What is Breast Augmentation?
Breast Augmentation or breast enhancement is a surgical procedure to enlarge your breasts through the placement of breast implants. Having a breast augmentation will enlarge naturally small breasts and can restore breast volume lost after pregnancy, breastfeeding or significant weight loss. Having this surgery is designed to help improve one’s self-image and allow a woman to feel better about herself.
What Concerns Can Breast Enhancement Help Correct?
Ultimately, breast augmentation surgery can amplify a woman’s confidence in her body by correcting concerns such as:
- Small breast size.
- Asymmetry, one breast is noticeably larger than the other.
- Breast deflation or other changes due to weight loss or breastfeeding.
- Sagging or drooping.
- Reconstruction after breast cancer treatment.
Benefits of Breast Augmentation
Breast augmentation is a great option to boost self-confidence, make tops fit in a more flattering manner, as well as add balance to the body, overall. You will need to meet with Dr. Krummen for a consultation to determine the right type of implant as well as the appropriate volume of implant for your body. At your consultation, Dr. Krummen will address your personal goals, your health history, as well as everything you can expect during surgery and recovery afterwards.
candidates for Breast Enhancement Surgery
Many women express an interest in breast augmentation, but not all make excellent candidates for this procedure. There are several points of interest that are covered in the consultation visit for breast augmentation. These include a general health examination and medical history to confirm that a woman is in good health prior to surgery. Patients are encouraged to stop smoking well in advance of their procedure in order to maximize the tissue healing that needs to occur.
In addition to being in good physical health, emotional health is also an important consideration for women considering cosmetic surgery. The women who have reported the greatest satisfaction from their breast augmentation procedure are those who also reported feeling generally happy with their body beforehand. To enlarge the breasts is to add more beauty to the body, not to fix it.
Before & After Breast Augmentation Surgery
Types of Breast Implants
We offer several different types of implants, including the following:
Silicone Breast Implants
Silicone breast implants feel a bit more real due to the silicone gel. The molecules within the implant form a cohesive matrix, allowing it to flow differently than other implants, giving the feel of natural breast tissue. If your implant ruptures, the gel may remain in the implant shell or leak into the breast implant pocket. The benefit to silicone implants is that in the event of a rupture, it will not collapse.
Saline Breast Implants
Saline breast implants are filled with sterile salt water. The silicone shell is first inserted into the body and then filled to the desired volume with the saline solution. If the implant ruptures, the solution will leak out of the shell reabsorb naturally into the body.
Form-Stable Breast Implants
Form-Stable Implants contain a silicone gel. The implant is thicker at the bottom and tapers off towards the top, this is to mimic the look of natural breast shape. The consistency of the silicone gel is thicker than the other implants which cause the implant to be more firm and maintain its shape.
breast augmentation procedure
Breast augmentation is a process that involves far more planning than execution. Most of the work that we do together is completed before the day of surgery. This includes choosing which implants are desired, sizing, and the right approach to surgery to achieve the desired outcome. Breast augmentation surgery is actually only about 10% of the total process.
On the day of surgery, the patient arrives at the facility an hour or two prior to the surgery time. This allows for time to administer medication and prepare the surgical site. Patients are able to relax in a comfortable pre-surgery area while they wait for their final consultation with Dr. Krummen just before surgery.
Breast augmentation is performed under general anesthesia. The anesthesiologist may initially administer IV medication to achieve deep relaxation before transitioning to a general anesthesia technique. Patients are closely monitored with sophisticated equipment and the watchful eye of the anesthesiologist throughout the entire procedure.
When full sleep has occurred, the skin around the breasts is cleansed with antiseptic, and the surgical area is draped to maintain a sterile field. In addition to the general anesthetic that facilitates a comfortable surgery, a local anesthetic is also administered into the breast tissue to further improve initial recovery.
Incisions are made as discussed during the pre-surgery consultation, and implants are inserted into the pocket that is made either behind the chest muscle or in front of the pectoralis but behind the breast tissue. Once breast implants are in place, they are assessed for symmetry. Incisions are closed using dissolvable sutures, and the chest is tightly wrapped with post-surgical dressing.
Results of Breast Enhancement
*Individual results may vary
Breast Augmentation Recovery
Initial recovery takes place in a quiet, post-surgical area. Patients may remain here for 30 minutes to an hour while the effects of general anesthesia subside. Most patients describe this time as quite relaxing, with a sensation of pressure noticed in the chest occurring as awareness increases. Prescription pain medication increases comfort significantly.
Common sensations after breast augmentation surgery include:
- Pressure and mild discomfort in the breast area
- Breast swelling
- Small blood-spots on the dressing placed over the breasts
- Constipation (side effect from pain medication)
do implants need to be replaced?
The FDA does not present breast implants as lifetime fixtures. There may come a time when implants need to be replaced or removed. Women are encouraged to obtain mammography screening as recommended by their physician. The purpose of more frequent mammograms is to monitor the condition of breast implants so leaks or rupture do not go undetected.
The longevity of breast implants varies from patient to patient. In some cases, replacement is needed within a few years. Sometimes, implants are still structurally and physically intact 20+ years after the initial surgery. As the body ages, implants will shift, and may even wear down, leading to a desire for replacement.
What are the risks of breast augmentation?
General surgical risks include:
- Visible scarring
Breast augmentation also carries a risk of:
- Implant rupture or leakage
- Diminished nipple or breast sensation
- Internal scar tissue around the implant (capsular contracture)