Breast Augmentation

A decision more and more women are making everyday is to have breast augmentation (a procedure to enhance the size of your breasts by using breast implants.

Breast implants are indicated for females for breast augmentation surgery where the patient is at least 18 years of age, and for reconstruction of the female breast.

By inserting breast implants, plastic surgeons are able to increase a woman’s bust line by one or more bra cup sizes. Advances in breast implant technology and surgical technique are making breast augmentation a popular option among women of all ages desiring a change in the way they look. The decision to undergo breast enlargement may result in a more flattering, better proportioned figure, more clothing options, and may enhance your confidence and self-esteem.

Breast augmentation offers a unique opportunity to scientifically “customize” the shape of the breast rather than just bra size. You may want to wear an outfit that reveals more cleavage, change your wardrobe style, or simply create the proper balance between your breasts and hips.

Many women have made the choice to create the shape they have always dreamed of through breast augmentation. Confident, sensual and beautiful-simply more of what you already are.

IMPLANT OPTIONS

Dr. Balderrama uses either saline or silicone cohesive gel implants from Mentor.

Each type of implant has its own unique set of benefits and shortcomings. The outer shell of both types of implants are made from solid silicone, and the distinction between a saline and silicone implant is based on material used to fill it.

Saline implants come deflated and are filled during surgery which allows for fine adjustments in size. When saline implants rupture, the saline in the implant is absorbed by the body with no ill effects other than deflation of the affected side. While the lack of significant side effects in the event of a rupture may seem to make saline an ideal implant filler, the feel and consistency is less natural than a silicone implant and may be more likely to thin and stretch the overlying skin.

The silicone in breast implants used currently are filled with a form of silicone referred to as cohesive gel. This means that the filling is more like a soft solid than a liquid and tends to stay together in the event of a rupture. The development of cohesive gel implants has prompted the FDA to approve them for wide spread use for augmentation in 2007. Silicone implants tend to be more natural feeling even with thin overlying tissue coverage. Silicone implants are prefilled and the exact size of the implant is chosen prior to surgery. Rupture of a silicone implant may go unnoticed since the breast will not deflate as seen with a saline implant. However, rupture of a silicone implant may stimulate an inflammatory response or progressive hardening of the breast from contracture of the capsule the body naturally forms around the implant.

lake havasu breast enlargement and augmentation
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INCISIONS USED IN AUGMENTATION

Dr. Balderrama uses several approaches for breast augmentation based on patient preference and choice of implant.

A Periareolar approach tends to leave a very fine scar particularly in patients with darker areolas. This is well suited to placement of saline implants, smaller silicone implants, and in conjunction with a breast lift.
An inframammary incision also tends to leave a fine scar, and can be made long enough to accomodate a large silicone implant. It is well hidden by the overhanging breast when sitting or standing. This incision can be irritated by a bra’s underwire.
Other incisions include axillary and umbilical incisions. These are best suited for saline implants that can be placed while still deflated. Here in Lake Havasu where the weather permits sleeveless tops for most of the year, the axillary scar can be potentially visible. Dr. Balderrama does not perform augmentations via the umbilical approach.

IMPLANT PLACEMENT

Regardless of which incision is used, the implant is placed under or over the pectoralis muscle.

Placement of the implant over the muscle (retromammary position) works best in women with more overlying breast tissue.  This position tends to give a more natural appearance to the breast and will achieve the appearance of a small lift.  There tends to be less pain associated with the surgery since the muscle layer is not disturbed, but  rippling of the implant may be more noticible particularly with saline implants.

Placement of the implant under the muscle (retromuscular or subpectoral position) is typically the position of choice in breast reconstruction or in women with minimal breast tissue or skin that has lost its elasticity.   Despite the name, only the  upper portion of the implant is covered by the muscle and risk of noticible rippling on the underside of the breast not covered by the muscle is the same as with implants placed in the retromammary position.  Women who lift weights will notice displacement of the implant with contracture of the pectoralis muscle.  Mammograms are easier to perform with the implant is this position, but an experienced mammographer can adequately visualize the breast regardless of placement.

lake havasu breast enlargement and augmentation

Beautiful Results