Breast augmentations are among the most popular cosmetic procedures year after year. A breast augmentation sometimes called a “breast aug” or “boob job,” can be performed to increase the size of the breast or restore breast volume lost due to weight loss or pregnancy and breastfeeding. In addition to altering the size, breast augmentations can achieve a more rounded shape as well as improved symmetry and proportions.
Breast augmentation is commonly referred to as a “breast aug” or “boob job” by patients or “augmentation mammaplasty.” It is a procedure designed to increase the size of the breasts, as well as offering a more rounded shape or improving size asymmetry if necessary. Breast augmentation is most achieved using either saline or silicone implants, but the procedure can also be performed using fat transfer.
Breast augmentation can be chosen to achieve a variety of aesthetic changes. These include increasing the fullness and projection of the breasts, improving the balance between the breasts and hips, and improving symmetry between the two breasts. In addition, many patients choose breast augmentation to improve their overall self-confidence.
In some cases, breast augmentation using implants may be performed for breast reconstruction after mastectomy or injury. Breast reconstruction has unique considerations compared to cosmetic breast augmentation, however, and implants are only one method of reconstructing the breasts.
Before undergoing breast augmentation, it is important to have realistic expectations and an understanding of what breast augmentation can accomplish. Notably, breast augmentation cannot correct drooping or sagging breasts. To reposition the breasts and correct sagging or drooping, a breast lift rather than augmentation is necessary. However, this procedure is often performed in combination with breast augmentation to create a fuller and more lifted appearance. Combining breast augmentation and a breast lift can typically be performed in a single surgery, but in some cases two operations are necessary. Dr. Rosenberg will advise a treatment plan that will be most effective in achieving your goals after a consultation.
After being placed under general anesthesia, Dr. Rosenberg will make an incision in one of three ways, depending on your goal results and needs. The incision may either be made around the areola (periareolar), along the fold under the breast (inframammary), or under the arm (transaxillary). Through this incision, the implant can be placed either directly behind the breast tissue in what is called a submammary or subglandular placement, or behind the pectoral muscle in a submuscular placement.
Before the breast augmentation procedure, you will need to decide what kind of implant you will receive. Breast implants are filled with either silicone or saline (saltwater,) which look and feel slightly different from one another. Silicone implants tend to feel more like natural breast tissue. However, if the implants are to leak, saline is naturally absorbed by the body, while silicone remains in the shell or breast implant pocket and needs to be removed surgically.
Choosing the size of your breast implants depends on your goal results and body proportions. During your consultation, you can “try on” several sizes of implants to see how they look and feel. Dr. Rosenberg will help you determine a size that is in proportion with your body and flattering to your features.
Candidates for breast augmentation are generally healthy nonsmokers. The best candidates:
After breast augmentation, most patients experience swelling, bruising, and soreness. Discomfort can be treated using medications that Dr. Rosenberg will prescribe. In the first few days after a breast augmentation, you should rest according to Dr. Rosenberg’s directions. Most patients return to work and non-strenuous activities around five to seven days after the procedure.
Are breast implants under warranty?
In general the breast implant themselves are guaranteed for your lifetime. See the specific implant manufacturer for details.
How do I know if my breast implant is leaking?
saline implants will deflate if they leak. They contain salt water which is harmless. Silicone implants have a small risk of leaking as well. If you suspect leaking contact your plastic surgeon. Often an MRI scan will detect a leak.
Can fat be transferred to breasts?
Fat can be transferred from an area of your body to the breast. Often the results can be less predictable than implants. Larger volumes can be difficult to achieve with fat grafting.
Does insurance cover breast implants?
Insurance does not usually cover breast implants unless this is for a congenital deformity or for reconstructive purposes.
How dangerous is breast augmentation surgery?
Breast augmentation surgery is commonly performed and is quite safe.
Is there an alternative to breast implants?
Fat grafting can in certain cases be an alternative to breast implants.
How much does a Breast Augmentation cost?
The cost of breast augmentation surgery varies due to many factors. These factors are the type of implant used, incision type, location of surgery, doctor, medical costs, and more. Most breast augmentation procedures range between $5000 to $10,000. Since it is a cosmetic procedure, most health insurance companies will not cover the cost of breast augmentation.
How do I prepare for a Breast Augmentation?
There are many things that need to be done in preparation for a breast augmentation. Many patients will need to take a blood test prior to their surgical procedure as well as adjust medications in case of complications. Smokers will be asked to stop smoking at least a month prior to their breast augmentation. Patients should also schedule someone to drive them to and from their surgery, as well as take care of them at home for the first 48 hours.
How do I sleep after getting a Breast Augmentation?
After breast augmentation, patients will feel sore. They should avoid bending, lifting, and straining their muscles as their breasts heal. Also, patients should sleep on the back or on the side in order to keep pressure off of the breasts.
Are breast implants safe?
Breast implants have been FDA-approved for use in augmentation surgeries. Breast implants have been used safely for decades. There is a risk of implant rupture, but this is rare and can be treated easily.
Can I breastfeed after a Breast Augmentation?
Breast implants do not affect the milk ducts or parts of the breast that produce milk. For this reason, women are still able to breastfeed with implants.
When can I wear a pushup or underwire bra after a Breast Augmentation?
Most patients can transition from the surgical compression bra to sports bras within 3 weeks of their surgery. Underwire and pushup bras can be worn after the implants have settled into position this takes about 2-3 months on average.
To find out more about the breast augmentation procedure and whether it is right for you, schedule a consultation with Dr. Rosenberg. Call the Plastic Surgery Center of Maryland at (410) 324-3071 or request your appointment online.