There is perhaps no plastic surgery procedure more personal or that holds more promise for enhancing a woman’s self-image than breast augmentation. Breast augmentation procedures offer not only cosmetic benefits, but health benefits as well.
Known as augmentation mammaplasty, breast augmentation allows women who are dissatisfied with their breast size to achieve a more personally pleasing dimension and shape. A breast augmentation is ideal for patients who want to restore breast size and fullness after pregnancy, breast feeding, or weight loss.
Breast Augmentation Fort Myers
Breast augmentation is consistently one of the most common plastic surgery procedures performed nationally and is also one of the most common procedures performed in Fort Myers by Dr. Garramone. Patients having breast augmentation are consistently some of the most satisfied patients in his practice.
Types of Breast Implants – Saline vs Silicone Gel Implants
One of the primary decisions to make prior to this procedure is the type of implant and size of the implant. Our Fort Myers Plastic Surgery Practice uses both saline and silicone gel breast implants. Silicone gel implants were approved by the FDA in late 2006 for use in patients desiring a breast augmentation. Prior to that, their use was limited only to reconstructive procedures in the United States. The advantage of these implants is that they feel more natural than saline. Silicone gel breast implants also tend to wrinkle and ripple less than saline implants. Our Fort Myers Plastic Surgery practice is now using silicone gel implants in the majority of our breast augmentation patients.
Breast Augmentation Surgery Procedure
The shape and size of a woman’s breasts prior to breast augmentation surgery will influence both the recommended treatment and the final results. During the procedure, a small incision may be made either under the breast, around a portion of the areola, or in the armpit. The breast implant is inserted either under the breast tissue but above the underlying pectoralis muscle – or under both the breast tissue and the muscle. The incision is discreetly closed with tiny sutures designed to be inconspicuous. The best surgical approach for the insertion of implants is determined during the patient’s consultation and depends on your preferences, your anatomy, and Dr. Garramone’s recommendation.
Depending on which procedure is utilized, breast augmentation is performed most often under sedation and local anesthesia on an outpatient basis. Regardless of the procedure, most women return to their usual activities, including work, within one week of the breast augmentation. Strenuous activities should be avoided for two to four weeks. Breast augmentation surgery can be combined with other procedures – most often body contouring procedures on the abdomen like a tummy tuck.
A breast reduction is related to a breast lift but the focus of the procedure is different. The main objective of the breast reduction is to reduce the size or volume of the breast and reduce the amount of skin covering the breast. The scars left behind may be quite similar after these two different procedures. The procedures may blend together in the patient who desires a breast lift but would like to be a little smaller as well.
Breast reduction, or reduction mammaplasty, can reduce a number of health-related complications that result from very large and heavy breasts, such as back and neck pain, as well as restricted lifestyles. A breast reduction may also be performed not for health issues, but to create more aesthetically pleasing breasts in proportion to the patient’s body. The key is the removal of excessive fatty tissue, breast tissue, and skin. This reduces the size of the breasts and makes them lighter and more youthful because the position of the nipple and areola are lifted as well.
A breast lift or breast reduction is normally performed as an outpatient procedure under sedation or, in some cases, under general anesthesia. Most patients usually return to their usual activities about a week or two after surgery, but should avoid strenuous sports and other activities for approximately three to four weeks.
Known as mastopexy, a breast lift reshapes the breast and raises the position of the nipple. This reduces or eliminates sagging, which may be caused by pregnancy, breast feeding, or simply gravity and age. This is a reshaping procedure and does not imply any change in volume. In some cases, a patient may want a volume increase as well as a shape change, and a breast implant may be used to accomplish the desired aesthetic result. With this combined procedure, an implant may be used not necessarily to increase size alone, but to provide shape, projection and fullness in the upper part of the breast where fullness is lacking. Typically, an incision is made to allow the removal of excess skin, while leaving as much breast tissue as possible. The nipple and areola are then repositioned to a more aesthetically appealing position on the breast to form an uplifted contour.
Breast reconstruction following the traumatic experience of breast removal (mastectomy) due to cancer or a similarly threatening disease is one of today’s most rewarding plastic surgery applications.
A number of procedures can be performed either immediately after a mastectomy, or after a short period of time has passed. The timing and type of the reconstruction is best determined by taking into consideration the desires of the patient and the surgical judgment of a plastic surgeon and the surgeon performing the mastectomy.
The most common technique combines tissue expansion and the subsequent insertion of an implant. The expander is positioned under the skin and is gradually filled with a saline solution, which incrementally stretches the skin to create the necessary pocket to accept the implant.
An alternative approach, flap reconstruction, involves the creation of a skin flap taken from other parts of the body, such as the back, abdomen or buttocks. The flap is composed of skin, underlying tissue, and muscle, and provides the pocket for the implant.
Depending on the magnitude of the surgery, patients can expect to stay in the hospital for two to five days post surgery, and the recovery period can extend up to several weeks.
Pregnancy, childbirth, and nursing take a toll both mentally and physically. For those mothers who want to restore or improve their post-pregnancy body, Dr. Garramone offers Mommy Makeovers. This option combines procedures such as tummy tuck and breast lift into a single-session surgery. Contact Dr. Garramone’s office for more information or view our Before and After Gallery by clicking on the icon.