsular contracture (the constriction of scar tissue around the implant) although there is no valid claim to this. The textured type is more common with the teardrop shape, as the rough texture adheres to tissues helping the implant stay in place.
The standard shape of a breast implant can either be rounded or tear-shaped. Each shape serves a different aesthetic function as it pertains to the patient’s goals. Rounded implants produce a shapelier curve on the top portion of the breast. The teardrop implants are shaped to copy the natural appearance of the breast, so they will not appear as high.
Breast implants come in a variety of different profiles. The selection is based on how enhanced the breasts’ projection would be, as well as how wide the implant will be on the chest wall in relation to the base width. Since the silicone implants are already pre-filled, the standard profiles come in low, moderate, high and extra high. Saline implants, however, come in variants that are either prefilled; or, the silicone shell is inserted then filled with saline solution up to the patient’s preferred profile. Choosing the right profile can sometimes be a difficult decision and it is up to a skilled surgeon to help guide the patient accordingly. High profile breast implants will have greater projection, but less width on each side, whereas a moderate profile, for example, will not have as much projection, but will be broader.
The two most common placements are on top of the chest muscle or under it. When the implant is placed under the muscle, a pocket is created within the pectoralis major muscle. A pocket is also created if it is placed in front of the muscle, but many surgeons do prefer the submuscular approach (behind the muscle). This helps to keep the implant in place for a longer period of time and takes into consideration factors such as implant size, weight, gravity, and time. Placing the implant behind the muscle also provides a natural look and provides the implant with the long-term support it needs to stay in position.
Implant size and shape
With augmentation, you will also work with Dr. Aydin to choose your implant size and shape. Size is measured in cubic centimeters (cc’s). The two main shapes are round or teardrop. Teardrops are thought to be more like the natural breast shape, and they are less prone to rotation once in place. There are also different degrees of projection, depending on your preference.
There are two aspects to this decision. First, you’ll decide if you want your implants placed under or atop the pectoral muscle. This is personal preference, but many people think implants placed beneath the pectoral muscle look more natural.
Next, is the incision location. The choices are around the areola, in the breast crease on the bottom of the breast, or in the armpit. If you opt for the underarm (axial) method, there won’t be any scarring on the breasts themselves because the implants are placed through vertical incisions in the armpits.
Once your incision location has been specified, Dr. Aydin then creates a pocket in the tissue either under the pectoral muscle or directly behind the breast tissue on top of the pectoral muscle. If you’re receiving saline breast implants, they are inserted and then filled. Silicone breast implants are inserted already filled. Once placed, Dr. Aydin checks symmetry and balance before closing your incisions.
Recovery from breast augmentation is not a difficult process. There will be pain and discomfort for two to three days, but it will be manageable. Patients can usually return to work in four or five days. In a week or two, patients can resume non-impact lower body exercise, following with impact exercise after one month. Upper body exercise can begin again after six weeks.
While you will obviously see your results immediately after surgery, your final results can take up to three months to fully show themselves. This is because newly placed implants tend to sit higher on the chest, feel more firm, and look larger than you expect. But as they settle in, your implants will drop to sit in a more natural position on your chest. And you’ll be thrilled with the way they make you look.
before and after Breast augmentation results:
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