Like Goldilocks, some women think their breasts are too big. Others think they’re too small. And amazingly, a small minority of women think their breasts are just right. For women who want larger, fuller breasts, breast implants are a safe, highly successful way to get the breast size they’ve always wanted.
How do you choose the right breast implant for your body? Well, the answer really depends upon your goals and the tradeoffs you wish to make. Dr. Beran will sit with you during your consultation and help you make the choice that is best for you. There is not one right choice for every woman.
Silicone implants generally feel more “natural” than silicone implants and have less chance of “rippling”. Saline implants are much less expensive. There are some other differences between the two types of implants and we have included a quick overview to aid in your decision:
Silicone Breast Implants:
• All the silicone implants Dr. Beran uses are made in America and are FDA approved
• The implant is filled with a cohesive gel, not a liquid.
• The gel has a consistency that resembles the natural feel and resistance to pressure of breast tissue
• The implants are filled at the factory. The implants are available in a huge selection of shapes and sizes.
• The implants are available in four projections: Moderate, Moderate Plus, High Profile and Ultra High Profile to allow the doctor to give you just the look you want.
• Our MemoryGel® Breast Implants are covered by the Mentor Premier Advantage Warranty.
Saline Filled Breast Implants:
• All the saline implants Dr. Beran uses are made in America and are FDA approved.
• These implants are filled with a saltwater solution directly from an IV bag. The solution is identical to that used in your IV during your surgery.
• Saline implants have a slightly firmer feel than gel-filled implants and don’t mimic breast tissue as well.
• Saline implants are more likely to show ripples.
• The ultimate volume of the implant can be adjusted by Dr. Beran during the procedure.
• You can choose from three projection options: Moderate, Moderate Plus and High Profile.
• Our saline implants are covered by the Mentor Standard or Enhanced Limited Warranty and Lifetime Replacement Policy.
Breast augmentation surgery is designed to improve shape, size, and cleavage of the breast. In almost all cases, the implants (saline or silicone) are placed under the pectoralis muscle. This helps to improve both the feel and appearance of the implants as well as decrease the chances of capsular contracture (a firmness that can occur around the implant). You should continue to obtain your normal mammograms after implant surgery.
The incision is a little more than an inch long. It can be a bit smaller for saline implants because they enter the pocket of the breast empty and get filled once they are inside.
Location of incisions:
Inframammary – under the breast. This is the most common incision. The scar lies within the fold of the breast. This incision is the most direct to the implant pocket. The scar is almost always covered by the overlap of the enhanced breast.
Periareolar – around the bottom of the areola (the pigmented skin around the nipple).
This is the second most common incision. The scar is more visible at the beginning, but after it fades can be almost impossible to see. Although the scar is nearer the nipple, the actual surgery does not go through the breast tissue at that point. This helps preserve the ability to breast feed and minimizes the risk to nipple sensation.
Transaxillary – through the armpit.
This is the least common location. The scars can be very visible if they don’t heal perfectly and they can be seen when you are wearing a bathing suit or some workout clothes.
The long distance between the incision and the lower edge of the muscle makes it more difficult to place the implant precisely.
Breast feeding – Generally speaking, breast augmentation surgery will not interfere with breast feeding.
Although there is no expiration date on breast implants, they are not lifetime devices. However, there is a common misconception that implants, whether saline or silicone, only need to be replaced if there is a problem with them. Even though a problematic issue with any implant should be addressed immediately, it is just as crucial for women with breast implants to have regular check-ups to monitor their breast health.
As part of a routine physical check-up, it is important for a health professional to do breast exams regularly. Breast exams should be scheduled every three years for women over the age of 20 and yearly for women over the age of 40. The examination will focus on any changes in shape, size, or symmetry of the breasts, along with any skin changes such as rashes, redness, or dimpling. With or without implants, regular check-ups are crucial for early detection of breast cancer and other abnormalities.
Unfortunately, there are a number of complications that can arise with having breast implants, requiring the patient to undergo a second breast augmentation. Among these complications are implant rupture and capsular contracture.
