Breast Augmentation

DR. SHAUN PARSON PLASTIC SURGERY | SCOTTSDALE + PHOENIX, AZ

Breast augmentation surgery uses prosthetic implants to increase the size of a woman’s breast. This procedure is performed for a variety of reasons: enlarging breasts that have little or no tissue, enhancing the shape of the breast for a more feminine appearance, replacing breast volume that may have been lost after nursing or pregnancy, and correcting asymmetry that may have resulted from underdevelopment of one or both breasts.

 

Breast augmentation is the number one surgical procedure among plastic surgery patients and has one of the highest satisfaction rates among all operations. Most women are very satisfied with the results of having a breast augmentation and would recommend it for a friend or family member. In addition to restoring lost volume and creating a more youthful, feminine appearance, this procedure can have a very positive impact on a patient’s confidence and self-esteem.

 

There are a number of different incisions that can be used to perform a breast augmentation, as well different spaces within the breast to place the implant. There are several types of implants to choose from, which differ in size, shape, composition and profile. Dr. Parson understands and appreciates that not every patient is the same, so not every patient should receive the same exact method of surgery.

Breast Augmentation Implant Incisions | Dr. Shaun Parson Plastic Surgery Scottsdale, AZ

Breast Augmentation – Implant Incision Locations

Dr. Parson varies his incisional approach depending on each individual. Each plastic surgeon has their preferred method for incision, but not one way is correct all of the time. If a patient does not require a lift, there are generally three ways the surgeon can make the incision:

  • Trans-axillary (in the armpit)
  • Inframammary (in the crease at the bottom fold of the breast)
  • Areolar (in the pigmentation line of the areola and skin)

 

Each incision has its advantages and disadvantages. You and Dr. Parson will discuss all of these approaches and find the one that works best for you and your body.

FEATURED BREAST AUGMENTATION BEFORE / AFTER PHOTOS*

(Actual patient, Individual results may vary)

Breast Implant Types : Silicone or Saline

In the U.S. we have two types of implants available for use – saline and silicone. Saline implants have been available for use for several decades, while silicone implants were re-approved for general use by the FDA (Food and Drug Administration) in November of 2006. The FDA approved silicone implants after vigorous research and testing by independent panels of experts in the field. The FDA recommends that women be over the age of 22 to receive silicone implants, although they may be used at a younger age for reconstructive or symmetry purposes.

 

Silicone implants have different cohesive levels, the grading of which increases as the cohesive level increases. The most common cohesive levels are the Cohesive Level II and III. The “gummy bear” implants, which became available in the U.S. in May of 2013, are a Cohesive Level III, the firmest level.

 

Implants are measured in cc’s (cubic centimeters) of how much saline or silicone volume the implant contains. Size is one of the variables of breast implants.

Other variables that you will discuss with Dr. Shaun Parson at your consultation include:

  • Shape: implants can be round or teardrop shaped (this can have an effect on how the implants sit in the chest and where the volume is distributed).
  • Profile: implants can vary as to how much projection they have (this determines how far they “stick out”).
  • Diameter: implants can vary in the width of the base (this is important when you consider how wide a patient’s chest is and how much room you have to place the implant within each breast).
  • Texture: implants can have rough or a smooth outer shell.

 

It is preferred that women have completed growth and that their breasts have developed prior to undergoing breast augmentation for the best possible result. Therefore, breast augmentation may not be suitable for women under 18.

Breast Augmentation how long will it last

Getting The Best Breast Aug Results

Choosing the right size implant

Breast Implant Placement

There are two spaces in which to place the breast implant during breast augmentation surgery. The implant can be placed below the breast, but still remain on top of the pectoralis muscle. The second method is to place the implant beneath both the breast and the pectoralis muscle. There are reasons for performing the surgery both ways, but Dr. Parson tends to recommend the “below muscle” location for the majority of his patients.

Breast Augmentation Implant Placement | Dr. Shaun Parson Plastic Surgery Scottsdale, AZ

Breast Augmentation Placement Options

When the implant is placed above the muscle, it is less painful, and therefore, recovery is faster and the appearance of the implanted breast matures more quickly. This method is advantageous for bodybuilders, where contraction of the pectoralis muscle has no bearing on the appearance of the augmented breast.

 

When the implant is placed below the muscle, this lends itself to a more natural-appearing transition of the implant to the native breast, creating less of a “shelf-like” appearance. Although, there is more initial discomfort with this placement, advantages include a lower risk of visible rippling or wrinkling of the implant, decrease rate of scarring (capsular contracture) around the implant, and increased visibility during mammograms because of the technician’s ability to displace the implant from breast tissue.

FAQs About Breast Augmentation

Breast augmentation is a comprehensive procedure that can help women regain the youthful contours they desire. If you are unhappy with the appearance of your breasts and would like to learn more about breast augmentation, we invite you to check out frequently asked questions. Please also contact our office to schedule a consultation.

Am I a good candidate for a breast augmentation?

Patients who desire more volume and a fuller breast size would be the right candidate for a breast augmentation here in Scottsdale, Arizona.

Some of our patients have already had an augmentation in the past and are now looking to replace their current implants with a smaller or larger size. Sometimes they are looking to replace their current implants because of age and/or wanting to switch from saline to silicone or vice versa this is referred to as a breast revision procedure.

How long does it take to recover from a breast augmentation?

Most patients report feeling better after a couple of days. You will leave the surgery center, located in Scottsdale, Arizona with a surgical bra that you will need to wear for the next 3 weeks. You can begin to work out in 3 weeks and are fully recovered by 6 weeks.

How much pain should I expect?

Some patients choose to use a pain pump which is a medical device that is inserted into the body during surgery. It will automatically dispense numbing medication into the body until it is removed around 2-3 days after surgery. While pain tolerance is different from patient to patient, most people are able to manage their pain with over-the-counter pain medication (such as ibuprofen and/or acetaminophen) after the first few days.

Will I have permanent scars after a breast augmentation? What will they look like?

Any surgery will cause a certain amount of permanent scarring. Breast augmentation surgeries have different scars depending on the type of incision used and if a breast lift is done in conjunction with the augmentation surgery.

An endoscopic breast augmentation leaves a small incision hidden under the armpits. Some patients opt for an inframammary incision which leaves a small scar under the breasts. Another option is a periareolar incision which leaves a small scar around the areolas. 1 week after surgery with Dr. Parson we recommend all of our patients use a combination of micropore tape and pharmaceutical grade scar recovery gel for the best results possible.

When can I go back to work after having a breast augmentation?

This depends on the patient and the type of work they are returning to. Most people who can work from home or have a desk/office job can go back to work in about a week. Patients report feeling tired more quickly when they first head back to work. If the work is more physical in nature, they usually will wait about 3 weeks to return.

Should I wait until I am done having children to have a breast augmentation?

Pregnancy and breast feeding usually cause the breasts to increase in size. While the implants themselves will not be affected, there is normally excess skin and increased breast ptosis than before they had children.

What should I expect for the first week after having a breast augmentation with Dr. Parson and beyond?

48 hours after surgery, the patient can shower. They will need to wear their surgical bra 24/7 for the first 3 weeks. After the first week, the surgical tape on their incisions will be removed and the patient can change their tape and begin to use scar gel at home. At 3 weeks, the patient can begin to work out again. They can do light cardio but will need to wait to run or do upper-body weight-lifting exercises until 6 weeks after surgery.

How soon can I drive after a breast augmentation performed by Dr. Parson?

Patients need to be completely off any narcotics or muscle relaxers before they can begin to drive again. Usually after a week, patients are able to go back to driving themselves independently again.