Breast Augmentation: What It Is, Types, Surgery & Recovery

Breast augmentation is a popular cosmetic procedure aimed at enhancing the size, shape, or fullness of the breasts. It can be performed for a variety of reasons, from aesthetic preferences to post-pregnancy changes or reconstructive surgery after a mastectomy. Whether you’re considering breast augmentation for cosmetic or medical reasons, understanding the different types, the surgery process, and the recovery steps involved is essential to making an informed decision.

What Is Breast Augmentation?

Breast augmentation, also known as breast enlargement or breast implants, involves surgically increasing the size or altering the shape of the breasts. This procedure is often sought to enhance breast size for women who feel their breasts are too small or uneven, or to restore volume lost due to pregnancy, weight loss, or aging.

The goal of breast augmentation is to help women feel more confident in their appearance and to improve the balance of their body proportions. In some cases, breast augmentation can also be performed for breast reconstruction after a mastectomy, helping women regain the natural look and feel of their breasts.

Types of Breast Implants

There are several types of implants used in breast augmentation. Each comes with its unique benefits, and the choice depends on the desired results, lifestyle, and medical advice. Here are the main types of breast implants:

1. Saline Implants

Saline implants are filled with a sterile saltwater solution. They come pre-filled or empty and are filled during surgery, which allows for more flexibility in adjusting the size. If a saline implant ruptures, the saline solution is safely absorbed by the body. However, saline implants tend to have a firmer feel than other types and may show rippling in the skin in some cases.

2. Silicone Implants

Silicone implants are filled with a thick, gel-like substance that closely mimics the natural feel of breast tissue. Many women prefer silicone implants for their natural appearance and feel. However, if a silicone implant ruptures, it may not be immediately noticeable, which is why regular check-ups with an MRI are recommended to monitor the implants. A newer type of silicone implant, “gummy bear” implants are filled with a cohesive gel that holds its shape even if the implant shell is broken. These implants are firmer than traditional silicone implants and offer a more natural contour. Because of their shape-retaining qualities, gummy bear implants are less likely to shift or ripple over time.

The Breast Augmentation Surgery Procedure

Breast augmentation surgery is typically performed under general anesthesia and can take 1-2 hours, depending on the complexity of the procedure. Here’s what you can expect during the surgery:

1. Incision Types for Breast Augmentation

The surgeon will create an incision in one of three common locations:

• Inframammary: Under the breast, where the scar is easily hidden.
• Periareolar: Around the edge of the areola (the dark area around the nipple).
• Transaxillary: In the armpit, avoiding any scars on the breast itself.

The choice of incision location will depend on the type of implant, your anatomy, and surgeon preference.

2. Implant Placement

After making the incision, the surgeon will create a pocket in the breast tissue. The implant can be placed either:

• Subglandular: Directly behind the breast tissue.
• Submuscular: Beneath the chest muscle (more common for a natural look and to reduce complications).
• Subfascial: the fascia is gently lifted over the muscle to create a space between the fascia and the muscle. An implant is then inserted between the muscle and the fascia.

3. Closing the Incision

Once the implants are in place, the surgeon will close the incisions with absorbable sutures. The skin will be carefully stitched to ensure minimal scarring.

Recovery After Breast Augmentation

While the breast augmentation procedure is typically straightforward, the recovery process is an essential part of ensuring a successful outcome. Here’s what to expect during recovery:

1. Immediate Post-Surgery Care

• Pain and Discomfort: You can expect some discomfort, swelling, and bruising after the surgery, which usually subsides within a few days. Pain medications will be prescribed to help manage any discomfort.
• Bandages: Your surgeon will place skin glue or tape directly on the incision and then you will be placed in a surgical bra or wrapped in bandage to support the breasts during healing and minimize swelling.

2. Rest and Restricted Activity

• Rest: Rest is essential in the first few days following surgery, and most women can resume light activities within a week or two. However, heavy lifting, strenuous exercise, and activities that could strain the chest area should be avoided for about 6 weeks.
• Follow-Up Appointments: You’ll have follow-up appointments with your surgeon to ensure proper healing and monitor any potential complications.

3. Swelling and Bruising

• Swelling and bruising are common after surgery, but it gradually improves within a few weeks. Your breasts may appear high or firm initially, but they will settle into a more natural position as the healing process progresses 

4. Scar Care

• While scars are inevitable, they can be minimized by following your surgeon’s aftercare instructions. Using silicone sheets or topical ointments, as recommended and once incision are healed, can help with scar healing. Over time, the scars will fade but may never disappear completely.

5. Long-Term Care

• Breast implants are not lifetime devices. Depending on the type of implant, they may need to be replaced if there are complications like rupture or capsular contracture. Regular check-ups and breast imaging are important to monitor the condition of the implants.

6. Cost of Breast Augmentation

• Breast Augmentation is not generally covered by insurance and the cost of the procedure varies depending on the type of implant chosen. If you would like to discuss cost or payment options in further detail please contact our office at 210-201-2806.

Conclusion

Breast augmentation is a life-changing procedure that offers women the opportunity to enhance their appearance and boost their confidence. With various implant options and surgical techniques available, it’s essential to consult with a qualified, experienced Board Certified Plastic surgeon to choose the right option for you. Understanding the procedure, recovery process, and potential risks will help ensure a smooth experience and a result that aligns with your goals. Always remember that your health and safety should be the top priority when considering breast augmentation.

Would you like more information about any specific part of the process, or need help finding a certified Plastic surgeon in your area? Let me know!