Breast augmentation is one of the most popular and satisfying procedures in cosmetic surgery. It has undergone an evolution since its introduction thirty years ago.
The modern approach to breast augmentation, which is the technique we employ, is multidimensional and incorporates many different variables in attempting to create the ideal result. The main priority is the patient’s desires. This is determined only after a very thorough and detailed conversation about wishes for size, shape and contours. The examination requires detailed analysis of the chest size, the amount of breast tissue present, the elasticity of the skin, and the three dimensional appearance of the breast. By incorporating the patient’s wishes with the three dimensional analysis, a range of sizes of implants can be chosen that will create the desired result. The final decision is made in the operating room by examining the size, shape and slope of the breast implant from every angle. It is only after this meticulous process that the final result is achieved.
Breast augmentation can be performed through the nipple, the armpit, underneath the breast, or through the belly button. The implant can be placed under the muscle, above the muscle or in a “dual,” or double, plane. Implants can contain saline or silicone. Our preferred technique is insertion through the nipple or under the breast, with placement in a dual plane, using a silicone implant. The technique used will vary based on the individual and can only be determined after a full consultation.
Saline implants will provide a very aesthetically pleasing result.
In selected patients, silicone implants may be a superior choice. If you are considering getting silicone implants, you should be aware that the current guidelines require that you must be at least 22 years old. Also, current guidelines recommend screening MRI examinations every two years, which may not be covered by insurance.
Cosmetic surgeons undergo special training to use silicone implants. Make sure you consult with a surgeon who is up to date with the current guidelines.
This patient had 325 cc, high profile, silicone implants inserted under the muscle through an inframmary approach.