Breast augmentation is a surgical procedure for women who are dissatisfied with their breast size, shape, or symmetry. Synthetic implants can be placed within the breasts to increase size and address any aesthetic concerns patients may have with their breasts. Fat transfer breast augmentation allows patients to combine the body contouring effects of liposuction with the advantages of a natural, implant-less breast augmentation.
Breast augmentation offers many benefits, including:
• Restoring volume lost because of pregnancy and breastfeeding
• Increasing breast size for those unhappy with their current size
• Adding symmetry to the breasts
• Balancing body proportions
Recovery and Results
Unlike breast implant augmentation, fat transfer breast augmentation does not create much discomfort in the breasts. Swelling, bruising and tenderness are common side effects that mostly diminish in the first couple of weeks. Compression dressings will be placed around the liposuction sites, although compression will need to be avoided on the breasts while the body responds to the fat transfer.
Results will be noticeable immediately, both for the fat transfer and liposuction. Swelling can distort results and proportions, so it may take several months for final results to become fully apparent as swelling continues to subside. The body will absorb a portion of the transferred fat, so breasts may appear larger than expected at first and gradually shrink to the desired size. Patients can expect to retain 50 to 80 percent of the added volume.
Breast Implant Procedure
Many options exist for those interested in undergoing breast augmentation, including the placement of the implant, the site of the incision and the synthetic implant used. Breast augmentation can also be performed alongside a breast lift for those seeking complete breast restoration.
Breast augmentation is performed under general anesthesia and as an outpatient procedure, allowing patients to return home the same day as their surgery. After the incision is made in the predetermined location, a pocket is created either above or beneath the pectoral muscle. The implant is then put into place and filled or adjusted before closing the incision. The procedure lasts about one to two hours.
Breast Implant Options
The two main breast implant choices available for patients are silicone and saline implants. Both options are safe and provide satisfying results. Saline implants contain a nontoxic saltwater solution that can be filled and adjusted to each patient’s desired size. Silicone implants come in different sizes and are made of a thicker gel-like substance that feels more natural than saline implants. Both implant options are constructed with a silicone shell and share the same minimal risk of rupturing, although neither option will cause any damage to the body should a rupture occur.
Alongside varying sizes, implants also come in different shapes and textures. The shape of the implants may be round for an increase in size that yields greater cleavage, or teardrop-shaped for results that appear more anatomically natural. Dr. Everett and Dr. Shokrian will discuss all available options with you.
Breast Implant Placement
Breast implants can be placed either under the muscle (submuscular) or just under the skin (subglandular). Submuscular implants have the benefit of feeling more natural but may require a longer and more uncomfortable recovery period. Most doctors recommended submuscular implants for the best results, but both options will be considered when deciding what is best for your body and your goals.
The incision sites for the implants can be located in three different areas: under the breast fold (inframammary), around the nipple (periareolar) or in the armpit (axillary). All three options allow for scars that are inconspicuous and will not distract from your new breasts. Dr. Everett and Dr. Shokrian will discuss each option with you and make a recommendation depending on the varying factors of your breast augmentation.
Breast Augmentation Recovery
Full recovery from breast augmentation can take two to three months, but results are immediate. Most patients can return to work in about one week, although strenuous activities and exercise should be avoided for four to six weeks. You will need to wear tight and supportive bras for the first couple of months as swelling subsides and your implants settle into position. Bruising and tenderness is a normal side effect of breast augmentation surgery but gradually fades in the weeks immediately following the procedure.
Dr. Shokrian will discuss a post-treatment plan with you before your surgery so you can plan accordingly and ensure your body receives the care and attention it needs while you recover.
Q&A with Dr.Shokrian
Which type of breast augmentation is better?
Both options have their advantages and can provide transformative results. The choice is ultimately up to you. Fat transfer breast augmentation has the benefit of avoiding incisions in the breasts but requires an appropriate amount of fat to be liposuctioned for transferring. Breast implants can add a large amount of volume at once but do not allow for the same level of flexibility as a fat transfer breast augmentation. We will go over both procedures with you during your initial consultation and help you make an informed decision.
Can I shower after my breast implant augmentation?
You should refrain from showering for the first 24 hours, as you will need to keep your compression dressing on for that long. Once you remove your compression dressing, you are free to shower and begin wearing supportive bras. Submerging in still water, including pools, hot tubs and baths, should be avoided until your incisions have healed over completely in about two to three weeks.
What kind of bra will I need to wear following surgery?
Push-up bras and underwire bras should be avoided for about six weeks as your implants settle and incisions heal. These types of bras may damage your incision sites and affect the shape and position of your new implants. You should refrain from purchasing new and expensive bras during this time. Your breast size immediately following surgery will continue to change as swelling subsides over the span of two to three months.
If you had fat transfer breast augmentation, you will need to do the opposite. Compression garments and tight bras can harm the newly-transplanted fat cells and affect results. We will go over this in more detail prior to your surgery to ensure you are properly informed throughout the entire process.
Is bruising normal following the procedure?
Yes, bruising and swelling are completely normal side effects of a breast augmentation. Most immediate symptoms heal within the first few weeks of recovery.
Which implant type, size and texture is best for me?
We will help you decide which options are best to meet your goals and provide the right size for your anatomy. All options will be considered and discussed thoroughly with you before your procedure to ensure you receive results that meet your expectations.
What happens if an implant rupture occurs?
In the unlikely event of an implant rupture, you will simply need to schedule an appointment and come in for an evaluation. Saline will noticeably deflate as the saltwater solution leaks, but the body will harmlessly absorb the excess fluid. Silicone is made to hold its shape and will leak much more slowly but is also harmless if absorbed by the body. Because silicone ruptures gradually leak over the course of months, they may not be as immediately noticeable.
Do breast implants need to be replaced?
Implants are not meant to be lifelong, but they do not have a set lifespan that warrants replacement every set amount of years. So long as your implants continue to work for you and you schedule regular check-ups every two to three years, they will not need to be replaced.