At Denver Breast, we understand that you have unique needs and goals for your breast augmentation. Dr. Broadway will help explain your breast augmentation options and help create a customized breast augmentation procedure plan to reach your desired goals.
Breast Augmentation has been the number one cosmetic surgery procedure since 2006. Breast augmentation or “augmentation mammoplasty” is the cosmetic surgery term to increase the size, alter the shape and texture of a woman’s breasts.
What A Breast Augmentation Will Not Do:
It’s important to note that breast augmentation will not correct severely drooping breasts. A breast lift may be required to help correct drooping in conjunction with a breast augmentation.
2 Main Things To Consider:
- Size – Are you hoping for a more robust difference or a more subtle change to enhance your breasts?
- Shape – Do you prefer a more rounded shape or are you hoping for a more natural curve and contour?
Basic Breast Anatomy:
Saline vs. Silicone
Silicone implants were used in 72%, and saline implants in 28% of all breast augmentations in 2013.
Saline and silicone breast implants both offer unique benefits. Deciding which one is best for you depends on your desired outcome.
Saline implants are filled with sterile salt water. Should the implant break, a saline implant will quickly deflate. Silicone implants however, will maintain their shape (not collapse) following a tear in the shell. Some individuals also prefer silicone implants because the gel will feel more like a natural breast.
Saline Implants Benefits:
- Less expensive
- Can be filled after insertion so incisions are smaller
Silicone (Gel) Implant Benefits:
- Look and feel more natural because they are made with a high cohesive gel designed to hold its form and are less likely to ripple
- Often a better choice for women with small natural breasts
Smooth Breast Implants
Smooth breast implants feel the softest and can move with the breast implant pocket. Smooth implants may show some visible rippling.
Textured Breast Implants
Textured breast implants allow for better adhering to the breast pocket, which makes them less likely to move around within the breast. Over an extended period of time, textured implants may maintain their position, and are less likely to move inferiorly and laterally as can be seen more commonly with smooth implants. Textured implants also have a smaller risk of capsular contracture.
Breast Implant Placement
Subglandular placement: Breast implants are placed under your breast tissue but above your pectoral muscles. This typically involves a shorter recovery period and results in a more noticeably round appearance. This is an option for women that have enough soft tissue coverage, however Dr. Broadway does not recommend this placement for women unless the patient is a female body builder.
Subpectoral placement: Breast implants are positioned partially behind the chest muscles with the lower portion of the breast implants under breast tissue. This placement tends to provide more subtle, natural-looking results, mammography is more reliable with this implant position, and the patient has a lower risk of capsular contracture.
You May Be A Good Candidate For Breast Augmentation If:
- You are physically healthy
- Have realistic expectations
- Your breasts are fully developed
- Think your breasts are too small
- Experience breast asymmetry
- Experienced a decrease in breast volume post pregnancy, weight loss or with aging.
Breast Augmentation Procedure:
Breast Augmentation surgery takes approximately 1 hour.
Inframammary Incision: Inframammary incision is made at the bottom of the breast and remains hidden in the fold. No breast tissue is cut. This is the most versatile incision and offers your surgeon the most control when placing implants. This incision option also offers easier access should any future surgery be needed. This incision usually heals with a thin “pencil-line” scar that hides within the breast fold.
Disadvantages: The incision in the fold under the breast can be irritated by your bra during healing.
Peri-Areolar Incision: Peri-areolar incision is made around the nipple. The incision makes it easier for your surgeon to correct any uneven appearance to the areola. The scar is well-hidden at the edge of the areola where skin color changes.
Disadvantages: The chance of losing nipple sensation is slightly higher (about 2-5%). Future breast-feeding difficulties will occur in 20% of patients. This incision also has a higher risk for capsular contracture.
Axillary: Axillary incision is made in the armpit, which prevents the scar from being readily visible.
Disadvantages: The risk of uneven placement of implants is higher (approx. 10-15%). Any future surgery would require additional incisions resulting in other scars. The recovery after placement with this incision is more uncomfortable.
Your breasts will be wrapped in gauze dressings and an elastic bandage or support bra to help minimize the swelling and support your breasts as they settle and heal. Make sure to follow your specific post surgical instructions.
Breast Augmentation Recovery
You will be tired and sore for a few days. The first week should be dedicated completely to recovery with very little activity. You will be given some stretching exercises, but should not do any activities that increase your heart rate. Most patients are able to return to work after a week.
Two to three weeks after surgery you will still experience sensitivity to direct physical contact so this should be kept to a minimum.
Over the next few weeks you can return to your normal routine. You may begin to resume more physical activity after four weeks. This includes any activity that increases the heart rate and blood pressure, and any heavy lifting over 20lbs.
Utilizing skillful surgical techniques and excellent post-operative care, Dr. Broadway will ensure minimal scarring.