Breast Augmentation Frequently Asked Questions
Breast Augmentation Charlotte, NC
Breast augmentation is among the most commonly performed cosmetic surgery procedures in the world today. But it’s amazing how many people come to our office for a breast implant consultation and have been given very little information from other offices regarding the surgical procedure they are considering. Some doctors over book and simply don’t have the time to give full informational consultations to prospective patients. At Premier Plastic Surgery Center, our Charlotte plastic surgeon, Dr. Ferrari and team are committed to making time for our patients. We believe you should be provided with as much information as possible before deciding which procedure to undergo.
Women often seek to have the breast augmented to change the size or shape of the breast. During this procedure, either silicone or saline-filled implants are inserted either under the crease of the breast, around the nipple, or through the armpit. Your implants can be placed under the breast tissue or beneath the main chest (pectoral) muscle. After surgery, your breasts will appear fuller and shapelier. Incision scars will fade over time. We have listed frequently asked questions in order to provide you with information regarding breast augmentation.
Contact us today to schedule a visit with our Charlotte breast augmentation surgeon at Premier Plastic Surgery Center.
Over the years, Dr. Ferrari of Premier Plastic Surgery Center has perfected a breast augmentation procedure called “Quick Recovery Breast Augmentation”. When most surgeons perform breast augmentations, they typically utilize blunt trauma techniques to create the pocket which will accommodate the implant. As a result, there is bleeding and bruising of the tissues which causes more inflammation and therefore more pain.
Dr. Ferrari’s techniques start weeks before the surgery ever begins. First, we educate patients as to the nutritional supplements they can begin taking preoperatively to help their bodies heal faster.
Local anesthetics are injected after the patient is put to sleep, but before the surgery begins. This allows the surgery to be done with less intravenous medications which results in a decreased inflammatory response to the surgery which again, leads to less discomfort.
Dr. Ferrari performs the surgery without blunt trauma, but rather with careful and precise creation of the pockets for the implants with meticulous attention to stop any bleeding. Excess blood left in the pockets will cause more irritation of the tissues and lead to more inflammation and more soreness.
At the end of the procedure, local anesthesia is either sprayed into the pocket to assist with post-op discomfort (which lasts for a few hours) or, if you choose, a pain pump can be placed which gives pain relief for about 3 days.
These pain pumps use local anesthesia and do not cause sedation so you can be alert and have your pain controlled. As a result, many of our patients do not need to use any narcotic pain medications, thus avoiding the potential side effects of those drugs, and enjoying a quicker and more pleasant recovery.
We also encourage light activity to keep the muscles from becoming stiff and uncomfortable. A light compression ace wrap and bra are put onto your body after surgery to further reduce your post-operative swelling and tenderness. We encourage our patients to return to non-strenuous activity within 24 hours of their surgery. Most of our patients typically say that the procedure was much easier than they ever thought it would be and highly recommend it to other women. Their only regret is that they didn’t do it sooner so they could enjoy the benefits of their appearance longer!
When making this decision it is important that you consider your aesthetic goals and lifestyle.
Advantages of Under the Muscle (Submuscular) Implants
Disadvantages of Under the Muscle (Submuscular) Implants
In the 1990’s, there was some controversy as to the safety of silicone gel implants. The media portrayed silicone implants as toxic substances that were ruining women’s lives. Dow Corning decided on a $4 billion settlement instead of trying to fight the lawsuits. The FDA restricted first-time augmentation patients from getting silicone gel. However, what most people don’t realize is that the FDA did not completely ban silicone gel implants from the market. For example, if a woman had saline implants that rippled, she could get them exchanged for silicone implants; if a woman needed a breast lift along with augmentation, she could opt for silicone implants; and if a woman had breast cancer and needed reconstruction after mastectomy, she could choose silicone implants.
