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Introduction | FAQ | Before & After
Breast implants augmentation is a common procedure performed to enlarge small breasts. Dr.Shu will help you determine the most effective surgical approach following a thorough examination of your breasts, and he will explain the surgical procedure in a personalized fashion.
The type of implants used for breast augmentation varies depending on the patient. Silicone and saline implants are available for this procedure. Round implants ranging from low profile to high profile are commonly used. However, a consultation with your doctor is the best way to consider various factors to determine the best style of implants for your body.
Screening for breast cancer using mammography and other imagine tests are required prior to surgery. Preoperative instructions include the discontinuation of certain drugs in order to decrease the possibilities of bleeding. Prophylactic antibiotics are routinely prescribed to prevent postoperative infection. Breast implants surgery does not generally interfere with the ability to breast feed.
The surgery includes the pre-operative period, surgical procedure, and post-operative period. During the pre-operative period, the patient consults with his/her doctor to make final decisions about the surgery, such as the size or type of implants used. For the surgery, local anesthesia is used. After the surgery, the patient spends a short amount of time for recovery.
Recovery
Following the surgery, the patient must be taken home by a family member or friend who can care for them the first 24 hours. Soreness is expected, and discomfort can usually be controlled with medication. Any bruising or nipple burning sensations will fade after about two weeks, and stitches can be removed after 7 days. Swelling in the breasts may take 3 to 5 weeks to go away. Patients typically return to work within a few days after the procedure.
Site of Incision
There are four common sites of incision in the breast augmentation surgery: underneath your breasts (inframammary), around the nipple (periareolar), in the armpit (transaxillary) or through the belly button (TUBA or trans-umbilical breast augmentation). All these approaches have advantages and disadvantages.
The inframammary incision under the breast is the most common site of incision for the breast augmentation, the scar is usually hidden under the breast.
The disadvantages of the incision around the nipple include numbness, visible scar and difficulties with breastfeeding.
The TUBA technique can result in breast implants rupture during placement, undercorrection of certain breast asymmetries, incomplete control of shape, and bleeding. When properly performed in the experienced surgeon, it is an excellent scarless alternative to the other type of incisions.
The transaxillary approach hiddes the scars in the skin crease in the top of the armpit.
Implant size and volume
The common sizes of breast implants ranges from 300 – 450 ml. Choosing your desired size can be highly personal. You may use breast implants sizers to determine the size you want. Take the time to decide what you will be happy with so you don’t feel the need to undergo a second surgery.
Saline | Silicone | |
Material | No foreign body | Silicone |
Ruptures | Will know right away if implant ruptures | Need to get MRI to know if implant ruptures |
Replacement After Rupture | Easy to switch out or change if needed | Not as easy to switch out or change if needed |
Cost | Less expensive | More expensive |
Incision Size | One inch incision | Two inch incision |
Age Limitation | 18 years old and older | Must be 22 years old and older |
MRI Exams | No requirement | First time in 2 years, then every three years |
Rupture Risks | Approx. 1% per year | Approx. 1% per year |
Implants Feeling | May feel lower aspect of implant (very slight chance) | Less of a chance than saline to feel lower aspect of implant |
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