Breast Augmentation

Breast augmentation using breast implants can give a woman a more proportional shape and may improve their self-esteem.  Women may choose to undergo breast augmentation surgery for a variety of reasons including changes in breast size and shape following pregnancy, weight loss, age or they feel their breasts have always been underdeveloped or unequal in size.  Whatever your personal reasons, breast augmentation surgery is the most popular way to improve breast shape and size, restoring self-esteem and that youthful appearance.  Good candidates are patients who are bothered by the feeling that their breasts are too small leading to poor fitting clothes and swimsuits.  This can be something you have always had or noticed after weight loss or having children. 

In evaluating you for breast augmentation surgery, Dr. Dedo will conduct a routine and painless examination of your body structure, the size, shape and position of your breasts, the underlying muscle structure, skin thickness, texture, and skin elasticity.  Combing this information with the desired results you share with the doctor, a personalized treatment plan will be developed just for you.  Dr. Dedo will explain the surgical technique and implant type that he feels is best for you that will produce the results you desire at the lowest risk.

There are many considerations and options regarding breast augmentation surgery, each of which you will want to discuss during your consultation with Dr. Dedo.  The first decision many women are faced with is what size breasts do I really want?  Second if deciding the surgical approach and implant placement  procedure that is right for you.  Should my implants be placed above the muscle or below the muscle? In both cases the implant is behind the mammary glands and the breast tissue. The difference is that sometimes the implant is placed in front of the Pectorals Major chest muscle, and other times it is placed behind it. Your individual body type, current amount of existing breast tissue, and the look you desire will help you determine which position is best for you.  If you have very little breast tissue, you will most likely want to "go behind the muscle."  If you have some breast tissue, you will have more of a choice between above and below the muscle depending on how often you exercise.  There is a slightly greater chance of capsular contracture, or implant hardening, when the implant is placed in front of the muscle.  If you have some breast tissue and a "saggy" or "droopy" breast, you will likely want to go above the muscle.

WHAT TYPE OF BREAST IMPLANT IS RIGHT FOR ME

Breast implants can be smooth or textured, saline or silicone, and round or anatomical (“tear-drop” shape).  Each style of implant has been designed to produce a slightly different result.  To help you understand which style may be best for you a listing of the Pros and Cons of each style is shown below:

Smooth Breast Implants vs. Textured Breast Implants

Smooth Breast Implants

(+) PROS – As a rule, regardless of any other consideration, smooth implants wrinkle less than textured implants.  Thus, if the implant is going to be placed above the muscle, a smooth implant most likely will be best for you.  The exception to this is if you have a previous history of capsular contracture (hardening of the breast tissue around the implant) with saline implants.  When this is the case, textured implants may be better indicated for you.  This is a consideration you will obviously discuss with Dr. Dedo.(-) CONS- Smooth silicone implants have a higher rate of capsular contracture than do textured silicone implants (Approximately 34% vs. 15% respectively, according to some studies).  In terms of saline implants, studies have shown the rate of capsular contracture to be about the same (approximately 8% to 14%, according to some studies) regardless if the saline implant is smooth or textured.

Textured Breast Implants

(+) PROS – There has historically been a lower rate of capsular contracture for silicone, textured implants than for smooth silicone implants.

(-) CONS – Textured implants generally wrinkle more than smooth implants.

Saline Breast Implants vs. Silicone Breast Implants

Since 1992, when silicone breast implants were taken off of the American market, the vast majority of breast implants have been saline (salt water).  This water is exactly the same as you would be given through an I.V. if you were dehydrated and is generally not going to be harmful to the body.  Silicone implants have been reintroduced to the American market, however, these implants are only appropriate for patients that meet specific criteria.

Saline Breast Implants

(+) PROS – Less perceived risks. No auto-immune disease controversy. Lower rate of capsular contracture than with silicone implants.

(-) CONS – Feel. Saline implants do not have the same consistency as normal breast tissue. Silicone gel implants have a consistency very similar to normal breast tissue.

Silicone Breast Implants

(+) PROS – Feel. Silicone almost always looks and feels more natural than any saline implants.

(-) CONS – Perceived and perhaps real risks of adverse reactions to silicone gel by the body. A higher rate of capsular contracture than with saline implants.

Round Breast Implants vs. Anatomical Breast Implants

Round Breast Implants

(+) PROS- Round implants consistently provide the most natural look and feel with the least potential complications.  The orientation of implant during the procedure is not critical.(-) CONS- None

Anatomical (tear-drop) Breast Implants

(+) PROS- Anatomical implants were developed to provide a contour more like the natural shape of the breast itself. (-) CONS – The implant must be textured so it will adhere to the breast tissue, preventing the implant from rotating in the body. This concern with “directional orientation” results from the fact that if the implant does rotate, the upper portion of it could end up inappropriately positioned outward or inward. Loss of orientation of the implant over time may require a revision procedure to correct the issue.

Standard Breast Implants vs. High Profile Breast Implants

Introduced to the market in Fall, 2001, the High Profile (HP) implant claims to give the highest projection per base width, within the US market.  It is available in both Saline and Silicone-filled and Textured and Smooth versions. (+) PROS – The High Profile implant has the same projection height as an implant that is a fraction of the volume of a Round implant.  In a nutshell, if placed side by side, a High Profile implant will extend off of the breast plate further than a similar volume and base diameter Round implant would.  Also, a Smooth Saline High Profile implant is designed to resist wrinkling compared to a similar Round Smooth Saline implant.

(-) CONS – Saline High Profile implants have an anterior diaphragm valve that limits the implant to just a single fill performed at the time of the implant procedure.

Important decisions – many options

As you have likely come to realize, making the decision to have a breast augmentation procedure is just the beginning.  Many important decisions are required to ensure the results you desire are achieved; a free consultation with Dr. Dedo has been designed to make this as simple and reassuring as possible.  There will be plenty of time to answer your questions and address all of your concerns.  Surgery is done in our accredited surgical suite and patients are sent home the same day.  Frequent follow-up visits and guidance ensure your recovery goes smoothly. 

Breast Augmentation Gallery