Breast Augmentation (Implants)
- Enhancing smaller breasts
- Restoring breast volume from weight loss or pregnancy
- Correcting asymmetric, uneven shaped breasts
- Improving the shape and contour of sagging breast, this is usually combined with a breast lift or mastopexy
- Reconstruction after breast removal from cancer, trauma, or hereditary defects
- Sizes are based on width and projection (how much it expands the breast off the chest wall).
- Textures are either smooth or rough/textured surface.
- Shape is either round or anatomic (teardrop).
- Profiles are low, medium or high. Depends on the base diameter and projection.
- Fillers are either silicone or saline.
After extensive research, the FDA (U. S. Food and Drug Administration) has approved both saline and silicon filling substances for breast implants. Solid silicone rubber is used for the shell of the implant and it is either a smooth or textured covering. Before placement of breast implants, a woman’s breasts should be fully developed. Saline implants are approved by the FDA for woman at least 18 years of age, while silicone implants are approved for woman at least 22 years of age.
- Capsular contracture- The scar around the implant tightens, making the implant feel hard. The implant may move up higher on the chest. This can be treated in many ways but may require repeat surgery to “break” the scar tissue or remove the scar tissue or implant.
- Bleeding- As with any surgery, bleeding is a risk. This may form a blood collection called a hematoma and may require drainage. It is important to discuss any history of excessive bleeding or family history of bleeding.
- Nipple sensation change- Some woman experience increased sensation, decreased sensation, or loss of sensation. These symptoms may disappear in time but are occasionally permanent.
- Deflation- Leaking or rupture of the implant is possible.
- If the implant is saline, the salt water will be absorbed by your body and the breast appearance will decrease in size.
- If the implant is silicone, the silicone may stay within the shell of the implant or go into the capsule surrounding the implant. It may not be noticeable. For this reason, it is recommended you have annual follow-up with Dr. Stiller to assess the viability of the breast implant. This is a service free of charge for all those who undergo surgery. Also, screening with an MRI is recommended after 3 years.