Year after year, breast augmentation is the first or second most popular cosmetic surgery in the United States. Breast size, for many women, is directly tied to their self-image. If a woman has lived her life with breasts she feels are either too small or uneven in size, there is no longer any stigma attached to increasing the size of those breasts through augmentation.
It’s a big decision, and not to be taken lightly. Beyond opting to have augmentation, Dr. Trovato’s patients also need to make other decisions such as implant type, size, and incision location. Of course, Dr. Trovato will help you through all of these decisions.
Things to consider during your consultation
When initially considering augmentation, Dr. Trovato tries to make sure the patient has realistic expectations. After all, larger breasts won’t solve all of a person’s problems and make a new you. But enhanced breasts can really elevate a woman’s self confidence and body image. Dr. Trovato tries to give every patient as much information as possible about the procedure and the options available. Then, he helps with your decision making.
Saline or silicone?
You will decide between saline or silicone implants. Saline implants require a smaller incision because they are filled once in place. Also, if they rupture, the saline solution is simply absorbed by the body. Silicone implants are thought to feel much closer to natural breast tissue. However, if they rupture, the silicone will need to be removed from the pocket where the implant was placed. A newer option, gummy bear implants, consists of thicker gel (think gummy bear) and is in a teardrop shape. If these implants rupture, the thicker gel usually stays within the implant.
Incision, incision, incision
Implants can be placed through a variety of incision locations. You will choose between incisions in the armpit, at the base of the areola, or in the crease on the underside of the breast. Obviously, incisions made in the vertical crease of the armpit leave no scarring on the breasts.
Above or below?
Beyond the incision location, you’ll also need to decide if you’d like the implants placed beneath or atop the chest muscle. Implants placed beneath the muscle have a lower risk of capsular contracture, where scar tissue forms around the implant leading to a tightening sensation. This location will also lead to fewer issues during mammograms. The other option is to place the implant under the breast tissue, but on top of the chest muscle. This generally makes for an easier recovery after surgery.
How will I recover from a breast augmentation surgery?
Breast augmentation patients usually feel sore and tired for a day or two after their procedure. Your stitches are removed after one week, roughly the same time most patients return to work.
During recovery, you may experience some post-operative sensations, such as pain, sensitivity and swelling, but this will quickly fade over the first couple of weeks after surgery.
What complications can you expect from a breast augmentation surgery?
Breast augmentations are generally very safe, but with any surgery complications can occur. In this case, complications may include infection around the implant, swelling and pain, altered nipple sensation, capsular contracture, and leakage of the implant.