Many women across the globe desire plump, sensuous breasts that complement their physique and individual beauty ideals. Those who have genetically small, deflated, or asymmetrical breasts can revitalize their confidence and enhance their silhouette with breast augmentation. Breast augmentation is a completely customizable procedure that can be tailored to each patient’s unique anatomy and aesthetic goals. Women who choose to undergo breast augmentation can enjoy the beautiful, natural-looking bustline of their dreams.
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Your Breast Augmentation Options
Silicone Gel Implants consist of an outer silicone shell that is filled with silicone gel. The dimensions and consistency of the gel implants come in many varieties so there is a silicone gel implant that is right for just about every patient. We utilize the Vectra XT 3D imaging system to allow you to see simulated results and work with your Restore SD Plastic Surgeon to find the implant best suited to your body.
Structured Saline Implants are the latest addition to the implant market and offers a natural feel without using silicone gel. The unique series of implant shells nestle together between two separate chambers that contain the saline. The structured saline implant uses traditional implant materials for the external and internal shells to control saline movement and support the edges to minimize collapse and wrinkling.
Saline Implants consist of an outer silicone shell that is filled with sterile salt water (saline). Saline implants have a long track record in plastic surgery and are requested patients based on personal preferences or prior experience with saline implants.
The incision location is chosen based on the patient’s preference and surgeon’s recommendation in order to achieve the best possible outcome. Incisions are placed in inconspicuous locations to minimize visible scarring. One of the following incision locations may be used:
The inframammary incision is along the breast crease, where the underside of the breast meets the skin of the upper abdominal area.
The periareolar incision goes around the lower half of the nipple-areolar complex.
Implant positioning will impact the final results of your breast augmentation. The ideal position will be determined by the patient’s aesthetic goals and surgeon’s expert guidance.
Under-the-muscle implant positioning places the upper part of the implant beneath the chest muscle. The lower part of the implant is beneath glandular breast tissue. This technique can provide a natural breast slope and a realistic breast appearance. It is ideal for thin patients with small amounts of natural breast tissue.
Over-the-muscle implant positioning places the implant beneath the glandular tissue and over the chest muscle. It gives a very natural appearance in women who have a moderate amount of breast tissue.
What Do You Desire?
You may choose breast augmentation because your breasts lack attractive fullness. Factors such as implant type, position, and profile will affect the size of your breasts and where the fullness occurs. Increasing the size of your breasts can restore the soft, feminine appearance you may be looking for.
Breasts that are too small for your frame can create unbalanced proportions. For women with curvier hips, small breasts can lead to a triangle-shaped body rather than the more desired hourglass shape. Enhancing your bustline can create subtle, attractive curves and improve the overall balance of your physique.
It’s common to have breasts that are slightly different sizes. Asymmetry is naturally occurring and is present in a significant number of women. Since we tailor all procedures to the patient, adjustments can be made to treat asymmetry and provide a more symmetrical and even breast appearance.
Deciding to undergo breast augmentation should be for personal reasons. Lacking confidence in the appearance of your body can have a negative impact on other areas of your life. Enhancing your physique rather than dramatically changing it can create the beauty and body you’ve always wanted while improving your confidence and comfort.
Things to Know
You will experience bruising and swelling around the breasts. Most patients return to work within one to two weeks of their procedure and can resume their regular exercise routine after four weeks. Patients will be required to wear a special support bra for several weeks during their recovery. Major swelling should subside within six weeks, but minor swelling can last for several months.
Breast augmentation uses thin, well-placed incisions designed to limit visible scarring. However, scar development varies based on the patient’s natural healing abilities. Scars take nine to 12 months to fully mature, and scar care with the Restore SD team will be an important part of recovery.
The price of breast augmentation varies between patients depending on the type of implant and technique used during your procedure. Factors such as surgical fees, facility fees, and anesthesia fees can all affect the ultimate cost of your breast augmentation. A detailed quote will be provided during your consultation.
Anesthesia prevents pain during your surgery, and oral pain medicine is used to prevent discomfort following your surgery. Most discomfort only lasts several days.
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“Dr. Gallus is amazing and I am so glad that I chose her to perform my breast augmentation surgery. She walked me through the process from start to finish and her staff was always attentive and available. I felt like she really understood me and wanted me to look fabulous! I am ecstatic about my results and have never felt better about the way I look. It was such a meaningful positive change for me and I can’t say enough great things about Dr. Gallus. I have given Dr. Gallus great reviews and have recommended her to my friends and family. I will be a customer for life and look forward to scheduling laser and facials with her down the road.”
- What happens at my breast augmentation consultation?
When you arrive at Restore SD Plastic Surgery to discuss breast augmentation, your Restore SD surgeon will perform a detailed examination as well as review your medical history and any medications you are taking. If you are over 40 years of age or have a strong family history of breast cancer, a recent mammogram will be requested. At your consultation, you will have photos taken with our VECTRA® 3D imaging system and discuss treatment areas and options while viewing your photos series. With our state-of-the-art Canfield software, potential surgical results can be viewed and adjustments can be made, helping you to visualize possible outcomes.
- Why should I choose Restore SD Plastic Surgery?
The surgeons at Restore SD Plastic Surgery have over a decade of experience with cosmetic and reconstructive surgery. DIn addition to being fully credentialed, we take the time to listen to your goals and partner with you to develop the best and safest surgical plan that will optimize your results and leave you looking and feeling your best.
- How do I choose a surgeon?
