Breast augmentation remains one of the most commonly performed procedures in cosmetic plastic surgery. Breast augmentation is simply surgical enhancement of the breasts with the use of implants. Certain breast implants can also be used to improve the aesthetic shape of the breast. Breast augmentation provides the means to improve proportionality of the female figure. Implants can also improve symmetry between the breasts. Furthermore, breast augmentation can be used to treat certain congenital breast disorders with improper development of the breast, as well as restore fullness after pregnancy or weight loss.
What types of implants are used for breast augmentation?
There are three broad categories of implants: saline, silicone, and form-stable implants. There is no perfect implant for all patients. At your consultation, Dr. Coscia will talk about your specific concerns and goals, and discuss which type of implant might work best for you. One of the newest developments in breast implants are form-stable or shaped implants, sometimes referred to as “gummy bear” implants. They have the ability of maintaining the natural teardrop shape of the breast that can give proper aesthetic proportions to your breast. These implants are considered the next generation in breast augmentation. At your consultation, you will discuss all three types of implants and have an opportunity to touch them to examine the difference. Dr. Coscia will work with you to decide which product you should use.
How do I determine my implant size?
The approach to determining your implant size is multifaceted. How an implant fits and looks on one woman is very different from how it may look on another woman. Body shape, height, shoulder width, and personal perception all play a role.
Dr. Coscia will talk with you at length about your goals and expectations, and utilize that to subjectively gain an understanding of implant size. Also, during your consultation a physical exam will be performed with specific measurements taken of your breasts that will guide a range of implant selections. In addition, our staff utilizes the Mentor™ breast implant sizing system that allows you to try on measured silicone bra inserts and see a visual representation of different-sized implants. We also have new 3D imaging software that can give you a computer-generated estimation of your breast augmentation. Finally, during surgery temporary size-adjustable implants allow Dr. Coscia to see firsthand the augmentation prior to choosing your final implants. As you might expect, much attention is placed on arriving at the appropriate-sized implant to meet your desires.
What is involved with the breast augmentation procedure?
As with all of the cosmetic procedures performed at The Plastic Surgery Center, your procedure will be performed in our AAAASF certified surgical center. The two most common incisions used for breast augmentation involve a peri-areolar incision lying along the inferior border of the areolar or an inframammary fold incision lying within the crease under the breast. Dr. Coscia will talk with you about these options, and together you will decide what is best for you.
In addition, the vast majority of implants are placed sub-muscularly, underneath the pectoralis muscle. On occasion, there may be the need to place the implant in a sub-glandular position, lying on top of the muscle. All of these details will be discussed extensively during your consultation. Dr. Coscia takes great care to utilize very small incisions with all augmentations.
The procedure takes approximately 1-2 hours.
Most often, general anesthesia provided by a board certified anesthesiologist is utilized for breast augmentation. On occasion, IV sedation with the injection of local anesthetic may be used for a breast augmentation.
*What should I expect after surgery?
After surgery, you will be discharged home with a surgical bra. This bra will be worn for approximately six weeks for the purpose of allowing the implants to settle appropriately within your breast. Most patients typically take approximately a week off from work, at which time most of your discomfort should be very minimal. Dr. Coscia will also talk with you and provide written instructions describing postoperative restrictions to allow for your most optimal result.
I am interested. What do I do next?
If you are considering breast augmentation or have further questions about the procedure itself or the implants utilized for breast augmentation, contact The Plastic Surgery Center and set up a consultation with Dr. Coscia. He will talk through the procedure and details thoroughly, as well as walk you through before and after photos to give you a full understanding of the procedure and expectations. You may also view before and after photos here on this website.
*Individual results may vary