Breast Augmentation
Having fuller, more sensuous breasts is highly desirable, particularly by women with breasts that are naturally small or have lost volume over time. Breast augmentation is designed to enhance a woman’s figure by adding fullness to her breasts using implants. Saline or silicone implants are inserted through one of three carefully placed incisions to improve the projection of the bust and create a pleasing chest contour. Dr. Hotchandani, long standing member of the American Academy of Cosmetic Surgery, has been successfully performing breast augmentations and other cosmetic procedures since 2005, delivering beautiful results and optimal patient satisfaction.
Dr. Hotchandani will evaluate your condition and cosmetic objectives during a private consultation. He will devise a treatment plan that will address your concerns and anatomical needs. Ideal candidates for breast augmentation should be in good health and can relate to one or more of the following imperfections:
- Naturally small breasts
- Breasts that appear deflated
- Breast asymmetry
- Poor breast shape
Incision Location
All incisions are placed in inconspicuous locations so that they are easily concealed by undergarments and the natural contours of the body. Incisions may be created in the crease of the underarm (axillary), around the areola (periareolar), or under the breast (inframammary).
Implant Placement
Implants can be placed underneath the pectoral muscle (subpectoral) or beneath the glandular breast tissue (subglandular). Patients with minimal existing breast tissue may achieve a more natural breast slope can benefit from the subpectoral placement. Those who desire more prominent cleavage may consider subglandular placement.
Implant Type
Implants come in many shapes and sizes and are made of a silicone shell filled with saline or cohesive silicone gel. Silicone implants more accurately replicate the look and feel of natural breasts, and saline implants can be inserted through more incision locations. The type of breast implant that will be used depends on the patient’s aesthetic desires and expectations.
Breast augmentation is an outpatient procedure completed using general anesthesia at our private, cutting-edge surgical facility in Green Bay, WI. All breast augmentation patients must stay for observation for a short period after their surgery.
Recovery
It is common for patients to experience some bruising, swelling, and pain after breast augmentation surgery. Discomfort is often more severe for patients who opt for submuscular implant placement, but it should subside considerably within a few days. Over-the-counter or prescription medication can be taken to manage pain. Changes in sensation can also occur, but this is usually a temporary side effect. Applying ice packs, wearing the recommended support bra, and taking short walks as soon as you are able will promote circulation and healing.
*Results and patient experience may vary.
The breasts will appear noticeably larger and rounder immediately following your breast augmentation. The final results of the surgery will be revealed as the swelling goes down, and the implants settle. It takes a few months to heal from this procedure. Breast augmentation results are intended to last many years as long as no significant complications are experienced. The breasts will continue to change as a result of pregnancy, weight changes, genetics, and aging.
*Results and patient experience may vary.
Which implant size should I get?
The implant size and style used for your breast augmentation will be based on a thoughtful discussion between you and Dr. Hotchandani. Your personal preference and safety will be the top priority. Your current condition, usual activity level, skin quality, anatomical proportions (i.e., height, weight, chest, diameter), and other factors will be considered.
Should I choose submuscular or subglandular implant placement?
Submuscular placement produces a soft, natural-looking result for those with little breast tissue and may allow for more accurate mammograms. Some studies show that there is a reduced risk of capsular contracture (hardening of scar tissue surrounding the implant) with submuscular placement. When there is enough original breast tissue, and the skin has good elasticity, subglandular placement is best since that is where the breast tissue is naturally located. Today, radiology departments are proficient in performing thorough mammograms even with subglandular implants.
Should I get silicone or saline breast implants?
Saline implants can be filled after being inserted into the body, providing flexibility on surgical entry point and limiting scar length. Some argue that silicone implants have a more natural feel and could be most appropriate for patients who desire larger implants. They do, however, require a slightly longer incision and regular MRI scans to check for signs of implant failure. Dr. Hotchandani will discuss the pros and cons of each implant type at your consultation appointment.
How long after breast augmentation surgery can I resume exercising?
Every breast augmentation is personalized, so the recovery process varies from one case to another. The details of your recovery and all aftercare directions will be given to you before your scheduled procedure. In general, patients should refrain from strenuous exercise for six to eight weeks, and intimacy should be avoided for at least three weeks.