Breast Augmentation, also called Mammoplasty, or BAM, involves the enhancement of a woman’s breasts with the use of implants or fat. Its goal is to fulfill a patient’s desire for fuller breasts or to restore breast volume. Many conditions can reduce the volume of the breasts, such as weight reduction, pregnancy, or simply the effects of aging.
Part of my Mommy Makeover program may include breast augmentation. Many women see a noticeable reduction in the size of their breasts after pregnancy, and especially after breast feeding has been completed. In addition, many women complain that their breasts have sagged excessively after a pregnancy. They may also need a breast lift. Both procedures may be necessary to fulfill the desires of the woman for the cosmetic appearance of her breasts.
Breast augmentation mammoplasty (BAM) can increase the fullness and the projection of the breasts from the chest wall. They can improve the balance of a woman’s figure by contouring the breasts in proportion with her hips. The procedure increases the volume of the breasts and helps in improving the woman’s cleavage. But probably the most important quality of breast augmentation is the enhancement of one’s self-image and self-confidence that a woman gets because of the way she looks after the procedure.
I, like most cosmetic surgeons, use implants to fill the breasts. The size of the implants depends on the patient’s desires for the fullness of her breasts. BAM is a highly individualized procedure, tailored to what the patient wants. It is a personal procedure that should be done for the patient and her wishes and not to fulfill someone else’s desires or to try to fit any sort of idealized image or person.
I also offer the new natural breast augmentation procedure. Here, fat is harvested from your body and can then be reinjected into the breasts to enhance the breasts. The downside of doing breast augmentation is that the fat injected does not last as long as implants. One may need several procedures over the years to keep the breasts full and perky. In addition, fat injected into the beasts may interfere with mammography. Nevertheless, some women prefer this technique and want me to do this for them.
BAM is a good option for women who have the following characteristics:
- In good health physically
- Have realistic expectations
- Breasts are fully developed
- Are dissatisfied with the volume of their breasts
- Are bothered by the feeling that their breasts are too small
- Possibly have one breast smaller than the other or have a different shape.
- Understand the limitations of the procedure.
If you fill any of the above characteristics, you may be a candidate for breast augmentation.
Breast implants come in many sizes, shapes and types. The two main types of implants available are either saline or silicone. Each has its own good and bad points and you can discuss these with me during a consultation. There are differences between then, risks and advantages of one over the other, and these should be discussed and evaluated to see if they meet with your expectations. You should choose the type based on your desires and wants.
Implant shapes vary too, and can either project out further from the chest or spread wider near the chest. The best way to find out what is the best choice for you is to see actual results of the procedure using the different types of implants. The size of the implants can vary tremendously too. I usually like to show pictures of patients that I have placed implants to show these variations. Again, you must choose based on what your ideal breast size should be so you can fulfill your dream of the breasts you desire.
There are potential risks with any surgery, and BAM has potential risks too. Each person must decide if the benefits of doing the procedure outweigh the potential risks or complications that may occur after the surgery. If you choose to proceed, you are with the millions of women who have BAM and conclude that the benefits of improved appearance of the breasts more than outweigh the potential risks or potential complications.
Some of the risks of BAM include the following:
- Infection – may require implant removal
- Bleeding – may result in a hematoma
- Poor healing – of the incisions
- Change in nipple sensations – either numbness or hypersensitivity; may be temporary but may be permanent.
- Capsular contracture – formation of scar tissue around the implant to make it feel hard
- Implant leakage or rupture – most manufacturers provide a warranty
- Wrinkling of the skin over the implant
- General Anesthesia risks – fluid overload, blood clots, DVTs, cardiac and pulmonary complications
- Possible revision surgery
- Possible replacement surgery of the implant.
Because I offer the Smart Breast Aug (Awake Breast Aug) procedure, many of the potential risks have been reduced or eliminated. I use tumescent anesthetics to numb the breasts, and this contains lidocaine and epinephrine. These have characteristics that decrease possible infections (lidocaine is bacteriostatic) and that decrease bleeding problems (epinephrine constricts the vessels). Because the procedure is performed while you’re awake, the potential complications from general anesthesia are avoided. Thus there is less risk of coagulation problems, such as blood clots and DVTs, less fluid overload, and less chance of cardiac or pulmonary complications.
There are also many myths about implants that should be clarified. First, implants do not cause autoimmune diseases as was once thought with silicone implants. This has been proven false and implants are considered very safe now, even the silicone variety. Second, implants to not cause cancer of the breasts. Multiple studies have documented that the incidence of breast cancer is the same whether an implant is present or not.
If you desire BAM and have considered the benefits and risks of the procedure, you should next make an appointment for a consultation with me regarding this procedure. It can be a life-changing present you give to yourself and be part of your Mommy Makeover. Call us at 817-399-TRUE (8783).