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Breast Augmentation Arizona

Quite likely, you, like most woman feel entitled to attractive youthful-looking breasts. When nature leaves you underendowed; if the shape of your breasts is less than pleasing; if pregnancy or weight loss has left them depleted of their former volume and saggy, you can now turn to the cosmetic breast surgeon for reliable help. With today’s safe, effective surgical techniques and superb implant devices, we can achieve the look that you want with the minimum of discomfort and recovery time. It is no wonder that breast augmentation Phoenix by means of implant placement is the most popular cosmetic surgery both here and abroad with the highest patient satisfaction.

At Peoria Cosmetic Surgery, when it comes to breast implant surgery as with all our procedures, we go to great lengths to give you the best possible result, one with which you will be delighted.

What Exactly is Breast Augmentation Mesa With Implant Placement?

Breast augmentation Tucson is a surgical procedure where implants, specially shaped devices made of safe, durable, non-reactive materials are placed under the breasts directly or under chest wall muscle under the breast to enhance their size and improve their shape.

What Types of Breast Implants Are There?

Currently there are now three basic types of implants approved by the FDA for use in the US: saline, silicone gel and form stable highly cohesive silicone gel. All are safe, durable and natural feeling.    

Saline implants

Saline implants have a silicone polymer shell and are filled in the operating room with sterile normal saline (salt water). They are slightly heavier than silicone gel implants and somewhat firmer, yet have a very nice look and feel when implanted under the breast. Their surface can be either textured or smooth and they come in a variety of profiles (how far they project out from the chest wall), moderate, moderate plus, high, and ultra high. The higher profile implants, those that project the farthest from the chest are usually more suitable for the smaller woman or those who want a more aggressive look. 

Silicone gel implants

Silicone gel implants have a similar silicone polymer shell as do the saline implants but are prefilled with a cohesive silicone gel.  They are wonderfully natural feeling and easily conform to the shape of the breast when implanted.  Similar to the saline implants, their shells may be textured or smooth and also come in a variety of sizes (measured in cc’s) and projections.  They also may be round or tear drop shaped.  In our practice, we prefer the smooth round ones.  This implant is probably the most common implant used worldwide and is certainly our “go to” implant.  Silicone gel implants are more expensive than saline ones.

Highly Cohesive Silicone Gel Implant — Memory Shape or Form Stable Implants

In the last few years a third type of breast implant has become available for use in this country—the form stable or highly cohesive silicone gel implant.  Sometimes known as the “gummy bear” implant because of the consistency of the silicone inside, it is slightly firmer than either the saline filled or silicone gel implants, anatomically shaped and always textured. These implants come in a variety of heights, widths, and projections. 

Due to their highly cross-linked cohesive gel inside, the form staple implant is able to maintain its shape when implanted causing the breast to conform to its shape rather than the other way around as occurs with the other two types of implants.  The result is a very natural athletic look with a sloped upper pole of the breast in contrast to the more rounded look of the silicone gel and saline implants.  The results with this implant are very long lasting. For those that prefer this, and meet the specific criteria for these implants, the form stable device can be an ideal choice. 

Studies to date indicate that the form stable implant has the lowest rate of capsular contracture, a complication of breast implants (discussed below), and the lowest rate of implant rupture of any type of breast implant. They are modestly more expensive than the silicone gel implants.

 

Where Are the Incisions Made to Introduce the Implants?

There are four common places to make the incisions through which to introduce the implants: in the fold under the breast where it joins the chest wall (inframammary fold), through the skin of the armpit (transaxillary), through the edge of the darker circle of skin that surrounds the nipple (periareolar), and through the belly button (transumbiical).  Though the most common incision used in this country (and in our practice) is the inframammary, for most women any of them can work quite well.  Each approach has its advantages and disadvantages and in certain situations a particular incision may be a better choice. If the surgery is properly performed, they heal with barely noticeable scars, no matter where they are placed.  (Note: Only saline implants can be placed through a belly button incision.)

Where Do The Breast Implants Sit: Under the Muscle Or Under the Breast & Over the Muscle?

In the United States, the majority of breast implants are placed under the chest wall muscle, the pectoralis (a subpectoral placement).  In Europe most implants are placed over the pectoralis muscle directly under the breast (subglandular or submammary placement).   Placing the implant under the muscle reduces the chances for any visible rippling of the implant, particularly important in very thin women. As well there is less of a tendency under the muscle for capsular contracture (discussed below).  However, subpectoral placement has a somewhat more a painful recovery and the implants can move noticeably during exercise when the pectoralis muscles are contracted, something that does not occur when the implants are placed subglandularly.   Although, by and large, we favor subpectoral placement, there are definitely times when the implants are better off placed above the muscle, directly under the breast.

