Breast Augmentation Surgery
Breast Augmentation adds volume to the breasts with a breast implant to increase fullness and create better balance with the rest of your figure. Your clothing options with expand tremendously, and you’ll be comfortable wearing many types of clothing you’d be uncomfortable wearing before.
There are different types of breast implants available, and three different approaches for augmentation. The small incision can be placed under the breast, at the edge of the nipple-areola, or in a skin fold in the armpit.
There is no single best type of implant and approach for every augmentation. Breasts are extremely different, and different approaches give the best results in certain breasts.
Why Are Breasts Small?
Small breast size usually results from one of two causes:
- Lack of development of breast size during puberty.
- Loss of fullness following pregnancy.
- How Pregnancy Affects Breasts
During pregnancy, breast enlargement occurs and stretches the skin envelope of the breast. When pregnancy and nursing is over, the tissue within the breast involutes or shrinks, usually to a size smaller than it was originally. The skin, however, remains slightly stretched, and the smaller fill tissue falls to the bottom of the stretched skin envelope. The result is usually a breast with somewhat loose skin, with the breast tissue in the lower part of the breast, and an empty upper breast.
How Much Can The Breast Be Enlarged?
How much can a breast be enlarged depends on the degree of stretching of the skin envelope and your desire regarding breast size. For example, if you have never been pregnant, and have a very small A cup, your skin may be very tight. Dr. Kadesky can expand the skin during surgery if necessary to allow you to have virtually any size breast you’d like, without the breast appearing too large or unnatural.
New techniques allow very precise filling of specific areas of the breast which you might want to be fuller. For example, Dr. Kadesky can narrow the distance between the breasts and produce major fullness of cleavage, can increase fullness in the upper breast, in the outside of the breast, or all three, depending on your preference.
Reliability Of Implants
Breast implants are mechanical devices which are manufactured to extremely high standards, and we use only those implants which Dr. Kadesky feels are thoroughly tested. Some patients have had breast implants in place for over 30 years, but no one can specify the life of a breast implant. At some point you may choose or need to have it replaced.
How The Body Responds To Implants
When any implant is placed in your body, the body forms a lining or capsule around it. This capsule is similar in some ways to scar tissue and can shrink or contract. If it contracts markedly and squeezes on your implant, it can distort the implant or make the breast feel too firm. There are several techniques to decrease the likelihood of developing hardness, but so far the risk cannot be totally eliminated since it is the result of you normal healing mechanisms.
Can an Implant Break? And If So What Happens?
Very rarely, the outer shell of a breast implant can break. Usually, this is due to folds occurring with abrasion of the outer shell, and is more likely to occur following development of hardness due to capsule contracture. Your breast should never be squeezed in an attempt to correct hardness, as this risks breaking the implant. If an implant is ruptured, saline contained in the implant will drain from the implant and this poses no problem. If this occurs, we would do a mammogram, and if implant rupture can be confirmed, removal of the implant and be replaced with a new implant.
Using incisions (that heal almost invisibly) 1½ inch around the inner areola, saline implants are placed under your breast tissue and “pecs.” Saline is much safer than silicone (its only salt and water). The deep placement makes them feel and look very natural. Many women get a beautiful lift from the implants making breast lift surgery unnecessary. Recovery is fast (just a week or two). Many size changes are available from B to DD. Your breast size and shape are now under your control!