Improve Your Self Confidence with a Breast Augmentation
Dr. Wiener remains a leader in the Chicago area in breast surgery and breast augmentation. Breast augmentation is one of the most popular cosmetic procedures performed by Dr. Wiener and his surgical staff. For many women who have never had the fullness they wanted or who have experienced the thinning, deflation, and drooping of the breast that comes with aging, pregnancy, and weight fluctuations, the placement of a breast implant can bring back the shape and firmness that the breasts once had, and even add a little more!
Other issues such as breast asymmetry and congenital malformations of the breasts and chest can be corrected by the placement of breast implants. In many cases, Breast augmentation is combined with a breast lift for the best possible results.
Types of Breast Implants
Breast implants may have a smooth surface or a slightly rougher “textured” surface. Textured implants may be slightly firmer than smooth implants and are used when implants are being placed above the pectoral (chest) muscle in order to decrease the possibility of thick scar tissue (capsular contracture) forming around the implant. Often, smooth surfaced implants are placed beneath the pectoral muscle because capsular contracture rates are the same or lower than textured implants when the placement is “sub-muscular.” The new, “highly cohesive” or “form stable” implants are also textured because the implant is teardrop shaped and needs to adhere to the surrounding tissues so it can’t shift or rotate within the pocket. This would result in a change in breast shape.
Dr. Wiener will spend all the time needed to inform you and discuss your specific goals. This will include a detailed discussion to help you choose the best implant for you at your consultation appointment in our Chicago office.
Difference Between Saline and Silicone Breast Implants
Breast implants are saline (salt water filled) or silicone gel. Both types of implants are high quality and can provide beautiful breast augmentation results.
- Silicone gel has a softer feel and in some, may look more natural. These are newly engineered implants approved by the FDA in November 2006 and are unrelated to the older silicone gel implants, which were taken off the market in 1992. The current silicone gel implants are made using a “cohesive gel”, which is firmer than the more liquid gel used in implants prior to 1992. The current silicone implants mimic the look and feel of breast tissue more closely than the older implants. Over 10 years of data from thousands of women enrolled in silicone breast implant studies confirmed the efficacy and safety of these implants prior to 2006. In the years since we have seen an almost complete shift to silicone implants from saline implants in our Chicago patients.
- The saline implants, however, remain a viable option, especially in patients who have fairly thick tissues and skin to begin with. In these patients, the additional firmness and the possibility of feeling the implant are minimized due to thicker tissue coverage over the implant.
‘Highly Cohesive’ Gel and ‘Gummy Bear’ Implants
In addition, a new generation of silicone gel implants, the “highly cohesive gel” or “gummy bear” implants were FDA approved in 2012. These silicone gel implants have a shaped, teardrop look and are made of a slightly firmer type of gel. Perfect for use in very thin patients, and in breast reconstruction after cancer surgery, the highly cohesive gel implants have almost none of the folds seen in typical gel (and especially saline) implants.
Folds occur naturally in silicone gel implants and even more so in the saline implant. In thin patients with less breast tissue, these folds could be felt or even seen through the skin. This is called rippling. The highly cohesive, or “form stable” gel implants minimize these potential issues and remain another great option in breast surgery.
In addition, breast implants can be a low, moderate or high profile. The profile of the implant describes the projection the implant has outward from the chest. It essentially describes how thick the implant is at its thickest point. Higher profile implants project more significantly from the chest wall, while moderate and lower implants have a lower profile and therefore would be used for a more subtle breast augmentation or to fill out the breasts, without adding significantly to overall cup size.
Breast Augmentation Before and After Photos
Breast Augmentation Procedure
Breasts implants are placed through incisions made in inconspicuous places to minimize scar visibility (around the lower edge of the areola, in the fold beneath the breast, or in the underarm area.) The incisions are closed with a medical grade adhesive to avoid stitch marks and provide a better scar. The implant is placed behind each breast, underneath the chest muscle. Placement under the muscle offers a few advantages over the placement of the implant under the breasts tissue only. These include a more natural, softer result, reduced risk of post-operative firmness due to scar tissue (capsular contracture) and less interference with eventual mammogram examinations. The procedure is done under general anesthesia or local anesthesia with sedation. Procedure time is typically 1 to 1.5 hours.
In Chicago, Dr. Wiener minimizes the post-operative discomfort by placing a pain-pump underneath the chest muscle at the time of surgery. This tiny (1.0-mm in diameter) catheter is attached to a small noiseless pump that the patient clips to her clothing for the first 48 hours after the procedure. The pump infuses local anesthesia continuously underneath the chest muscle, essentially numbing the tissues and decreasing the discomfort significantly. Oral pain medication will also be used to control post-operative discomfort. After surgery, a soft support bra with a wrap around the chest is worn for the first several days.
Most patients feel tired and sore after surgery, and there is some degree of mild bruising and swelling. The pain-pump catheters are removed painlessly at the first post-operative visit (48-hours after surgery.) There are no stitches to remove. Dr. Wiener will instruct you regarding arm raising exercises and massaging of the implants. Most patients return to work after one week. Light, low impact workouts can begin as early as 3 weeks after surgery. This would include a stationary bicycle, brisk walking or the Stairmaster. Most strenuous activity including jogging, swimming and weight-lifting should be avoided for up to 6 weeks.
Visit The Art of Plastic Surgery in Chicago, IL today to learn more about breast augmentation surgery and achieving your aesthetic goals! Call (773) 763-3990 or fill out a Contact Form to schedule your consultation with Dr. Wiener. You can also read more about breast augmentation surgery and our other offered services on our blog!