A rupture is a tear or a hole in the outer shell of the breast implant that causes it to leak. As time goes on, the risk of implant rupture increases. With saline implants, the body typically absorbs the saltwater solution, which leaves the saline implant deflated and causes an obvious change in size and firmness of the breast. Silicone ruptures vary in that the gel is thicker and may remain in the shell or the scar tissue that forms around the implant. Silicone implant ruptures may be undetectable to the human eye, which is why periodic MRIs (magnetic resonance imaging) are important. In both cases, the ruptured implant should be replaced.
Capsular contracture is another complication that will lead to implant replacement. This occurs when there is a hardening in the tissue surrounding the implant in one or both of the breasts. Sometimes, this hardening can be painful. Although the cause of capsular contracture is unknown, it may happen at any time after the primary procedure.
Therefore, given there are no complications, breast implants typically last between 10-15 years and replacement should be considered. Aside from the natural gravitational pull that will cause breast implants to sag, other operations may also be considered as time lapses. This may include changing the size of implant or a lift in the breasts. Considering the individual needs of each patient, a consultation with a board certified plastic surgeon will determine when replacement is best.
If your desire is to achieve beautiful breasts through augmentation or if you are considering breast implant replacement, Dr. Samuel J. Beran offers many different types of cosmetic surgery procedures to provide you with healthy, natural looking results. To schedule your consultation with Dr. Beran, please call us at (212) 792-7938 or fill out our contact form.
We’ve already talked about 10 fun and fascinating things you may not know about breasts, but there are still more! With so much to be discovered about these features of the female chest, it’s no wonder that breasts are so popular. Here are some more interesting facts regarding breasts that many people are unaware of:
- Unlike most primates’ breasts that only increase in size when lactating, human breasts often begin to grow before menstruation and generally maintain their size after menopause and whether lactating or not.
- The breasts contain around 20 milk glands that are connected to milk ducts inside the nipple, which are held together with connective and fatty tissues.
- Brain scan data showed that when women’s nipples were stimulated, the area of the brain that corresponds to the genitals was also stimulated. Some women can actually orgasm just from nipple stimulation.
- The world’s largest natural breasts belong to Norma Stitz (born Annie Hawkins-Turner). Her bra size is 102ZZZ, and it seems her clever pseudonym is quite appropriate.
- By the middle of the 20th century the majority of women had abandoned breastfeeding and instead fed their babies formula from bottles. Fortunately, the medical and neurodevelopmental advantages of breastfeeding have been confirmed, and now the majority of women follow the advice of the American Academy of Pediatrics and breastfeed their babies.
- Within the last few years there has been an explosion of women employing wet nurses to breastfeed their children, and many milk-sharing networks have been established for women who are unable to breastfeed.
- Perfectly symmetrical breasts are very rare. In fact, the majority of women have a size difference of up to 20 percent between breasts.
- There are at least four types of nipples: “normal” nipples protrude a few millimeters from the areolas, “flat” nipples only protrude when they’re stimulated, “puffy” nipples have raised areolas, and “inverted” nipples have turned inward to some degree.
If you are interested in a procedure to enhance the appearance of your breasts, Dr. Samuel Beran is highly skilled in a wide variety of procedures. He is certified by The American Board of Plastic Surgery (ABPS) and can provide healthy, natural-looking results. Please call (212) 792-7938 or fill out our online contact form to schedule your consultation today.
The popularity of cosmetic plastic surgery has increased over the last decade, partly due to the various reality shows that chronicle individuals who undergo a procedure, or two. It is becoming quite common for patients to request a combination of procedures in order to achieve their ideal outcome in one surgery setting.
However, it is important for patients to fully understand the pros and cons of undergoing multiple procedures at one time. The most common reasons my patients want to undergo more than one procedure at a time are to save recovery time and to save money on fees associated with surgery. Every time a patient goes in for a procedure, he/she will need some time to recover and many times combination procedures do not have a longer recovery time than one procedure would. In addition, with every surgery there is a charge for anesthesia, surgery center, and other miscellaneous fees. By combining more than one procedure, patients can significantly cut their final cost.