It is important to ask if your surgeon is board certified by the American Board of Plastic Surgery. As board-certified plastic surgeons at Restore SD, we have years of training and expertise in breast surgery that cannot be imitated by short courses and alternative certifications. Ensure that your surgeon is proficient in breast surgery and breast augmentation surgery in particular. The American Board of Plastic Surgery is one of 23 members of the American Board of Medical Specialties. These specialties represent the traditional core of fully trained specialists. Alternative boards have cropped up over the last several years to lend legitimacy to incompletely trained or poorly trained practitioners. Accept nothing less than a surgeon certified by the American Board of Plastic Surgery who preferably is a member of the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS).
- Why is it beneficial to be able to customize my breast augmentation?
Each woman’s body is built differently, and what looks attractive on one woman may not always translate to another body type. At Restore SD Plastic Surgery, we tailor each breast augmentation to suit the aesthetic needs and goals of every individual patient.
- What type of anesthesia is used during breast augmentation?
Breast augmentation is performed as an outpatient procedure under general anesthesia to ensure your comfort and safety.
- Can breast augmentation alone correct sagging breasts?
Breast augmentation may provide some correction to breasts with mild sagging. However, women with moderate to severe breast drooping should consider combining a breast lift with their augmentation. Breast lift surgery removes excess skin and helps shape the breast around the implant. Breast lift and breast augmentation can often be performed at the same time, but there are circumstances where they are best and most safely performed as two separate surgeries spaced three to six months apart.
- Can I get a breast lift if I have implants?
Yes! Breast lift surgery is a common breast enhancement procedure performed in conjunction with breast augmentation or sometimes long after having had implants placed. Depending on your skin elasticity and the size of your breast implants, you may find that the weight of the implants causes your breasts to sag more quickly. In many cases, the implant remains in an elevated position on the chest while the breast tissue droops below. In addition to a breast lift surgery, which will rebalance your breast tissues with the implants, some women choose to change the size of their implants. In women who are permanently removing their implants, breast lift surgery is a common procedure, as the implants can leave sagging, deflated breasts after removal.
- What happens if I get pregnant after a breast augmentation?
Pregnancy can significantly alter the shape and size of your breasts due to hormonal changes and weight changes. Your breasts may return to their pre-pregnancy state following surgery, or you may find yourself needing a second surgery to lift your breasts. Because of this unpredictability, we recommend postponing breast enhancement surgery if you have immediate plans to have children.
- Can I breastfeed after my breast augmentation?
Women who are currently pregnant or breastfeeding should not undergo breast augmentation surgery. Breast augmentation should not impact your ability to nurse in the future. However, you should remember that pregnancy and nursing can alter the results of your breast augmentation. We generally recommend waiting a period of nine to 12 months after stopping breastfeeding before undergoing breast augmentation.
- Do breast implants interfere with mammograms?
With a trained and experienced mammographer, breast implants won’t interfere with the quality of your mammograms. Also, multiple studies show that breast implants don’t increase your risk of developing breast cancer, nor do they prevent early detection. If you are over the age of 40, you should receive routine breast cancer screenings.
- How much time off work should I take after breast augmentation surgery?
Depending on your profession, you should expect to take one to two weeks off from work. You will not be able to drive while taking narcotic pain medication. You will need a ride home after having general anesthesia and have a friend or family member stay with you for the first night and a day or two, if possible.
- How do I minimize post-operative scarring after breast augmentation surgery?
Unfortunately, scarless surgery does not yet exist. Your Restore SD surgeons will educate you about scar management postoperatively. A surgical scar will take nine to 12 months to fully mature. Your scar will go through changes during the healing process, and your Restore SD team will help you manage this part of your recovery. This can consist of sun avoidance (no topless beaches for six to nine months!), scar massage, scar cream, and fractionated laser treatments.
- What should I do to prepare for breast augmentation surgery?
If you have close friends or relatives who have had breast augmentation surgery, start there! A personal story of their journey may guide you toward questions to ask your surgeon, and having someone with a shared experience is invaluable. Educate yourself by reading our procedure page and viewing our educational videos. Other sources of information include RealSelf and WebMd. And remember to wear a button down front opening shirt on the day of surgery so that your post-operative experience does not include wrestling a shirt over your head!
- I am a smoker. Can I have breast augmentation surgery?
At Restore SD Plastic surgery, we want to deliver safe, consistent, and reproducible results. Smoking tobacco or using any nicotine products has adverse effects on wound healing. Your risk of nipple loss, infection, and prolonged incision healing are much higher if you use nicotine. We recommend a nicotine-free period of eight weeks prior to surgery and at a minimum four weeks postoperatively. We have a simple urinary nicotine test that we complete in the office to help you on your journey to a safe and gratifying surgical experience with us.
- I have diabetes. What do I need to know about breast augmentation surgery?
If you have diabetes, it is important to work with your medical team to maintain an ideal HbA1C. Diabetes can increase your risk for prolonged wound healing and certain types of infections. Surgery can be safely performed but requires a coordinated effort from patients, surgeons, and medical doctors to attain outstanding results. There are some instances where your Restore SD surgeon may want to postpone surgery until your diabetes is under better control.
- How soon can I travel after having breast augmentation surgery?
Having surgery means a commitment to an appropriate recovery. We recommend scheduling your surgery at a time that allows enough time to recover and gradually return to your normal activities. Flying, driving long distances, or leaving the immediate area are not recommended until you have been cleared by your surgeon. If you have specific travel needs or require advice for emergency travel soon after a procedure, please let us know and we will be glad to discuss the details with you.
Dr. Katerina Gallus discusses breast augmentation basics including implant selection, choice of incisions, and implant pocket location.
Dr. Katerina Gallus discusses what to expect after breast augmentation surgery and how to optimize your recovery.