What is a Breast Augmentation?

Breast augmentation is a surgical procedure designed to enhance or restore the size and shape of a woman's breasts, typically using implants filled with saline or silicone gel. The surgery is performed under anesthesia and can involve different incision techniques, depending on the desired outcome by the patient and Dr. Henry's recommendation. The procedure usually lasts about one to two hours, during which the implants are placed either under the breast tissue or beneath the chest muscle, allowing for a more natural look and feel.

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What to Consider

When considering breast implants, there are several important factors to take into account. Dr Henry always spends ample time with each patient ensuring they understand each decision and how it will affect their results. You and Dr. Henry will go over:

Size of Implant
Type of Implant
Placement of the Implant above or below the muscle
Incision site for Implant
Implant vs. Fat Transfer

Good Candidates

Healthy

At least 18 years old, fully developed, non-smoker, with minimal to no health issues

Loss of Breast Fullness

Loss of upper breast fullness is common following pregnancy, weight loss, or with normal aging

Desire for Larger Breasts

Implants are great for patients who desire more volume to their breasts

Breast Asymmetry

Implants may help correct volume asymmetries and improve overall body contour

Implant Size

Sizes can range from small (around 200cc) to large (over 800cc), allowing for personalized enhancement based on individual body proportions and desired aesthetics.

Factors such as the patient's height, weight, existing breast tissue, and lifestyle should be taken into account when selecting the appropriate size to ensure a balanced and natural appearance.

Ultimately, the goal is to achieve a look that aligns with the patient's expectations while maintaining both comfort and functionality.

Saline vs. Silicone Implants

Saline

Saline breast implants are filled with a sterile saltwater solution and are inserted empty, which allows for smaller incisions during surgery. They typically have a firmer feel compared to silicone implants and offer the advantage of being easily adjustable in size during the procedure. If a saline implant ruptures, it will deflate visibly and can be detected easily, prompting a straightforward replacement process.

Silicone

Silicone breast implants are pre-filled with a silicone gel that closely mimics the feel of natural breast tissue, providing a more natural appearance. These implants tend to be more popular for their soft texture and aesthetic appeal. However, if a silicone implant ruptures, it may not deflate immediately, making regular monitoring essential to detect any issues. This can sometimes lead to delayed intervention and replacement.

Implant Placement

Above the Muscle: When implants are placed above the muscle (subglandular placement), they are positioned directly beneath the breast tissue and above the pectoral muscle. This approach can provide a more rounded appearance and may result in less post-operative discomfort and shorter recovery time. However, it may also carry a higher risk of visible rippling and less natural movement.

Below the Muscle: Placing implants below the pectoral muscle (submuscular placement) involves positioning the implants underneath the muscle, which can provide a more natural look and feel, especially in women with less breast tissue. This method typically reduces the risk of visible rippling and may provide better coverage of the implant edges. However, the recovery may be longer and involve more discomfort initially due to muscle manipulation during surgery.

Choice of Incisions

Inframammary Fold

This incision is made in the crease beneath the breast. It is often preferred for its hidden placement, leading to minimal visible scarring. It allows for precise placement of the implant and is suitable for both saline and silicone implants.

Periareolar

This incision is made around the lower edge of the areola. It can provide good access for implant placement while camouflaging the scar in the natural color transition of the areola. However, it may pose a slightly higher risk for complications related to nipple sensation or breastfeeding.

Trans-Umbilical

This less common technique involves making an incision in the belly button. The implant is then inserted through a tunnel to the breast. While it results in no visible breast scars, it is limited to saline or smaller silicone implants.

Implants vs. Fat Transfer

Deciding between fat transfer to the breasts and breast implants involves several considerations, including personal goals, body type, and desired outcomes. Fat transfer utilizes liposuction to harvest fat from other areas of the body, which is then injected into the breasts. This method can provide a more natural feel and appearance, with minimal scarring, but typically offers less volume increase compared to implants. On the other hand, breast implants can provide more significant enhancement and are available in various sizes and shapes, allowing for a more customizable result. However, implants may come with a longer recovery time and potential for complications, such as capsular contracture.

Recovery and Expectations Following Surgery

Dr. Henry will be available every step of the way on each patient's surgical journey to ensure proper healing and provide support. Typically, patients can expect some swelling, bruising, and discomfort in the initial days post-surgery.
Dr. Henry recommends taking at least 1 week off work, longer for more physically demanding jobs. Light workouts can usually be resumed after 1-2 weeks, but more strenuous exercise should be avoided for about 4 to 6 weeks.

Patients are encouraged to wear a supportive bra and avoid lifting heavy objects during the early recovery phase to ensure optimal healing and results.
Dr Henry will give the patient breast exercises to perform multiple times per day to ensure best results. Patient's can expect their breasts to ride high on their chest initially, but they will drop into a more natural position after 4-6 weeks, and will take around 2-3 months for final results.
Dr Henry likes frequent follow-up appointments to monitor healing and address any concerns.

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