Breast Enhancement – Fort Worth, Texas
Breast augmentation, also called augmentation mammaplasty, is a surgical procedure that uses implants to change the size and shape of your breasts. Breast implants may be used to create fuller breasts or to restore volume caused by weight loss, pregnancy or aging. Breast implants can also be used to correct breast asymmetry and for reconstruction following breast cancer. Depending on your breast exam and your goals, a breast lift, or mastopexy, may be recommended in addition to your breast augmentation.
What kind of implant should I choose?
Saline and silicone breast implants are used in the United States for breast augmentation. Your preference for the type of implant, as well as your exam, will help determine which type of implant is used in your surgery. Dr. Kirby will assist you in making this decision.
- Saline implants are filled with sterile saline, a salty solution found naturally in the body. If these implants are ruptured, they deflate and the fluid is naturally absorbed by your body.
- Silicone implants are filled with a cohesive gel, which feels more natural. Silicone implants are not likely to collapse if ruptured.
- Shaped Gel implants, also called Natrelle 410, are highly cohesive and anatomically shaped silicone. These implants allow for shorter downtime and fewer complications.
Benefits of Shaped Gel include:
- Shorter time off from work and activities
- Reduced rate of capsular contracture
- Reduced rate of rippling
Where will my incisions be?
Several different incisions can be used to place your breast implants. The most common incision is called an inframammary incision, and it is made underneath the breast, along the breast fold. Implants can also be placed using an incision in your armpit (transaxillary), or along your areola (periareolar), the pigmented area surrounding your nipple. Under some circumstances, an incision is made in your belly button (umbilicus) to place breast implants.
What is my recovery from surgery like?
After surgery, you should expect to have some soreness, swelling, and possibly some temporary changes in sensation. You can expect to return to work within a few days to a week after your procedure, depending on your occupation. Soreness will likely last for a few weeks, though. You will be directed on scar massage techniques by Dr. Kirby when the timing is appropriate.
How long will my surgery last?
Breast augmentation, if performed alone, typically takes 1-2 hours. Breast augmentation may be performed in combination with a breast lift (mastopexy) for optimal results. Combination surgery will take longer.
Where will my implant be placed?
Breast implants can either be placed directly beneath your breast tissue, or underneath your chest wall pectoralis muscle. Most implants placed today are positioned underneath the muscle. Dr. Kirby will discuss recommendations for implant placement with you.
What kind of anesthesia will I have?
Breast augmentation is typically performed under general anesthesia for optimal comfort. It can also be done using intravenous sedation that gives you medication through an IV in your arm that makes you drowsy. Dr. Kirby will discuss these options with you so that the best choice can be made.
What are the risks?
Risks include capsular contracture, which may require surgery to release the scar, and/or removal of the implant. Implant rupture will result in implant removal and/or replacement. Other risks are bleeding, infection, malpositioning, skin rippling and permanently altered sensation in the nipple and/or other areas of the breast.
How do I prepare for surgery?
Prior to any procedure, it is necessary to review medications you are taking that may affect your surgery. You may be asked to stop or to adjust some medications you are on. As always, it is important to include supplements on your list of medications. Aspirin and aspirin products (Alka-Seltzer, Carisoprodol, Excedrin, Goody’s, Midol), anti-inflammatory medications (except acetaminophen, or Tylenol), and herbal supplements must be avoided for 10 days prior to your surgery. For more details about which medications and supplements to avoid, click here. Dr. Kirby will discuss your medications with you.
Depending on your medical condition, you may be asked to get lab testing or a medical checkup prior to your surgery. You may also be asked to have an updated mammogram prior to your surgery if you have not had one recently.
Tobacco products impair your body’s ability to heal. You will be asked to stop smoking for 6 weeks prior to any surgery. Tobacco step-down products such as chewing gum and Nicoderm continue to provide your body with tobacco and must be stopped as well. Please ask Dr. Kirby if you will need assistance with quitting.
Be sure to arrange for a responsible adult to drive you to and from your surgery. You will need someone to stay with you the night following your surgery as well.
You will receive specific instructions for your surgery day from Dr. Kirby’s office.