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Breast Augmentation

Breast Augmentation


Breast augmentation, also referred to as breast aug or boob job by patients, is a surgical procedure that uses breast implants to increase the size of your breasts. Placement of breast implants is also commonly performed to restore breast volume that was lost after weight reduction or pregnancy. Common reasons why patients seek breast augmentation:

  • Improve the proportions of the breasts to your body
  • Restoring the volume of your breasts lost due to breast feeding or age
  • Correcting breast asymmetry
  • Enhance your self-image and self-confidence

Dr. Derderian’s Goals for Breast Augmentation

In order to achieve a natural and aesthetically pleasing result the breast implants must be carefully selected for your surgery. The surgeon must ensure that the characteristics of your breast skin and breast tissue, chest wall shape and body type are considered when developing a plan to meet your goals.

Am I a Candidate for Breast Augmentation?

Patients who have specific goals for breast augmentation have the highest satisfaction rates. It is important to have specific and realistic goals for what breast augmentation can achieve. The best candidates for breast augmentation are healthy and do not smoke. Common reasons why patients undergo breast augmentation:

  • You feel that your breasts are too small
  • You are unhappy about your breasts losing their shape and volume after pregnancy, weight loss or with aging
  • You want the upper part of your breast to be more full
  • Your breasts are not evenly shaped or sized
  • One or both breasts failed to develop normally or have an unusual shape

What Happens at Consultation?

It is important that the patient have a clear idea of what improvements they want for their breast surgery augmentation. Dr. Derderian will perform a detailed history and physical exam with a focus on the breast and chest wall dimensions and breast tissue characteristics. He will then discuss how your anatomy impacts the decisions for implant selection and incisions to help you achieve your specific goals.

How is the Surgery Performed?

For most patients Dr. Derderian prefers the inframammary incision. This incision is place at the breast fold. Using this incision minimizes trauma to the breast tissue and it heals well and is well concealed. Other options for incisions are along the areolar edge (peri-areolar incision) and within the armpit (axillary incision). While some people offer a belly-button approach to breast augmentation, Dr. Derderian does not use this approach because it is associated with a higher complication rate. Incision selection varies somewhat based on the type of breast implant chosen, the degree of enlargement you desire and your anatomy.

In general, the basic steps of breast augmentation include developing a pocket for the implant to sit in. The pocket is either under the breast tissue only or under the chest muscle (pectoralis) and breast tissue (dual plane). Incisions are closed with dissolvable sutures and skin adhesive and surgical tape to reinforce the skin closure.

What is the Recovery Period?

After surgery a supportive surgical bra will be worn to minimize swelling and support the breasts. Patients go home on the day of surgery. Prescribed pain medicine is usually needed for 2-4 days. Patients can return to school or work in 7 days after surgery. It is best to wait for 2-3 weeks before starting to resume exercise to avoid a blood collection from developing around the implant.

WHEN IS THE FINAL RESULT APPRECIABLE?

The breasts are immediately larger right away, however it take a few weeks for the swelling to resolve and the result to be better appreciated. Incision lines typically take 4-6 months for the pink color to fade and 12-18 months for the scar to completely soften and the color to match the surrounding skin.

Breast implant replacement

Breast implants are not designed to last a lifetime, and they may need to be replaced if they rupture due to trauma or natural wear over years. Whether you have a breast augmentation or not, your breasts will continue to change due to aging, weight fluctuations, pregnancy, hormonal factors and gravity. As the appearance of their breasts changes with time, some patients have a breast lift or an implant exchange to restore a more youthful contour.

What does a Breast Augmentation Cost?

Cost include:
  • Anesthesia fees – cover the anesthesiologist, their staff and medications
  • Hospital or surgical facility costs – covers the operating room, staff and equipment
  • Implant cost
  • Surgeon’s fee

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