On the other hand, there are some risks involved with a prolonged time in surgery. There are some circumstances in which multiple procedures can result in longer recovery time than a single procedure. The specific safe combination of procedures is based upon the patient’s general health and the procedures involved. For example, a tummy tuck is often combined with a breast lift.
The best way to determine if undergoing multiple procedures is right for you is by scheduling an initial consultation. We can discuss your surgery of choice and desired outcome in further detail.
There have always been questions regarding the safety of breast implants: Can they be harmful if they leak? Do silicone implants cause a greater health risk than saline breast implants? Can breast implants cause cancer? This last question is one that has been increasingly popular in recent years due to some related cases of anaplastic large cell lymphoma (ALCL), a very rare type of cancer, and breast implants. In a recent U.S. Food and Drug Association (FDA) press release, it is reported that there is a possible association between saline and silicone gel filled breast implants and this type of cancer. Usually found in the lymph nodes and skin, those who have been diagnosed with ALCL typically have undergone breast implant surgery.
However, these findings are still being further investigated in order to learn more regarding the source of the cancer. The FDA is asking all healthcare professionals to report any cases of diagnosis and urge patients to be aware of any changes to their breasts after surgery. There are 60 cases worldwide; however, some of these may be duplicate reports and there may still be some that have not been reported. In any case, it is important to always be cautious when considering breast enhancement surgery. Be sure to ask of the risks related to this procedure in order to be better prepared should you experience any complications.
At my practice, patients may anticipate a safe and professional environment. Along with my staff, I am fully dedicated to patient education and safety throughout your entire procedure. Feel free to browse my site to learn more regarding breast augmentation and to schedule an appointment.
When considering breast augmentation surgery, one of the most common questions is: Which breast implant is best? The two options available are saline and silicone gel filled breast implants. Each carries its own set of pros and cons, which are thoroughly discussed during your initial consultation. While they are both made of a thin, silicone shell, they have very different fillings.
Saline implants are placed in the breasts through one of various incision sites – under the breast, around the nipple, or through the armpit. The empty shell is placed either beneath or above the chest muscle and then filled with the desired amount of saline. Silicone gel breast implants can also be placed through any of theses incisions. These come pre-filled; therefore, the volume is changed by choosing a specific implant size. In regards to natural look and feel, silicone implants are ideal. However, should a silicone gel filled implant rupture, it will not be as noticeable as when a saline breast implant leaks. One important factor that patients must take into account is the age restriction of each implant type: 18 years old for saline and 22 years old for silicone gel.
You may gain further information regarding saline and silicone gel breast implants and learn of the most appropriate options for your body shape and size by contacting our office. After a thorough examination a personalized treatment plan can be created to meet your goals.
Women who visit my New York plastic surgery practice to learn about their options in breast surgery often have the same question: Do I need a lift or augmentation? The answer to this depends on various factors – breast shape, size, nipple alignment, and overall body shape and size. If a patient has small breasts with minimal or no sagging, breast augmentation may be the best option for her. When there is excess sagging and loss of volume, a breast lift may be a better choice. However, there are some circumstances that would be ideal for a lift with augmentation.
In addition to breast enlargement and lift, patients may inquire about reduction, reconstruction, and implant revision. If you have large, pendulous breasts that causes neck, shoulder, and/or back pain, a breast reduction may alleviate these symptoms and provide a more balanced contour. Breast cancer patients who have undergone a mastectomy (breast removal) may be interested in a reconstructive procedure. Also, if you have had a primary breast enhancement procedure and were left with unsatisfactory results or experienced complications, revision surgery may be of great benefit.
In order to determine which of these procedures is right for you, it is best to schedule an appointment at my practice. We can discuss your options, ideal outcome, and most appropriate procedure to meet your needs.