What Type of Anesthesia is used for Breast Augmentation Chandler?

Although many surgeons use general anesthesia for breast augmentation Peoria, we prefer local tumescent anesthesia with conscious sedation (twilight sleep).  Prior to starting the surgery, we infiltrate the breasts with a dilute solution of local anesthetic containing epinephrine.  The local anesthesia provides a largely pain free operating field and the epinephrine in the solution substantially reduces bleeding and bruising during and after the procedure. The conscious sedation used in concert with the local anesthesia works synergistically to eliminate all patient discomfort during and memory of the procedure.  It is exceedingly safe, affords a quick recovery from the anesthesia with very little post-operative nausea and vomiting.

What Size Of Implant is Best for Me?

Choosing the right size implant is paramount to patient satisfaction. Many women have a good idea of how big they want to be or how they want their breasts to look.  Ultimately, the size of the implant is limited by width of your breast and your chest.  Smaller women may opt to choose a high profile implant, one with more projection giving sufficient breast augmentation Gilbert while staying within their physical limitations.  During the consultation process and the pre operative visit, we take the necessary time to ensure that you obtain the size and look you want.

What is the Recovery Time for Breast Augmentation? When Can I Return to Normal Activities?

Although you will be up and around, able to perform most of you activities of daily living the day after surgery, you will be quite sore for about a week.  If you work or go to school, you should plan to take about a week off to adequately recover.  Most patients can return to light cardio exercise within two weeks after surgery and more vigorous exercise a month to six weeks afterwards.

 How Long Before I See the Final Result?

Although most of the swelling and any bruising after surgery is gone within a couple of weeks after surgery, the implants can take up to three months to settle into their final position and the breasts to take on their final shape.

What are the Complications of Breast Augmentation?

As with any surgery, infection, bleeding (hematoma), and abnormal scarring can occur.  Fortunately, all these are rare.  The most common complication with breast augmentation Scottsdale is a condition known as capsular contracture.  Whenever a breast implant is placed either above or below the muscle, nature forms a thin capsule of fibrous tissue around it within the first few months.  Normally, this capsule is thinner than tissue paper, fits loosely around the implant and doesn’t cause any problems.  However, perhaps as often as 5-10% of the time, for reasons that are unknown, the capsule thickens and tightens around implant, making it feel hard and distorting its appearance.  With more advanced cases of capsular contracture, the breasts can become painful. 

In the early stages of capsular contracture, when the implants just start to feel firm, oral medications can reverse the process and restore the breasts to their normal shape and feel.  More often, the only way to treat this condition is to surgically remove the capsule and the implants and replace them with new ones. The frequency of capsular contracture increases as the years pass.  There is a lower incidence of this condition when the implants are placed under the muscle rather than over it.

Uncommonly, implants can fail and rupture.  When a saline implant ruptures it deflates quickly with the saline inside being rapidly absorbed by the body.  Consequently, deflation of a saline implant is very noticeable right away.  However, when a silicone gel or form stable silicone gel implant ruptures, it does so very slowly and unnoticeably, eventually causing a capsular contracture.  Often the only way to discover a gel implant rupture is by a MR scan.  For this reason the manufacturers of these implants recommend a MR scan 2 years after breast augmentation Tempe, and then at 3 year intervals. A ruptured implant requires revision surgery to replace it.

Other complications of breast augmentation Glendale surgery include: rippling of the implants particularly in the upper pole of the breasts  (more common with saline implants), uneven size of the breasts after augmentation, uneven height of the nipples, change in sensation of the nipples, enlargement of the areola, inability to breast feed, and dissatisfaction with the size of the implants selected. 

Do Breast Implants Have to Be Replaced at Regular Intervals?

If your implants feel and look good, there is no need to replace them; they can last for decades. However these devices are not considered permanent and once you have breast implants you can expect to have more surgery sometime in future. 

Do Breast Implants Interfere with Mammograms?

No. Most mammography centers today are quite experienced in taking proper mammograms and interpreting them in those patients with breast implants.

Do Implant Manufacturers Offer Warranties on their Devices?

We use implants manufactured and distributed by Mentor Worldwide LLC, now a subsidiary of Johnson & Johnson.  For a small additional price, they warrant their implants for a variety of problems such as implant failure, rupture, and capsular contracture for up to ten years after their initial placement.  

 

Interested in breast augmentation?

Call 623 876 9494 to schedule a complimentary consultation.