So, you must ask yourself; if the FDA thought silicone implants were dangerous, then why would they allow them in cancer patients? You should also ask yourself why the United States was the only country in the world to put a ban on silicone implants. The story is long and convoluted involving political and financial gain. In 2006, after the implant companies repeated all their safety studies for 10 years, the FDA re-approved silicone gel implants for women over 22 years old. They found no link between silicone implants and disease or cancer. Premier Plastic Surgery Center was one of the offices that was allowed to use silicone implants during the years they were “banned”. We submitted our data to the FDA which helped get the silicone implants re-approved for general use. Prior to 2006, about 35% of our patients chose silicone implants. Now, over 90% of our patients choose silicone because of the more natural look and feel.
Benefits of Silicone Implants
Benefits of Saline Implants
Disadvantages of Saline Implants
We use implants from Sientra, Mentor and Allergan. All of our implants come with lifetime warranties for no additional charge. In addition, if they leak in the first ten years, the implant company will pay you certain amount of money to help offset any fees you may incur to have them replaced. We also offer upgraded warranties that will increase the reimbursement level in the first ten years. Ask our staff for more details.
Some women report a temporary change in nipple sensation after augmentation because the sensory nerves have been stretched. The nerves may take 3-12 months to fully recover from the stretch injury. About 1-2% of women do not recover sensation because their nerves were stretched so far they ruptured or were not anatomically in the right place and we damaged at the time of surgery. There is no way to tell in advance if you are at risk of losing nipple sensation permanently.
Yes. If you choose to have your access incision in the underarm or at the bottom of the breast, then the breast should function normally. If you choose to have the incision around the nipple, then some of the ducts may get divided and there will be some decreased milk production, but that will not prevent you from being able to breast feed.
At Premier Plastic Surgery Center, the goal of our Charlotte breast augmentation doctor is to hide and minimize any scars from the plastic surgery we perform. There are three main locations for breast augmentation surgery, the underarm, bottom of the breast and around the areola.
Bottom of the Breast
Around the Areola
Whenever any synthetic device is implanted in someone, the body will form a scar tissue capsule around the object. The good news is that this scar tissue capsule can help hold the weight of the breast implant and thereby reduce the tendency to droop over time. However, in some women (for reasons we don’t fully understand), the scar tissue capsule can shrink and squeeze the implant. We call this a “capsular contracture”. If this occurs, the breast will feel firmer and the implant typically takes on the form of a sphere. The capsular contracture can also change the shape or position of the breast implant. Typically, the implants are displaced upward.
Factors that increase the risk of capsular contracture include trauma, bacterial infection, excessive blood or fluid (i.e. “hematoma” or “seroma”) in the breast pocket, smoking, and radiation.
To prevent capsular contractures, we use meticulous surgical technique to assure complete sterility and insure that there is no bleeding at the end of the case. We also use powder-free gloves, antibiotic irrigation, and a “no touch” technique (the implant never touches the skin or surgical drapes. It is either in its’ sterile container or we are inserting it in the patient. Only the surgeon touches the implant; never the scrub tech or nurse.) The “cleaner” the implant, the less likely a capsular contracture will form.
Also, patients with smooth implants are instructed on how to do proper breast massages to further minimize the chance of contracture. Vitamin E along with multivitamins has also been shown to be beneficial. Finally, textured implants may reduce the likelihood of capsular contractures, but some studies failed to show any benefit.
Breast augmentation recovery time can take a few days up to a few weeks. However, it should only take a few days until you are able to return back to your normal daily routines. Dr. Ferrari’s techniques at Premier Plastic Surgery Center ensure minimal discomfort after the procedure and throughout the recovery period so that you can return to normal life sooner.
Gummy bear implants are one of the options available for breast augmentation at Premier Plastic Surgery Center. The “gummy bear” term is a nickname for the teardrop-shaped, gel-based implants. They retain their shape better than other breast implants made of silicone and saline. Gummy bear implants keep their original shape even if the shell breaks due to their thicker gel. You may prefer these implants if you want more voluminous breasts without the extreme shape of saline and silicone implants. Gummy bear breast implants have silicone gel filling within a silicone shell. Compared to other silicone implants, gummy bear implants leave breasts much more naturally soft to the touch.
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