Breast Augmentation (Implants)

Breast Augmentation, or Augmentation Mammoplasty, is the most common cosmetic surgical procedure performed. It is a procedure that will increase the breast or bra size of an individual. Women generally consider breast augmentation for one of the following concerns:

  • 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
Whether you are looking for a subtle change or a dramatic difference, Breast Augmentation has become a very popular method for women to improve their self-image and confidence. It’s important to think about your expectations and discuss them thoroughly with Dr. Stiller. A complete understanding and explanation of what you are looking for is critical. Women who are seeking improvement, rather than perfection, are typically the best candidates for breast augmentation. Each woman is different and will have their own vision of what they want to achieve. Your consultation time with Dr. Stiller is the time for you to communicate your expectations and choose the best procedure for you.
There is a variety of implant sizes, textures, shapes, profiles and fillers. At your consultation you will have the opportunity to try on implants, see how they look with your body and experience how they feel. Dr. Stiller will help you choose the best implant for your body type.

  • 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.

This is your time to get to know Dr. Stiller and the staff at Linea. Be sure to convey your goals and expectations for the surgical procedure. Dr. Stiller will evaluate your medical health and explain the surgical technique of breast augmentation. All of your questions related to the procedure will be answered as thoroughly as possible. A breast examination will be performed assessing the quality of your skin and breast tissue. If you have breasts that sag, a breast lift may be Dr. Stiller’s recommendation. You will learn about the types of implants available and get to try the implants on. You will be measured to ensure the implant you choose will meet the expectations for the procedure. Dr. Stiller will go over the risks and potential complications of the Breast Augmentation and will explain the pre-operative and post-operative process.
Although Breast Augmentation is a planned and typically straightforward operation, all procedures carry some uncertainty and risks. Here is a list of some of the potential complications that could arise:

  • 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.
During your consultation an explanation of pre-operative and post-operative plan will be reviewed. You will be given a list of medication to avoid taking two weeks prior to the operation. A Linea staff member will contact you a few days before the surgery and notify you what time you are expected to arrive for your procedure and discuss any last minute details. At this time, you will be given an opportunity to ask any further questions. Continuing a healthy diet and exercise is very important prior to surgery. Smoking must be stopped two weeks prior to surgery.
Do not eat or drink eight hours before your surgery.  You should wear a button down or zipper front shirt and sneakers.  Do not wear sandals or slippers.  You will meet with a member of our staff to prepare for surgery.  Dr. Stiller will see you prior to your surgery to answer any final questions and meet family or friends.  You will meet with our anesthesia provider to discuss anesthesia.  For family or friends that accompany you, we have a lounge area to comfortably pass the time.  You will need someone to drive you home after the operation and stay with you the first 24 hours after the surgery is completed.
A Breast Augmentation can be performed with sedation or general anesthesia.
Following your surgery, you will have post-operative dressing and possibly a surgical bra. Generally, you can expect to feel tired and sore for a few days following the Breast Augmentation, but we want you walking immediately after the surgery. The majority of your discomfort can be controlled by prescribed pain medications. The gauze and dressing will be removed at your first post-operative visit by your surgeon. Stitches will be removed 10 days after the operation. It will take several weeks for the swelling in your breast to disappear.
Depending on what activity level your job requires, you should be able to get back to work in a few days. Your physician will direct you regarding resuming exercise and normal activity during your follow-up evaluations. Scars will initially be red but should fade over time. Avoid breast stimulation until the soreness of your breasts is gone, usually a few weeks.
Deciding to have a breast augmentation is a very personal matter. How do you feel with your new look? If it makes you feel like you wanted to and your goals have been met, then your surgery was successful. Keep in mind that it is very important to continue follow-ups as recommended by your surgeon. Mammograms should be continued for women of the appropriate age group. Remember to inform the mammogram technician that you have had a breast augmentation.

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Augmentation (Implants)


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