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Breast Augmentation

Breast Augmentation (Augmentation Mammaplasty) is about art, skill and experience. Dr. Harris understands this and will design a surgical plan that will help you achieve the results you desire.

Breast Augmentation is a highly individualized procedure and the best candidates for it are healthy women who are looking for:

  • Enhancement in the breast size and shape
  • Restoring breast volume following pregnancy: Having a family is a rewarding life choice. However, having children may take a major toll on women’s bodies (see mommy makeover). With Breast enhancement surgery it is possible for mothers to turn back the clock on these physical changes. Mothers no longer have to accept the changes that occur post pregnancy. Breast augmentation surgery can significantly restore the youth and beauty of the breasts, and when moms feel beautiful and confident they can focus on the joys and challenges of raising a family. For these women undergoing breast augmentation is an extremely rewarding choice.
  • Restoring breast volume after weight loss: Weight loss can also have an impact on the shape and size of the breasts. Those who are overweight reach their weight loss goals only to find new frustrations and challenges. Changes after weight loss can be extremely discouraging (see weight reduction procedures for men and women). Loss of volume and elasticity can be remedied with a breast augmentation and or breast lift surgery. Many women who undergo cosmetic surgery post weight loss feel that they can fully enjoy the reward that comes with reaching their weight loss goals.
  • Achieving better symmetry of disproportionate breast size or shape: The impact of disproportionate breast size can have a very negative impact on the way a woman feels about her body. We have options now and do not have to live with what we were born with.
  • Improving shape of sagging breast that may have lost firmness (see Breast Lift Procedure)
  • Breast Reconstruction using implants after breast cancer (mastectomy)
  • Improving appearance of breast that may be disfigured due to trauma, heredity or congenital abnormalities.

Silicone Implants

A consultation with board certified plastic surgeon, Dr. Harris is the first step in this process. The intent of the consultation is to provide thorough education about the surgery and types/sizes of implants available (saline or silicone), answer any questions you have and discuss your goals and expectations to help you make an informed decision. After your physical examination and discussion, Dr. Harris will devise a surgical plan specific to your needs that will yield the best results.

Breast Augmentation Procedure

Breast augmentation is an out patient procedure performed at the clinic under spinal anesthesia performed by a board certified anesthesiologist, this is the best type of anesthesia available and will help you control the postoperative discomfort.

Surgical time: 1-2 hours

During surgery, the breast tissue is raised to create an open pocket under the breast tissue or beneath the chest wall muscle. Inserting a Saline or Silicone gel filled implant behind each breast can increase a woman’s breast size by one or more bra cup sizes.

There are two options where the implant may be placed: the sub glandular (in front of the pectoral muscle) and the sub muscular (behind the pectoral muscle). Sub muscular placement increases the padding overlying the implant, offering more coverage and camouflage to the shape of the implant.

 

This is particularly helpful in women bearing very little or no breast tissue at all. Most women are candidates for the under the muscle approach.

There are 4 types of incision placement:

  1. Mammary Incision (also known as “under the breast” incision) is carefully placed at the natural fold of the breast, in most cases hiding the scar. This method allows for precise placement.
  2. Peri-areola Incision is made around the edge of the areola (the darker skin around the edge of the nipple). This approach is most favored by Dr Harris since the incision is barely visible with time and because it allows for precise placement of the implant.
  3. Auxiliary incision is made in one of the crease lines of the armpit. The scars may be more visible than the other approaches and the placement of the implants less precise.
  4. Umbilical (belly button) Incision is a technique that may be performed endoscopically using scopes and cameras for implant placement, or without endoscopic equipment for the subglandular placement Implant placement is not as precise as the Mammary Incision or the Peri-Areola incision. We do not recommend this technique as the results are less desirable.

Breast Augmentation Recovery

Patient will leave the surgery with a dressing in place followed by a post-surgical compression bra. You will experience moderate discomfort following the surgery that will be managed by prescription medication. Breasts will be swollen and bruised post surgery and may take about 1-2 months to settle. During these weeks, breasts may appear higher than normal but will settle and gradually lower over the course of 1-2 months into a more natural position. We recommend that you avoid any stretching or lifting during the first seven to ten days. Most patients return to work in a few short days. If your job involves excessive stretching and lifting, it is advised that you refrain from these activities until Dr. Harris gives you clearance. It is important that post operative instructions provided by the doctor are followed in a strict manner for optimal recovery and results.