Debora Ma, MD - Blue Aspen Plastic Surgery

Breast Augmentation

Breast augmentation is a common outpatient procedure that enlarges a woman's breasts. Common reasons for seeking breast augmentation are to enlarge naturally small breasts, to regain breast volume after pregnancy or weight loss or to balance asymmetrical breasts. Dr. Ma has an excellent ability to create natural, fuller breasts that enhance and beautifully balance a woman's body. She will work with you to create beautifully natural looking breasts in keeping with your image of yourself.

During your consultation, you will discuss with Dr. Ma your expectations. We ask that you bring 3-4 images of the breast size you have in mind. The best way to communicate your vision of your new breasts is with images. Dr. Ma will use these images to determine your implant size.

During your consultation, you will also choose the type of implant you wish to have: silicone versus saline. Silicone implants have been approved by the FDA. The silicone implants on the market today are significantly improved compared to those of the past. There are 4 differences between silicone and saline implants:
  • Feel: silicone implants feel more natural, and this difference is more obvious in small breasted women.
  • Incision size: 2-3 cm for a saline implant, 5-7 cm for a silicone implant.
  • Cost: silicone implants cost twice as much as saline implants.
  • Monitoring for rupture: if a saline implant ruptures, it is obvious due to deflation. If a silicone implant ruptures, there may be no symptoms or physical findings. The only way to determine if a silicone implant has ruptured is by MRI. If you choose to have a silicone implant, you must be convinced that a ruptured silicone implant will not be harmful.

The breast augmentation procedure

Breast augmentation is done as an outpatient procedure in a surgicenter. The procedure lasts about 1 hour. Typically, the implants are placed behind the pectoralis muscle through a small incision under your breast. You will awaken with a small waterproof dressing over your incision and you will be wearing a bra. You will feel pressure on your chest, but you will not be in significant pain. You will be able to shower at any time after surgery.

Typically, pain medication is taken for 5-7 days after surgery. The recovery involves 7-10 days of rest and gentle activity. You are functional around the house, but your overall activity level is lower than normal. You may need assistance with child care and regular daily activities involving lifting. You will need to refrain from lifting for about 2-4 weeks.

Who is not a candidate for breast augmentation:

  • Smokers: due to the significantly increased risk of would healing and infection in smokers, this elective procedure is not done on smokers. For smokers who wish to have breast augmentation, we require that you refrain from smoking for 8 weeks prior to and 8 weeks after your procedure.
  • Under age 21: breast augmentation can be done when you reach 21 years of age.

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