Having breast augmentation in Baltimore at our plastic surgery center can enhance your figure and improve your body’s proportion by adding fullness to your breasts. Today’s implants are a safe and viable way to improve your appearance. Our surgeons at The Maryland Institute of Plastic Surgery have performed countless successful breast enhancement surgeries for our patients.
Besides increasing the size of your breasts, breast implants can enhance cleavage and correct asymmetries between the left and right breast. We customize every breast augmentation based on your body and how you wish to look. There are several choices for you to make, including the type, size, and shape of your implants.
Breast augmentation can also improve mild droopiness of the breasts. If you have significant sagging, however, we will recommend that you have a breast lift along with your augmentation.
During your consultation, we will discuss your concerns about your appearance and your goals for your breast augmentation, and we will take measurements in order to assist you in choosing your implants. We will make note of your medical history, medications you take, and previous procedures you have had. We will also answer all of your questions, explain what to expect from surgery, and tell you how to prepare for your surgery.
Saline or Silicone Implants?
Both saline and silicone implants are excellent options. It’s a matter of which is best for you.
Silicone implants are filled with silicone gel by the manufacturer. They feel more natural and are less prone to rippling, which is a particular advantage for women who have little of their own breast tissue to cover the implant. If these implants rupture, however, you cannot tell. For this reason, women with silicone implants should have MRI’s every few years to ensure that no rupture has occurred.
Newer types of silicone implants are called “cohesive” or “gummy bear.” The silicone sticks together and does not behave like a liquid, so they are firmer to the touch and hold their shape no matter how you move.
Silicone implants are not recommended for women who have rheumatoid arthritis, lupus, or other connective tissue disorders.
Saline implants are less expensive than silicone and are filled with saline after the shell has been inserted in the breast. This allows the surgeon to customize the volume more precisely. Their texture is firmer, and they are more prone to ripping. If they rupture, you know immediately because they deflate.
Note that rupture is uncommon with both types of implants.
Implants come in a variety of shapes. Round shapes provide more cleavage, while anatomical shapes are more like natural breasts with the majority of the fullness on the bottom.
The Breast Augmentation Procedure
A breast augmentation usually takes 1-2 hours.
In most cases, the incision is in the breast crease or around the areolas. The implants are then inserted behind the chest muscle. Sometimes, silicone implants can be placed in front of the chest muscle and behind the breast tissue to provide a slight lift. The sutures will dissolve on their own, and the incisions generally heal very well.
Preparing for Your Breast Augmentation
Please avoid taking Advil, Aleve, aspirin, ibuprofen, Motrin, and Naprosyn for two weeks prior to your surgery. High dose vitamins and herbal medications should also be avoided. Most other medications that you take regularly can be taken before your procedure. It is especially important to take blood pressure medication so that your blood pressure remains normal during surgery.
Your breast augmentation will be performed at the outpatient surgery center. Be sure to have someone available to drive you home and stay with you for the first 24 hours, as you will be drowsy from the anesthesia.
Recovering from Breast Augmentation
You will be fitted with a surgical bra to minimize swelling, which should be worn for a few weeks. Drains are not usually necessary after breast augmentation.
Some bruising, swelling, soreness, tightness, and itching are normal after breast augmentation. You can take medication, if necessary, to ease discomfort. These symptoms will gradually subside during the first 7-10 days. As a result, most patients take 1 week off from work to recover. Please avoid heavy lifting and strenuous activity for 4 weeks.
We will give you instructions for massaging the scars to reduce scar tissue, redness, and swelling. We will also monitor your recovery to make sure you are happy with your result.
Implant Exchange/Breast Augmentation Revision Procedures
If you have had a complication from a previous breast augmentation, such as a rupture, infection, or capsular contracture, we can do a revision procedure. This usually involves removal of the current implants and replacing them with new implants.