Each year over 300,000 women in the United States undergo breast augmentation. The surgery involves inserting saline or silicone breast implants under or in front of the chest muscle in order to increase the breast size. Beverly Hills breast augmentation is recommended to patients who are not satisfied with their size, who have lost breast volume as a result of pregnancy or nursing, or who want a fuller look both in and out of clothing.
This is a very helpful tool for determining size and helps you to visualize your results more accurately.
Breast augmentation can be a very satisfying procedure for women of all ages. Please call our office at 310-461-3855 to arrange a consultation in Beverly Hills with Dr. Bruno for more in depth information and a complete evaluation.
Breast Augmentation can help in the following ways:
Enlarge the breasts for an enhanced and balanced body shape.
Minimize the effects of pregnancy and nursing upon the breast.
Achieve better breast symmetry through the equalization of breast size (cup size) differences.
How is the procedure done and where is it performed?
Breast augmentation is usually performed at an outpatient surgery center under general anesthesia. The procedure is typically completed in one hour. There are several options for the incision to insert the implant. One technique makes use of an incision in the lower portion of the breast crease, also known as the inframammary fold. This incision can improve your ability to breast feed in the future and has a slightly lower incidence of capsular contracture (hard scar tissue). A less popular technique for breast augmentation consists in making an incision in the armpit, this approach can occasionally give the appearance that the implants are too far apart. Another approach requires that the incision be made around the areola (periareolar), which is the darker skin surrounding the nipple. Dr. Bruno will review the advantages and disadvantages of each incision and make recommendations based on your unique anatomy.
Where will the incision be located and how noticeable will the scar be?
The two most common approaches are through the lower border of the areola or in the breast crease, called inframammary fold. It’s difficult to determine if one incision is better than another for breast augmentation, since each patient’s anatomy and needs are slightly different. Both scars tend to heal quite well, especially with the help of silicone gels and silicone tape used after surgery. Dr.Bruno can evaluate you and determine which incision is best for you.
Are saline implants safer than silicone implants?
Both saline and silicone breast implants are safe and FDA approved. There have been thousands of studies performed on breast implants, especially silicone, and there are no health risks associated with either implant.
Do I have to replace my breast implants every 10 years?
No. You do not have to replace your breast implants unless you want to change the size or develop a complication such as a deflation or capsular contracture (scar tissue). If you do not have any problems with your implants you do not have to replace them.
What is capsular contracture and how can I avoid it?
Capsular contracture is the term for hard scar tissue that can form around breast implants. This occurs in about 10% of all patients who undergo breast augmentation. The implants can feel hard to the touch and may look asymmetric or distorted in severe cases.It happens more often with implants inserted through the areola and implants placed in front of the pectoral muscle. In addition to massaging your implants after surgery there are some medications Dr.Bruno can recommend to you to help reduce capsular contracture.
*Individual results may vary
VIEW THE BREAST AUGMENTATION GALLERY
Can I get mammograms after breast augmentation?
Yes. There is a special mammography protocol for women with breast implants. It is performed routinely at all outpatient imaging centers since so many Beverly Hills women now have breast implants.
Can I still breast feed after having breast augmentation?
Most Beverly Hills patients can still breast feed after having breast implants depending on the incision and the location of the implant. Dr.Bruno can discuss this in more detail during your consultation.
Where is the implant placed and which implant is best, saline or silicone?
During breast augmentation in Beverly Hills, Dr. Bruno carefully dissects the breast tissue in order to create a space under the breast tissue (subglandular) or beneath the chest wall muscle (subpectoral). Most breast implants are placed under or behind the pectoral muscle. Through the insertion of an implant behind each breast, a woman’s breast size can be increased by one or several bra cup sizes. There are two general categories of breast implants- saline and silicone. Saline implants are filled with a sterile saltwater solution. Silicone implants are made of a cohesive, thick gel and have been reapproved by the FDA in 2006. Many patients who undergo breast augmentation prefer silicone implants due to their very natural feel. The FDA now requires Beverly Hills patients to be at least 22 years of age to be eligible for silicone breast implants.
How can you tell if a silicone implant is ruptured?
The only definitive way to know if a silicone breast implant is ruptured is by way of a specialized imaging study called an MRI. The FDA recommends getting an MRI three years after surgery in order to evaluate the implant. A deflation or rupture with a saline implant is much easier to detect and does not require an MRI.
Are there different shapes of breast implants?
There are different shapes and surface textures of breast implants used during breast augmentation. The most commonly used implants have a smooth surface and a round shape. The anatomic or “tear drop” shaped implants have a tendency to rotate out of position which may require surgery to correct. Especially since most breast implants are placed in a subpectoral (under the muscle) location during a breast augmentation -round, smooth implants are preferred. There are also different “profiles” of implants such as high profile and moderate profile breast implants. Dr.Bruno will review these options in more detail during your consultation.
What is recovery like and how much time should I take off from work?
A surgical bra is provided after surgery, which is similar to a sports bra, and is worn for four weeks. This type of bra has no underwire and is much more comfortable during the immediate postoperative period. Pain medication and occasionally muscle relaxants are taken for a few days after surgery. Most patients can return to work and drive a car in about three days. There is typically one stitch that is removed one week after surgery. Beverly Hills patients are instructed to avoid heavy lifting or strenuous activity with their upper body for approximately four to six weeks after breast augmentation. Patients are instructed to massage their implants after breast augmentation as this helps reduce the formation of hard scar tissue (capsular contracture). The breast implants may at first appear high and firm to the touch for the first few weeks. By around the second or third month after Beverly Hills breast augmentation the implants will look and feel very natural.
Feel free to ask Dr. Bruno more details about the recovery process during your consultation or call our office in Beverly Hills at 310-461-3855 for more information.