May 3rd, 2017 by Soderstrom Skin Institute
Answering Your Questions About Breast Enhancement
J. Eric Lomax, MD and James M. Jeffries III, MD
There are many reasons why women may consider breast enhancement surgery. Factors such as weight gain/loss, illness, pregnancy, breastfeeding, irregular shape and size, sagging and cancer are just a few situations that can influence this decision.
According to the American Society of Plastic Surgeons, in 2014, more than 286,000 women decided to have breast enhancement surgery making it the #1 cosmetic surgical procedure in the country. Here are some of our most frequently asked questions:
Am I a good candidate for breast enhancement?
You should be in good physical health and have an honest discussion about your goals and expectations of this procedure with a board certified plastic surgeon.
Which size of implant is best for me?
Many patients will say, I’d like to be a C-cup”. But, after further discussion, we find that they just want their breasts to be more “in proportion” to the rest of their body. Implant size is a very personal choice. Much of the decision will depend on your body frame, height, weight, current breast volume and your overall cosmetic goals. Our cosmetic nurses have “sizers” to help you visualize your end result.
How can I get more cleavage?
We hear this question quite a bit, and it’s somewhat of a misconception. Increasing breast size is not what gives you cleavage. It’s actually determined more by the shape and width of your chest and how close your breasts are together. In other words, if your breasts are currently wide apart on your chest, an augmentation will increase fullness, but not cleavage.
What type of incision should I get?
Your incision location will be determined based on the type of implant, degree of enlargement desired and your anatomy. There are three possible incision sites for you to consider:
(1) Inframammary – in the fold beneath the breast
(2) Periareolar – around the areola
(3) Transaxillary – in the armpit
We discuss each option with you and help you make a decision that benefits your desired outcome.
What does subglandular mean?
Your implant can be placed subglandular (over the chest muscle and under breast gland tissue) or submuscular (under the chest muscle). Each patient has unique anatomic findings that can affect the decision to place the implant UNDER or OVER the muscle. The final decision will be based on implant type, implant size and your overall cosmetic goals.
Should I choose saline or silicone implants?
Saline implants are filled with sterile salt water and provide a uniform shape, firmness and feel. Silicone implants are filled with silicone gel and tend to feel softer and more like natural breast tissue. Over the years, there has been much discussion on the safety of silicone implants. Today, silicone implants are not only safe, but are now more popular than saline implants. Our cosmetic nurses will provide samples so you can feel the difference.
What are Gummy Bear implants?
The FDA recently approved a new “shaped gel” breast implant. These anatomically shaped implants also known as “gummy bear’ implants are designed to maintain a true shape that mirrors a women’s natural curves. The highly cohesive gel is thicker than traditional silicone gel implants and have more projection at the bottom and are tapered at the top. These new implants provide women another option and have been used for specific anatomic goals like breast reconstruction.
Do I need a breast lift?
Sagging can be a result of pregnancy, breast feeding or weight loss. As part of our consultation, we will review whether a breast lift is needed, in addition to an augmentation. Note: Standing in the mirror, if your nipple is lower than the natural crease beneath your breast, you might need a lift.
How long will I need to recover from the procedure?
Every patient is different. You will go through a period of swelling and bruising Some pain is expected, but can be controlled through medication. Most patients are able to return to work and light activities after a few days.* Heavy lifting and upper body workouts are not recommended for 4-6 weeks.* We have an follow-up program to help your recovery go as smoothly as possible.
To schedule a consultation with board certified plastic surgeons James M. Jeffries III, MD or J. Eric Lomax, MD, please call 309.690.6042.
*results may vary